APPENDIX
Recent King's Fund work on patient choice: 2003-04
1. WHAT'S
THE REAL
COST OF
MORE PATIENT
CHOICE? (2003) APPLEBY
J, HARRISON A, DEVLIN
N
A King's Fund Policy paper setting out definitions
of the scale and scope of choice and possible costs and benefits
of choice in the NHS
2. London Patient Choice Project Evaluation:
a model of patients' choices of hospital from stated preference
choice data (2004) Burge P, Devlin N, Appleby J, Rohr C, Grant
J
The first of two reports from the LPCP evaluation.
Two further publications planned (Applied Health Economics and
Health Policy and BMJ). The interim results were presented at
the 5th European Conference on Health Economics at the LSE in
September.
3. Patient choice (2004) Appleby J, Dixon
J BMJ 329:61-62
Short editorial on choice and difference between
Labour and Conservative policies on choice
4. Patients choosing their hospital (2003)
Appleby J, Harrison A, Dewar S BMJ, Feb 2003; 326: 407-408.
Editorial on choice (choice can lead to inequality
and inequities)
5. Patient choice: The case of HIV/AIDS Units
in London
Current research being carried out by Ruth Thorlby
looking at how choice has operated in HIV/AIDS units in London.
Data collection and some analysis likely to be complete by December;
write up in January 2005.
6. Mapping travel/time for hospitals in England
Work by Mike Damiani, Jennifer Dixon and Carol
Propper showing numbers of hospitals accessible within certain
times across England. Some areas of the country shown to have
poor access in terms of numbers of accessible hospitals within
1/2/3 hours. Mimeo published by Bristol University/submitted paper
to BMJ.
7. Measuring success in the NHS: Using patient
assessed health outcomes to manage the performance of health care
providers. Appleby J and Devlin N (2004)
Report for Dr Foster Ethics Committee looking
at costs and benefits of routine generation of patient assessed
health-related quality of life information. Among benefits, this
sort of information vital for informing choice by patients.
8. Assessing the impact of the first year
of Payment by Results on trusts' activity and waiting times. Appleby,
J, Smith A, Devlin N, Parkin D, Jobanputra R. (2004-05)
Payment by Results (PbR) is the fixed price
activity-based reimbursement system which provides the financial
incentive associated with patient choice. This research will test
the hypothesis that hospitals will differ in their response to
the implicit incentives in PbR on the basis of their HRG costs
relative to the national tariff.
9. Paying hospitals to get results. New Economy,
Journal of the IPPR. Appleby J, Jobanputra R (forthcoming, December
2004)
Review paper of Payment by Results, looking
at international evidence of outcomes from similar systems.
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