Abstract
Purchasing health care is at the core of the reforms of the UK NHS and yet there is little research evidence on which the policy is based. Research in this area is hampered by a lack of clarity over the aims of purchasing and the pace of change within the NHS. Purchasing developments such as general practice fund-holding are proceeding without a large scale evaluation of their impact. At a national level a research effort is required to investigate this key area of the NHS reforms.
Full text
PDF

Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bradlow J., Coulter A. Effect of fundholding and indicative prescribing schemes on general practitioners' prescribing costs. BMJ. 1993 Nov 6;307(6913):1186–1189. doi: 10.1136/bmj.307.6913.1186. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bradlow J., Coulter A. Effect of fundholding and indicative prescribing schemes on general practitioners' prescribing costs. BMJ. 1993 Nov 6;307(6913):1186–1189. doi: 10.1136/bmj.307.6913.1186. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Coulter A. General practice fundholding: time for a cool appraisal. Br J Gen Pract. 1995 Mar;45(392):119–120. [PMC free article] [PubMed] [Google Scholar]
- Craft N. Secrecy in the NHS. BMJ. 1994 Dec 17;309(6969):1640–1643. doi: 10.1136/bmj.309.6969.1640a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dixon J., Glennerster H. What do we known about fundholding in general practice? BMJ. 1995 Sep 16;311(7007):727–730. doi: 10.1136/bmj.311.7007.727. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Donaldson L. Building quality into contracting and purchasing. Qual Health Care. 1994 Jun;3 (Suppl):37–40. doi: 10.1136/qshc.3.suppl.37. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ham C., Hunter D. J., Robinson R. Evidence based policymaking. BMJ. 1995 Jan 14;310(6972):71–72. doi: 10.1136/bmj.310.6972.71. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ham C., Shapiro J. The future of fundholding. BMJ. 1995 May 6;310(6988):1150–1151. doi: 10.1136/bmj.310.6988.1150. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ham C. Where now for the NHS reforms? BMJ. 1994 Aug 6;309(6951):351–352. doi: 10.1136/bmj.309.6951.351. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Howie J. G., Heaney D. J., Maxwell M. Care of patients with selected health problems in fundholding practices in Scotland in 1990 and 1992: needs, process and outcome. Br J Gen Pract. 1995 Mar;45(392):121–126. [PMC free article] [PubMed] [Google Scholar]
- Howie J. G., Heaney D. J., Maxwell M. Evaluating care of patients reporting pain in fundholding practices. BMJ. 1994 Sep 17;309(6956):705–710. doi: 10.1136/bmj.309.6956.705. [DOI] [PMC free article] [PubMed] [Google Scholar]
