The University of Southampton
University of Southampton Institutional Repository

Efficiency of care at the primary-secondary interface: variations with GP fundholding

Efficiency of care at the primary-secondary interface: variations with GP fundholding
Efficiency of care at the primary-secondary interface: variations with GP fundholding
The aim of the study was to investigate the processes of referral for out-patients care and the interface with general practice, from the perspective of the patient, the patient's general practitioner and hospital specialist. The analyses reported here present variations with fundholding and non-fundholding general practice. The design was a questionnaire survey of out-patients, their hospital specialists and general practitioners, in six, randomly sampled district health authorities in the North Thames Region, with stratification by area. The measures included validated items and scales on process, quality and patient satisfaction with services.Fundholders were more likely to have technical equipment and services available within the practice. There were no differences between fundholders and non-fundholders and the number of out-patient attendances made by their patients, hospital out-patient waiting list times, patients' waiting times in hospital clinics, nor in patients' satisfaction with out-patients and other process indicators. Fundholding is currently being replaced with the proposed wider locality commissioning schemes, with GPs, health authorities and other purchasing bodies acting in partnership. Health authority commissioning will be required to reflect the preferences of GPs. Participants in these schemes will need to pay particular attention to the areas where research indicates that fundholding GPs made little difference to increasing the efficiency and effectiveness of health care both in their own practiced and at the primary-secondary care interface. (C) 2000 Elsevier Science Ltd. All rights reserved.
GP fundholding, out-patients, health care organisation, quality of care
1353-8292
15 - 23
Redfern, Judith
9a4ad668-2821-478a-baef-7e94f87d22e4
Bowling, Ann
796ca209-687f-4079-8a40-572076251936
Redfern, Judith
9a4ad668-2821-478a-baef-7e94f87d22e4
Bowling, Ann
796ca209-687f-4079-8a40-572076251936

Redfern, Judith and Bowling, Ann (2000) Efficiency of care at the primary-secondary interface: variations with GP fundholding. Health & Place, 6 (1), 15 - 23. (doi:10.1016/S1353-8292(99)00026-X). (PMID:10685021)

Record type: Article

Abstract

The aim of the study was to investigate the processes of referral for out-patients care and the interface with general practice, from the perspective of the patient, the patient's general practitioner and hospital specialist. The analyses reported here present variations with fundholding and non-fundholding general practice. The design was a questionnaire survey of out-patients, their hospital specialists and general practitioners, in six, randomly sampled district health authorities in the North Thames Region, with stratification by area. The measures included validated items and scales on process, quality and patient satisfaction with services.Fundholders were more likely to have technical equipment and services available within the practice. There were no differences between fundholders and non-fundholders and the number of out-patient attendances made by their patients, hospital out-patient waiting list times, patients' waiting times in hospital clinics, nor in patients' satisfaction with out-patients and other process indicators. Fundholding is currently being replaced with the proposed wider locality commissioning schemes, with GPs, health authorities and other purchasing bodies acting in partnership. Health authority commissioning will be required to reflect the preferences of GPs. Participants in these schemes will need to pay particular attention to the areas where research indicates that fundholding GPs made little difference to increasing the efficiency and effectiveness of health care both in their own practiced and at the primary-secondary care interface. (C) 2000 Elsevier Science Ltd. All rights reserved.

Full text not available from this repository.

More information

e-pub ahead of print date: 21 February 2000
Published date: March 2000
Keywords: GP fundholding, out-patients, health care organisation, quality of care
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 334710
URI: http://eprints.soton.ac.uk/id/eprint/334710
ISSN: 1353-8292
PURE UUID: 40cfb0ce-15cd-4df8-a839-1fc3a2696173

Catalogue record

Date deposited: 22 Mar 2012 15:55
Last modified: 08 Jan 2021 17:32

Export record

Altmetrics

Contributors

Author: Judith Redfern
Author: Ann Bowling

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×