Nils Gutacker

Mind the Gap: A Qualitative Study of Patients’ Experiences of Acute Elective Care Across the NHS and the Private Sector in England

Eleanor Gee, Gemma Stringer, Jane Ferguson, Michael Molete et autres

INTRODUCTION: Whilst the use of the private sector to deliver acute elective care in the United Kingdom is increasing, there is limited understanding of the patient experience when moving between NHS and private organisations to receive treatment. This study aims to explore …

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Competing institutional logics in public-private hospital arrangements in England

Gemma Stringer, Jane Ferguson, Dr Kieran Walshe, Thomas Allen et autres

There has been an increase in partnership working between the NHS and the private healthcare sector in recent years, particularly for elective surgical care. The private sector now delivers a increasing share of NHS-funded services and alongside this privately funded healthcare has …

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Case‐Mix Adjustment of Multidimensional Patient‐Reported Outcomes to Assess Hospital Performance

Nils Gutacker, Yuanyuan Gu

Multidimensional patient-reported outcome measures (PROMs) are increasingly used to compare the performance of health care providers. Meaningful comparisons require the data to be adjusted for differences in case-mix. The common approach in the literature is to aggregate PROM data into univariate summary …

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Is higher-quality secondary mental healthcare more costly? A systematic review

Jinyang Chen, Adrián Villaseñor, Maria Ana Matias, Amy Barker et autres

BACKGROUND: Mental health disorders impose a substantial disease and economic burden to global health systems. Although expenditure on mental healthcare comprises a relatively small part of overall healthcare budgets, it tends to be concentrated in the secondary mental healthcare sector. This review …

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Socioeconomic inequalities in the quality of care for long-term conditions in England: retrospective, observational study of electronic primary care records from the Clinical Practice Research Datalink

Tim Doran, Ni Gao, Luigi Siciliani, Simon Walker et autres

BACKGROUND: Variation in primary care quality across social groups contributes to health inequalities. We examined achievement rates for quality-of-care indicators among patients attending primary care practices in England, comparing rates for patients living in the most and least deprived areas. METHODS: We …

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Value-based Pricing of Health Services with Health Equity Considerations

Luigi Siciliani, SIMON MARK WALKER, David Patrick Glynn, Ni Gao et autres

Objectives: Many health systems aim to reduce health inequalities.Reimbursement mechanisms for healthcare providers, including pay-for-performance, are common policy levers to align provider behavior with health systems objectives.We develop a methodology to incorporate equity concerns into value-based pricing in the English National Health …

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Public service and private profit: a mixed methods study of cataract surgery in England

Gemma Stringer, Christos Grigoroglou, Dr Kieran Walshe, Jane Ferguson et autres

This paper explores changes in the commissioning, contracting and provision of NHS-funded cataract surgery in England over the last decade, focusing on the growing role of independent sector providers (ISPs). In recent years, there has been a dramatic rise in NHS-funded cataract …

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Paying for Health Gains Using Patient Reported Outcome Measures

LUIGI SICILIANI, James Gaughan, Nils Gutacker, Hugh S. E. Gravelle et autres

Payments to healthcare providers are often based on the number of patients with a particular diagnosis or treatment with well known limitations. Payment based on health outcomes, a form of pay-for-performance, has long been advocated as a possible solution. We use a …

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Effect of NHS surgical hubs on elective hip-and-knee replacement volume, length of stay and waiting times: national longitudinal difference-in-differences study

Jinglin Wen, Zecharias Anteneh, Adriana Castelli, Andrew Street et autres

Abstract Background Elective surgical hubs have been introduced across England to increase surgical capacity, improve productivity and reduce waiting times. Evidence on their effects remains limited, particularly beyond the early period of implementation. We evaluated the effect of surgical hubs on surgical …

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The impact of acute hearth attack, stroke, and cancer on labour market participation: A panel data study from Norway

Espen Berthung, Nils Gutacker, Jan Abel Olsen, Birgit Abelsen

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Shared clinical governance arrangements between NHS and independent acute hospitals in England: Findings from a national survey of senior leaders

Gemma Stringer, Jane Ferguson, Kieran Walshe, Christos Grigoroglou et autres

ObjectivesTo present the findings from a national survey of senior leaders in NHS and independent hospitals in England concerning the effectiveness of shared arrangements for clinical governance. To provide a comprehensive overview of shared arrangements for the oversight of consultants' practice, processes …

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Paying for Health Gains Using Patient Reported Outcome Measures

Luigi Siciliani, James Gaughan, Nils Gutacker, Hugh S. E. Gravelle et autres

Payments to healthcare providers are often based on the number of patients with a particular diagnosis or treatment with well known limitations. Payment based on health outcomes, a form of pay-for-performance, has long been advocated as a possible solution. We use a …

gb (code pays fourni par la source)