Every year about £22 billion is allocated to health authorities for hospital and community services in England.
The distribution of most of these funds is based on a formula developed to reflect the population's needs, but the existing formula has been criticised on several grounds.
This paper describes the development of a method to determine the health needs for small geographical areas.
Data from the hospital episodes statistics and 1991 census together with information on vital statistics and supply of health care facilities were used in the model.
Two stage least squares regression was used to identify true indicators of need, and these were entered into a multilevel model to the account of variations in practice in different health authorities.
Mots-clés Pascal : Allocation ressource, Soin santé primaire, Autorité, Service hospitalier, Besoin, Homme, Prévention, Méthode analyse, Economie santé
Mots-clés Pascal anglais : Resource allocation, Primary health care, Authority, Hospital ward, Need, Human, Prevention, Analysis method, Health economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0027762
Code Inist : 002B30A01C. Création : 09/06/1995.