The response of fundholding family doctors to price signals

Article Abstract:

The UK's National Health Service (NHS) and the Community Care Act 1990 have established the GP fundholding (GPFH) which utilized devolved budgets to provide various medical services for patients. To investigate the effect of price signals to the performance of the services of the GPFH, a longitudinal research was conducted on the 35 GPFH practices in West Midlands Region for consecutive time frames. Analysis provides that a large increase in the number of admissions since the introduction of the fundholding became apparent because of better qualitative services.

Administration of Public Health Programs, Medical Services Administration, United Kingdom, Surveys, Medical care, Cost of, Health care costs, Survey response rates, Federal aid to health facilities, Government aid to health facilities, Medical care surveys

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Performance based compensation in health care - a Swedish experience

Article Abstract:

Health care reform initiatives have mostly focused on adopting decentralization and market orientation. A longitudinal case study of five clinics in a university hospital shows how a traditional overall budgeting system was abandoned in favor of a performance compensation system. Under the new system, the clinics were paid a fixed price per unit produced. The case story demonstrates that ambitions of setting strict market line compensation and contracting forms have not been met. An alternative conceptualization of the firm and competition is described.

Case studies, Sweden, Compensation management, Health care reform

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The impact of fundholding on primary health care: accounts from Scottish GPs

Article Abstract:

General practice (GP) fundholding was conceived merely as a 'sideshow' to the main health care reform initiatives in Scotland. However, it has become an important element in the purchaser/provider agenda, with the changes related to GP fundholding expected to play a pivotal role in health care initiatives in the future. A study of the impact of fundholding on primary health care in Grampian, Lothian and Tayside indicates that fundholding is not significant because GPs believe there are benefits for primary health care.

Scotland, Physicians (General practice), General practitioners, Health services administration

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