To describe the impact, direct costs of, and participants'attitudes to the first two years and eight months of locality commissioning in Avon.
Retrospective description of programme.
Thirteen localities in Avon Health Authority area, covering 982 000 population and 147 general practices.
Postal questionnaire survey of 147 general practitioners (one per practice) ; interviews with and questionnaire survey of 13 lead general practitioners and 13 so called link staff from the health authority.
Locality initiatives, perceived influence, general practitioners'attitudes, management costs.
Twenty initiatives were identified that had changed services to patients, and another nine were planned.
The commonest initiatives concerned primary mental health care (seven), nurse specialists for primary care of chronic diseases (three), referral and clinical practice guidelines (seven), and access to hospital outpatient departments (one, with two others planned).
Localities were more likely to have influenced the authority, trust managers, and consultants than social services, community health councils, and voluntary organisations.
Activity varied between localities, lead general practitioners estimating that 120/147 (82%) of practices had been involved in locality meetings (range 44-100% in different localities). (...)
Mots-clés Pascal : Mise en service, Service santé, Médecin généraliste, Programme sanitaire, Coût, Homme
Mots-clés Pascal anglais : Commissioning, Health service, General practitioner, Sanitary program, Costs, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0314914
Code Inist : 002B30A04D. Création : 12/09/1997.