Commissioning Healthcare in England最新文献

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List of abbreviations 缩略语一览表
Commissioning Healthcare in England Pub Date : 2020-03-01 DOI: 10.2307/j.ctvz938mt.4
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引用次数: 0
Commissioning primary care services: 开办初级保健服务:
Commissioning Healthcare in England Pub Date : 2020-03-01 DOI: 10.2307/j.ctvz938mt.11
Imelda McDermott, K. Checkland, A. Coleman, L. Warwick-Giles, S. Peckham, D. Bramwell, V. Moran, Oz Gore
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引用次数: 0
The Development and Early Operation of Clinical Commissioning Groups (CCGs) 临床调试组(ccg)的发展与早期运作
Commissioning Healthcare in England Pub Date : 2020-03-01 DOI: 10.2307/j.ctvz938mt.9
A. Coleman, Imelda McDermott, L. Warwick-Giles, K. Checkland
{"title":"The Development and Early Operation of Clinical Commissioning Groups (CCGs)","authors":"A. Coleman, Imelda McDermott, L. Warwick-Giles, K. Checkland","doi":"10.2307/j.ctvz938mt.9","DOIUrl":"https://doi.org/10.2307/j.ctvz938mt.9","url":null,"abstract":"Chapter 3 deals with the development and early operation of Clinical Commissioning Groups (CCGs) of GPs. Building upon the context set out in chapter 2, we examine the factors affecting early CCG development, highlighting the complexity of their governance structures, approaches taken to engaging with their members and the development of external relationships with a wide range of new bodies. We found an explicitly ‘bottom up’ approach to policy implementation, with CCGs given considerable lee-way in developing their structures and processes. As a result, the history of previous commissioning structures and arrangements played an important role in the development of each CCG, as did the approach taken by local leaders and by the PCT/ developing NHS England local team. Engagement with local bodies such as Health and Wellbeing Boards and Local Authorities were also significantly affected by local history and geography. We found that the approach taken by NHS England to CCG development, with early freedom to develop as they chose increasingly curtailed by more prescriptive guidance and a complex assurance regime, led to some frustrations for those involved.","PeriodicalId":115287,"journal":{"name":"Commissioning Healthcare in England","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126368814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The changing public health system: 不断变化的公共卫生系统:
Commissioning Healthcare in England Pub Date : 2020-03-01 DOI: 10.2307/j.ctvz938mt.14
S. Peckham, A. Coleman, E. Gadsby, J. Segar, Neil Perkins, D. Bramwell
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引用次数: 0
Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012 根据《2012年卫生保健服务法案》,通过竞争和合作机制进行医疗保健服务的委托
Commissioning Healthcare in England Pub Date : 2020-03-01 DOI: 10.2307/j.ctvz938mt.12
D. Osipovic, P. Allen, E. Shepherd, Christina Petsoulas, A. Coleman, Neil Perkins, Lorrainea Williams, M. Sanderson
{"title":"Commissioning of healthcare through competitive and cooperative mechanisms under the HSCA 2012","authors":"D. Osipovic, P. Allen, E. Shepherd, Christina Petsoulas, A. Coleman, Neil Perkins, Lorrainea Williams, M. Sanderson","doi":"10.2307/j.ctvz938mt.12","DOIUrl":"https://doi.org/10.2307/j.ctvz938mt.12","url":null,"abstract":"Chapter 6 reports a longitudinal study of commissioners’ (and providers’) use of competition and cooperation. This chapter reports research which aimed to investigate how commissioners in local health systems managed the interplay of competition and cooperation in their local health economies, looking at acute, mental health and community health services. The understanding of the regulatory context of the NHS market by both commissioners and providers of care was unclear. There were differences between local areas in terms of the volume and mode of using competition as a commissioning mechanism, with some having more enthusiasm for and experience in running competitive procurements than others. Commissioners noted that the procurement process was very resource intensive. By 2018 there was a marked decline in the appetite to use competition, especially for large scale service reconfigurations. Collaborative planning involving key local providers was a preferred way for CCG commissioners to approach large commissioning tasks.","PeriodicalId":115287,"journal":{"name":"Commissioning Healthcare in England","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127763825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Healthcare Contracts and the Allocation of Financial Risk 医疗合同和财务风险的分配
Commissioning Healthcare in England Pub Date : 2020-03-01 DOI: 10.2307/j.ctvz938mt.13
P. Allen, M. Sanderson, Christina Petsoulas, Ben Ritchie
{"title":"Healthcare Contracts and the Allocation of Financial Risk","authors":"P. Allen, M. Sanderson, Christina Petsoulas, Ben Ritchie","doi":"10.2307/j.ctvz938mt.13","DOIUrl":"https://doi.org/10.2307/j.ctvz938mt.13","url":null,"abstract":"Chapter 7 reports two aspects of research on contracting in the NHS. The first investigates how the policies to use contractual mechanisms including financial risk allocation work in practice. Most of the contractual relationships between NHS owned acute providers and commissioners were characterised by the use of general annual financial settlements outside the terms of the contract. This behaviour appeared to be increasing over time. The second study comprises a review of the evidence concerning new forms of contract being introduced into the NHS: alliance and outcome based contracts. These are aimed at facilitating the integration of services and improving quality of care. Evidence from other sectors indicates that new models of contracting may result in cost savings including a reduction in capital costs, the development of innovations and benefits in relation to time. But there are high transaction costs in relation to the process of contract negotiation and specification. The evidence base regarding improvements in the quality of services is not convincing. These models carry a number of potential governance issues in relation to their implementation in the NHS, and are at risk of failing to satisfy public sector governance objectives including accountability, integrity and transparency.","PeriodicalId":115287,"journal":{"name":"Commissioning Healthcare in England","volume":"93 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131727721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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