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Centre for Policy on Ageing | |
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Performance indicators for primary care management in the NHS
— (The York series on the NHS White Paper - a research agenda) | | Author(s) | Antonio Giuffrida, Hugh Gravelle, Martin Roland |
| Corporate Author | Centre for Health Economics, York Health Economics Consortium, NHS Centre for Reviews and Dissemination, University of York |
| Publisher | University of York, York, 1998 |
| Pages | 31 pp (Centre for Health Economics Discussion paper, 160) |
| Source | Publications Centre, Centre for Health Economics, University of York YO10 5DD. |
| Keywords | General practice ; Health Authorities and Trusts ; Drugs ; Performance ; Indicators ; Reliability. |
| Annotation | The NHS Executive has proposed more indicators for measuring primary care performance at health authority level, e.g. prescribing and hospital admission rates for certain acute and chronic conditions. It is suggested that higher hospital admission rates for some conditions may indicate deficiencies in their management in primary care. The authors argue that there are difficulties with some of the proposed measures, because individual single indicators are being used to try and reflect more than one aspect of performance, and may have large year to year variation. Using 1989/90-1994/95 data on Family Health Services Authorities (FHSAs), the authors investigate how admission rates, and the ranking of FHSAs by admission rates vary as socio-economic factors and secondary and primary care supply conditions are allowed for. The impact of socio-economic factors on admission rates and rankings is at least as large as the impact of the age and sex structure of FHSA populations. The authors suggest that if admission rates are used as performance indicators in primary care, these should be standardised for socio-economic and supply conditions, as well as for demographic factors. Other suggestions are made for improving the indicators. (RH). |
| Accession Number | CPA-981201209 B |
| Classmark | L5: L4A: LLD: 5H: 3RI: 5HC |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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