Journal of health services research & policy
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J Health Serv Res Policy · Jul 2002
ReviewSystematic review of outreach clinics in primary care in the UK.
To determine the benefits of holding specialist outreach clinics in primary care settings by means of a systematic literature review of UK studies. ⋯ Health care purchasers and providers must decide whether the advantages in terms of patients' experience of outreach clinics are worth the additional costs. They also need to consider issues of equity, which have not been addressed in research to date.
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J Health Serv Res Policy · Jul 2002
ReviewSystematic review of outreach clinics in primary care in the UK.
To determine the benefits of holding specialist outreach clinics in primary care settings by means of a systematic literature review of UK studies. ⋯ Health care purchasers and providers must decide whether the advantages in terms of patients' experience of outreach clinics are worth the additional costs. They also need to consider issues of equity, which have not been addressed in research to date.
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J Health Serv Res Policy · Jul 2001
ReviewAssessing the value of hospital-in-the-home: lessons from Australia.
To identify factors that influence the cost-effectiveness of hospital-in-the-home (HITH) and to discuss the impact of funding arrangements in creating incentives or disincentives for the establishment of HITH services. ⋯ Evaluations are essential to inform decisions about whether HITH is likely to be a viable and cost-effective alternative to inpatient care. However, the relative costs of HITH and conventional care will depend on local factors. From the point of view of the decision-maker, these will be affected by funding and organisational arrangements. Funders must be aware that complex financial incentives may mask the true costs of HITH services relative to hospital services. They need to ensure that the incentives created by funding arrangements are transparent.
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J Health Serv Res Policy · Jan 2001
ReviewImpact of payment method on behaviour of primary care physicians: a systematic review.
To review the impact of payment systems on the behaviour of primary care physicians. ⋯ There is some evidence to suggest that how a primary care physician is paid does affect his/her behaviour but the generalisability of these studies is unknown. Most policy changes in the area of payment systems are inadequately informed by research. Future changes to doctor payment systems need to be rigorously evaluated.
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J Health Serv Res Policy · Jan 2001
ReviewImpact of payment method on behaviour of primary care physicians: a systematic review.
To review the impact of payment systems on the behaviour of primary care physicians. ⋯ There is some evidence to suggest that how a primary care physician is paid does affect his/her behaviour but the generalisability of these studies is unknown. Most policy changes in the area of payment systems are inadequately informed by research. Future changes to doctor payment systems need to be rigorously evaluated.