Matches in SemOpenAlex for { <https://semopenalex.org/work/W4248465810> ?p ?o ?g. }
Showing items 1 to 54 of
54
with 100 items per page.
- W4248465810 endingPage "1401" @default.
- W4248465810 startingPage "1399" @default.
- W4248465810 abstract "<h3>Abstract</h3> <b>Objective</b>: To examine possible differential changes in outpatient referrals to orthopaedic clinics, attendances, and waiting times between fundholding and non-fundholding general practitioners. <b>Design</b>: Observational controlled study of referrals by general practitioners to orthopaedic outpatients between April 1991 and March 1995. <b>Setting</b>: District health authority in south west England. <b>Subjects</b>: 10 fundholding practices with 108 300 registered patients; 22 control practices with 159 900 registered patients. <b>Main outcome measures</b>: Changes in age standardised referral and outpatient attendance ratios for the year before and the two years after achieving fundholder status; changes in outpatient waiting times. <b>Results</b>: In the year before achieving fundholding status both groups were referring more patients than were being seen. Two years later, referral and attendance ratios had increased by 13% and 36% respectively for fundholders and 32% and 59% for controls, and both groups were referring fewer patients than were being seen. Attendances represented 112% of referrals for fundholders and 104% for controls. In 1991-2, a similar proportion of patients in the two groups was seen within three months of referral. The two hospitals that set up specific clinics exclusively for fundholders showed faster access for patients of fundholders by 1993-4, as did a third hospital without such clinics by 1994-5. <b>Conclusions</b>: Fundholders increased their orthopaedic referrals less than did controls and achieved a better balance between outpatient appointments and referrals. Their patients were likely to be seen more quickly, particularly if the hospital provided special clinics exclusively for fundholders. Lack of case mix information makes it impossible to judge whether these differences benefit or disadvantage patients. <h3>Key messages</h3> Patients of fundholders had no better access than patients of non-fundholders to orthopaedic services before the practices became fundholding Fundholders controlled their referrals better than non-fundholders and achieved a better balance between referrals and attendances Fundholders9 patients were more likely to be seen quickly, especially if the receiving hospital laid on specific clinics exclusively for fundholders Information on case mix is needed to identify whether the lower referral rate among fundholders benefits or disadvantages patients" @default.
- W4248465810 created "2022-05-12" @default.
- W4248465810 creator A5000930421 @default.
- W4248465810 creator A5083254480 @default.
- W4248465810 date "1996-06-01" @default.
- W4248465810 modified "2023-09-25" @default.
- W4248465810 title "The extent of the two tier service for fundholders" @default.
- W4248465810 doi "https://doi.org/10.1136/bmj.312.7043.1399" @default.
- W4248465810 hasPublicationYear "1996" @default.
- W4248465810 type Work @default.
- W4248465810 citedByCount "0" @default.
- W4248465810 crossrefType "journal-article" @default.
- W4248465810 hasAuthorship W4248465810A5000930421 @default.
- W4248465810 hasAuthorship W4248465810A5083254480 @default.
- W4248465810 hasConcept C126322002 @default.
- W4248465810 hasConcept C162324750 @default.
- W4248465810 hasConcept C187212893 @default.
- W4248465810 hasConcept C23131810 @default.
- W4248465810 hasConcept C2776135927 @default.
- W4248465810 hasConcept C2778173179 @default.
- W4248465810 hasConcept C3020110884 @default.
- W4248465810 hasConcept C50522688 @default.
- W4248465810 hasConcept C512399662 @default.
- W4248465810 hasConcept C71924100 @default.
- W4248465810 hasConceptScore W4248465810C126322002 @default.
- W4248465810 hasConceptScore W4248465810C162324750 @default.
- W4248465810 hasConceptScore W4248465810C187212893 @default.
- W4248465810 hasConceptScore W4248465810C23131810 @default.
- W4248465810 hasConceptScore W4248465810C2776135927 @default.
- W4248465810 hasConceptScore W4248465810C2778173179 @default.
- W4248465810 hasConceptScore W4248465810C3020110884 @default.
- W4248465810 hasConceptScore W4248465810C50522688 @default.
- W4248465810 hasConceptScore W4248465810C512399662 @default.
- W4248465810 hasConceptScore W4248465810C71924100 @default.
- W4248465810 hasIssue "7043" @default.
- W4248465810 hasLocation W42484658101 @default.
- W4248465810 hasOpenAccess W4248465810 @default.
- W4248465810 hasPrimaryLocation W42484658101 @default.
- W4248465810 hasRelatedWork W1748879279 @default.
- W4248465810 hasRelatedWork W1827328242 @default.
- W4248465810 hasRelatedWork W2007183909 @default.
- W4248465810 hasRelatedWork W2012402038 @default.
- W4248465810 hasRelatedWork W2016983048 @default.
- W4248465810 hasRelatedWork W2056824747 @default.
- W4248465810 hasRelatedWork W2074545500 @default.
- W4248465810 hasRelatedWork W2135919985 @default.
- W4248465810 hasRelatedWork W2414778427 @default.
- W4248465810 hasRelatedWork W2521873372 @default.
- W4248465810 hasVolume "312" @default.
- W4248465810 isParatext "false" @default.
- W4248465810 isRetracted "false" @default.
- W4248465810 workType "article" @default.