TY - JOUR
T1 - Total purchasing in primary care: three case studies
AU - Abbott, S
AU - Harrison, S
AU - Walsh, Nicola
PY - 1999/1/1
Y1 - 1999/1/1
N2 - Total purchasing in primary care (TPPC) was piloted in the mid-1990's, first by four "pioneer sites", and later by over 80 first and second waves of "pilot sites". Separate evaluations of three of the pioneers show that they faced challenges similar to those experienced by the pilot sites, namely: the need to develop organisations which were effective both internally and, in their relationships with other health-care agencies, externally; and the difficulties encountered when attempting to change the behaviour of local acute care providers. Although GP fund holding and/or TPPC have had some successes in influencing the pattern of delivery for some elective and community services, the challenge of reducing hospital admissions and lengths of stay remains formidable.
AB - Total purchasing in primary care (TPPC) was piloted in the mid-1990's, first by four "pioneer sites", and later by over 80 first and second waves of "pilot sites". Separate evaluations of three of the pioneers show that they faced challenges similar to those experienced by the pilot sites, namely: the need to develop organisations which were effective both internally and, in their relationships with other health-care agencies, externally; and the difficulties encountered when attempting to change the behaviour of local acute care providers. Although GP fund holding and/or TPPC have had some successes in influencing the pattern of delivery for some elective and community services, the challenge of reducing hospital admissions and lengths of stay remains formidable.
UR - http://www.scopus.com/inward/record.url?scp=0033291267&partnerID=8YFLogxK
U2 - 10.1108/02689239910299812
DO - 10.1108/02689239910299812
M3 - Article
C2 - 10848169
VL - 13
SP - 365
EP - 372
JO - Journal of Management in Medicine
JF - Journal of Management in Medicine
IS - 6
ER -