To describe the extracontractual referrals of residents of a health authority during a six month period in 1994, identifying the number and cost of emergency and non-emergency referrals, including the number of cases costing more than M-20000 and those cases when payment was refused.
Design-Descriptive analysis of all extracontractual referrals submitted to the health authority between 1 April and 30 September 1994.
Setting-A health authority covering a poulation of 614000.
Result-Payment of M-2 583 693 was made to 263 different providers for 2400 episodes of care, of which 1469 were emergencies and 931 were elective or tertiary referrals.
Authorisation was granted for an additional 1376 referrals for future treatment but was refused in 713 instances, mostly for technical reasons.
Sixteen extracontractual referrals together accounted for over a fifth of total expenditure during the study period.
Conclusions-Handling large numbers of episodes of care on an individual cost per case basis imposes an enormous administrative burden on both purchasers and providers, diverting money away from patient care.
Extracontractual referrals also expose health authorities to considerable financial risk and may undermine commissioning strategies.
Measures are proposed to limit the number of episodes handled in this way.
Mots-clés Pascal : Contrat, Médecin, Autorité, Santé, Résident, Economie santé, Analyse coût, Politique sanitaire, Grande Bretagne, Royaume Uni, Europe
Mots-clés Pascal anglais : Contract, Physician, Authority, Health, Resident, Health economy, Cost analysis, Health policy, Great Britain, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0394520
Code Inist : 002B30A05. Création : 01/03/1996.