Derivation of a needs based capitation formula for allocation prescribing budgets
This document reports the results of a study commissioned by the NHS Executive to examine the determinants of the NHS practice level prescribing expenditures. The purpose was to develop a needs based capitation formula for allocating annually approximately £4.5 billion of NHS revenues to Health Authorities and thence Primary Care Groups in England. The work was reported to the Advisory Committee on Resource Allocation and their technical advisory sub-group, TAG. The methods and modelling were therefore subject to a great deal of scrutiny with various sensitivity tests and alternative model specifications being proposed at almost every stage. This has resulted in the development of a robust model, but also explains some of the “stop-go” nature of the analysis reported in the text. The report sets out the background to the study, describes the data on which it is based, explains the statistical methodology used, and presents the finding. The implications for revenue allocations to Primary Care Groups are not discussed in this report.
|Date of creation:||Jan 1999|
|Date of revision:|
|Contact details of provider:|| Postal: York Y010 5DD|
Phone: (01904) 321401
Fax: (0)1904 323759
Web page: http://www.york.ac.uk/che
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Roy Carr-Hill & Paul Dixon & Russell Mannion & Nigel Rice & Kai Rudat & Ruth Sinclair & Peter Smith, 1997. "A model of the determinants of expenditure on children's personal social services," Working Papers 030cheop, Centre for Health Economics, University of York.
- Heckman, James, 2013.
"Sample selection bias as a specification error,"
Publishing House "SINERGIA PRESS", vol. 31(3), pages 129-137.
- Anthony Scott & Alan Shiell, 1997. "Analysing the effect of competition on General Practitioners' behaviour using a multilevel modelling framework," Health Economics, John Wiley & Sons, Ltd., vol. 6(6), pages 577-588.
- Richard Blundell & Frank Windmeijer, 1997.
"Cluster effects and simultaneity in multilevel models,"
IFS Working Papers
W97/05, Institute for Fiscal Studies.
- Richard Blundell & Frank Windmeijer, 1997. "Cluster effects and simultaneity in multilevel models," Health Economics, John Wiley & Sons, Ltd., vol. 6(4), pages 439-443.
- Cromwell, Jerry & Mitchell, Janet B., 1986. "Physician-induced demand for surgery," Journal of Health Economics, Elsevier, vol. 5(4), pages 293-313, December.
- Roy Carr-Hill & Geoffrey Hardman & Stephen Martin & Stuart Peacock & Trevor Sheldon & Peter Smith, 1994. "A formula for distributing NHS revenues based on small area use of hospital beds," Working Papers 022cheop, Centre for Health Economics, University of York.
When requesting a correction, please mention this item's handle: RePEc:chy:respap:34cheop. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Frances Sharp)
If references are entirely missing, you can add them using this form.