Innovation and funding specialist services. Cochlear implantation
Innovation and funding specialist services. Cochlear implantation
This paper traces the innovative development of the Nottingham Cochlear Implant Programmes. The paediatric programme was the first to be established in the UK in 1989 and remains the largest programme in the UK today, whilst the adult programme developed later, in 1994. The first section of the paper describes trends in service development whilst the second section makes detailed reference to the history of funding arrangements which enabled the programme to become established. The third part of the paper examines the (de)merits of locality purchasing versus centralised purchasing for specialist services, using cochlear implantation as way of illustration. The paper aims to provide an informative history of the development of the service in Nottingham and from this background create debate as to the most appropriate future funding mechanism for cochlear implantation in particular and specialist services in general.
Adult, Child, Cochlear Implants/economics, Contract Services/economics, Economics, Medical, Financing, Government, Hospitals, University/economics, Humans, Interviews as Topic, Medicine/organization & administration, Negotiating, Organizational Innovation, Patient Satisfaction, Program Development/economics, Purchasing, Hospital, Referral and Consultation, Scotland, Specialization, State Medicine/economics
53-63
Sach, T H
5c09256f-ebed-4d14-853a-181f6c92d6f2
Whynes, D K
0f347f72-ed96-449b-8a76-40bc42dc283e
Parker, P
b7f36f18-00b6-4599-bc25-713b6ee102f0
Archbold, S M
ef7e272b-ecbc-4479-94c4-668b080aab27
2004
Sach, T H
5c09256f-ebed-4d14-853a-181f6c92d6f2
Whynes, D K
0f347f72-ed96-449b-8a76-40bc42dc283e
Parker, P
b7f36f18-00b6-4599-bc25-713b6ee102f0
Archbold, S M
ef7e272b-ecbc-4479-94c4-668b080aab27
Sach, T H, Whynes, D K, Parker, P and Archbold, S M
(2004)
Innovation and funding specialist services. Cochlear implantation.
Journal of Health Organization and Management, 18 (1), .
(doi:10.1108/14777260410532065).
Abstract
This paper traces the innovative development of the Nottingham Cochlear Implant Programmes. The paediatric programme was the first to be established in the UK in 1989 and remains the largest programme in the UK today, whilst the adult programme developed later, in 1994. The first section of the paper describes trends in service development whilst the second section makes detailed reference to the history of funding arrangements which enabled the programme to become established. The third part of the paper examines the (de)merits of locality purchasing versus centralised purchasing for specialist services, using cochlear implantation as way of illustration. The paper aims to provide an informative history of the development of the service in Nottingham and from this background create debate as to the most appropriate future funding mechanism for cochlear implantation in particular and specialist services in general.
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Published date: 2004
Keywords:
Adult, Child, Cochlear Implants/economics, Contract Services/economics, Economics, Medical, Financing, Government, Hospitals, University/economics, Humans, Interviews as Topic, Medicine/organization & administration, Negotiating, Organizational Innovation, Patient Satisfaction, Program Development/economics, Purchasing, Hospital, Referral and Consultation, Scotland, Specialization, State Medicine/economics
Identifiers
Local EPrints ID: 480796
URI: http://eprints.soton.ac.uk/id/eprint/480796
ISSN: 1477-7266
PURE UUID: 52187c38-772c-432a-acec-587aac67e6d7
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Date deposited: 09 Aug 2023 17:14
Last modified: 17 Mar 2024 04:20
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Author:
T H Sach
Author:
D K Whynes
Author:
P Parker
Author:
S M Archbold
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