Would Roman Soldiers Fight for the Financial Flows Regime? The Re-issue of Diocletian's Edict in the English NHS
AbstractSome 17 centuries after the Roman Emperor Diocletian attempted to set prices across the Roman Empire, a system of national prices (tariffs) is being introduced to the English National Health Service (NHS) to enhance patient choice. Initially, fixed prices will apply to 15 treatments. Costs for these treatments as reported by all NHS providers are examined to ascertain whether the data provide a robust basis for price setting. If prices are calculated such that providers are unable to recover the true costs of efficient service provision, considerable financial disruption could result for no good purpose. The authors explain the lessons that should have been learned from the Roman experiment and the changes that need to be made to avoid repeating the mistakes of the past.
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Bibliographic InfoArticle provided by Chartered Institute of Public Finance and Accountancy in its journal Public Money & Management.
Volume (Year): 24 (2004)
Issue (Month): 5 (October)
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- Andrew Street & Sawsan AbdulHussain, 2004. "Would Roman Soldiers Fight for the Financial Flows Regime? The Re-issue of Diocletian's Edict in the English NHS," Public Money & Management, Taylor & Francis Journals, vol. 24(5), pages 301-308, October.
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- Diane Dawson & Hugh Gravelle & Mary O'Mahony & Andrew Street & Martin Weale & Adriana Castelli & Rowena Jacobs & Paul Kind & Pete Loveridge & Stephen Martin & Philip Stevens & Lucy Stokes, 2005.
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- Adam Oliver, 2005. "The English National Health Service: 1979-2005," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S75-S99.
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