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- W2106768443 abstract "proposes to introduce 'block funding,' or capitation, of general practice for an enrolled population. Considering consultation feedback, 2,3 the Health Funding Authority (HFA) will revisit and refine different aspects of the strategy. Assuming that enrolment will occur, this article considers some of the implications, especially for patient choice. According to the strategy, practices will be paid according to the health care needs of their population rather than for each consultation or intervention. The range of funded services will vary, the vision being to form primary health service organisations from a number of practices in order to provide general practice services and manage population- based and referred services (pharmaceuticals and laboratory tests). A number of organisations, including some Independent Practitioner Associations (IPAs), are already managing these three types of services and bulk- funding of practices is achieving momentum. Impetus for the growth of bulk funding has come mainly from the Midland division of the HFA: 45 per cent of its general practitioners (GPs) were bulk-funded as of June 1997 whereas the percentages in other regions ranged from 4.8 to 12. 4,5 The strategy will require patients to enrol with, and seek most of their general practice care from, one practice of their 'choice.' Patients may 'choose' not to enrol with any practice or to consult practices with whom they have not enrolled but 'casual' consultations seem likely to be discouraged. The implications for patients are defined, in part, by an awareness both of the likely consequences for the HFA and general practice and of why the strategy is being driven forward. For the HFA, patient enrolment will cap primary care expenditure, though the government, whose influence is expanded by bulk-funding, has stated its commitment to increasing the funding for primary care. Budget management strategies are expected to reduce the wide variation in the volume of annual per capita expenditure between practices 5" @default.
- W2106768443 created "2016-06-24" @default.
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- W2106768443 date "1999-12-10" @default.
- W2106768443 modified "2023-09-26" @default.
- W2106768443 title "Patient enrollment with co-payments: implications for patient choice in general practice." @default.
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