Resource allocation to health authorities: the quest for an equitable formula in Britain and Sweden
Resource allocation to health authorities: the quest for an equitable formula in Britain and Sweden
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DOI：
10.1136/bmj.315.7112.875
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发表时间：
1997-10-04
影响因子：
--
通讯作者：
Whitehead, M
中科院分区：
文献类型：
--
作者：
Diderichsen, F;Varde, E;Whitehead, M
In recent years countries with very different healthcare systems have been showing increasing interest in resource allocation policies based on weighted capitation. In countries whose healthcare systems have competing health insurers the main concern has been to construct capitation formulas that prevent favourable risk selection or “cherrypicking.” Reforms to the American Medicare programme and Dutch healthcare proposals have stimulated renewed efforts to find a way of overcoming this problem. 1 2 3 4Countries with national health services, such as the United Kingdom and Sweden, have also experienced far-reaching reforms of health care, with important implications for equity in access to care. 5 6 Risk selection should be less of a problem, at least with health authority purchasing, as the population is assigned to a purchaser based on area of residence. The new role of local purchaser, however, calls for more exact methods to allocate “purchasing power,” because local areas will show stronger variation in relative need than regions and counties.
