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  1. Effect of fundholding on waiting times : database study.

    Article - En anglais

    Objectives 

    To determine whether fundholding patients have shorter waiting times for surgery than non-fundholding patients and to establish if any such differences resulted from practices attaining fundholding status.

    Design 

    Comparison of waiting times of fundholding and non-fundholding patients for elective surgery covered by the fundholding scheme at four providers over four years.

    Comparison of the waiting times for patients of practices in their last year outside and first year inside the fundholding scheme with those for patients of practices remaining non-fundholding.

    Setting 

    West Sussex.

    Subjects 

    Over 57 000 patients on the elective waiting list who had operations purchased by a health authority or fundholding practice during 1992-6.

    Patients with booked or planned elective admissions were excluded.

    Main outcome measures 

    Waiting times for patients of fundholding and non-fundholding patients.

    Results 

    Patients of fundholding practices had significantly shorter waiting times than those of non-fundholders for all four providers and over all four years.

    Waiting times for patients did not fall until the year that the practices joined the fundholding scheme.

    Conclusions 

    Fundholding shortens waiting times.

    This may be because purchasing of elective surgery is best done at a practice level or because fundholding practices are funded overgenerously.

    Mots-clés Pascal : Chirurgie, Temps attente, Etude comparative, Assurances sociales, Communication information, Relation médecin malade, Evaluation, Homme, Politique sanitaire, Organisation santé

    Mots-clés Pascal anglais : Surgery, Waiting time, Comparative study, National insurance, Information communication, Physician patient relation, Evaluation, Human, Health policy, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0417319

    Code Inist : 002B30A04D. Création : 19/12/1997.