This paper traces the origins of the Oregon plan, explains how it works and passes judgment on its worth. The Oregon plan is a controversial health rationing plan for the poor under America's Medicaid system. Over 700 services have been ranked in priority order and the state legislature has said ...
The report attempts to review the main issues surrounding the funding and management of units providing dialysis services to people suffering from end-stage renal failure in the UK for the benefit of health service managers, renal physicians and other staff. The objective is to review the experience and information currently ...
This briefing paper critically reviews the proposals, assesses financial implication and highlights major omissions in the White Paper 'Promoting Better Health' : the Government's review of primary care services. It concludes that, despite welcome attention to issues of accountability and value for money, some basic questions remain unanswered : which ...
In the current debate surrounding methods of health finance, there has been no shortage of proposals for reform, but there has been a serious shortage of careful analysis of these proposals. This is the main aim of this briefing paper. Through a systematic examination of policy choices, it seeks to ...
The aim of this study is to explore the effect of alternative methods of financing health services on health service performance - particularly performance with respect to efficiency and equity - in the United States, Canada and the United Kingdom. All countries face certain dilemmas in financing health services: health ...
This is a review of recent British initiatives based upon the principles of "An ordinary life", for both children and adults with learning difficulties. Key issues discussed include establishing commitment to basic principles, planning comprehensive services, acquiring appropriate housing, financing and staffing the residential service, operational policies and management, staff ...
This project paper is the product of a working party convened by the King's Fund Centre to examine the provision of day services for people with mental handicaps. The importance of work in society and for people with mental handicaps is discussed and principles of service design described. Problems with ...
This study was commissioned by the Department of Health and Social Security and the King's Fund Centre to provide an independent account of alternatives to hospital care for children with learning difficulties who need long-term residential care. The report draws on examples from health and social services authorities and discusses ...
This report gives an account of the development of the King's Fund London Programme. It was launched in 1979 to develop activities in relation to health care in London. Its broad aim is to identify, encourage and disseminate good practice in inner city areas through a coordinated programme of research ...
These papers complement a wide variety of material made available to the Commission on health service finance. The first paper discusses the alternative models of financing health services. The second paper describes one of those models as used in the NHS: health service charges. The third paper discusses efficient management ...