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The abolition of the GP fundholding scheme: a lesson in evidence-based policy making.
- Source :
-
The British journal of general practice : the journal of the Royal College of General Practitioners [Br J Gen Pract] 2002 Feb; Vol. 52 (475), pp. 141-4. - Publication Year :
- 2002
-
Abstract
- The general practitioner (GP) fundholding scheme was introduced as part of the Conservative governments 1991 National Health Service reforms and abolished by the Labour government in 1998. This paper contends that the scheme was introduced and abolished without policy-makers having any valid evidence of its effects. In particular, it focuses on the salient features of the decision to abolish. These were: (a) that it was not based on evidence; (b) that it came relatively soon after the introduction of the scheme; and (c) the GP fundholding scheme was voluntary and increasing numbers of GPs were being recruited. The overtly political nature of the introduction of GP fundholding is already well documented and is important in understanding the lack of evidence involved in the development of the fundholding scheme.
- Subjects :
- Decision Making, Organizational
Evidence-Based Medicine
Family Practice economics
Health Policy economics
Health Services Research
Politics
State Medicine organization & administration
United Kingdom
Family Practice organization & administration
Financing, Government
Policy Making
State Medicine economics
Subjects
Details
- Language :
- English
- ISSN :
- 0960-1643
- Volume :
- 52
- Issue :
- 475
- Database :
- MEDLINE
- Journal :
- The British journal of general practice : the journal of the Royal College of General Practitioners
- Publication Type :
- Academic Journal
- Accession number :
- 11885824