Quality of Care

Getting the Most out of PROMs: Putting Health Outcomes at the Heart of NHS Decision-Making

1 March 2010

In 2009, the English NHS began collecting patient-reported outcome measures (PROMs) for four elective procedures. Using a series of structured questions that ask patients about their…

Quality in Primary Care: Economic Approaches to Analysing Quality-Related Physician Behaviour

6 January 2003

This monograph sets out the insights from applying an economic perspective to a fundamental problem for any health service: ensuring cost-effective care when outcomes from care…

Surgical Research and Development in the NHS – Promotion, Management and Evaluation

1 July 2000

Based on papers delivered at the OHE Conference, London, 25 November 1997. Based on papers delivered at the OHE Conference, London, 25 November 1997. The UK…

Benchmarking and Incentives in the NHS

5 January 2000

This paper examines general issues in the use of benchmarking as a measure of comparative performance, reviews the application of benchmarking in the public and private…

Doctors, Economics and Clinical Practice Guidelines: Can they be brought together?

1 January 1999

The topic I have been asked to address, ‘Doctors, Economics and Clinical Practice Guidelines: Can they be Brought Together’, is both difficult and controversial. It is…

NHS Waiting Lists: Towards the Elusive Solution

1 August 1997

Much has been written over the last 40 years bemoaning the state of NHS waiting lists. Contributions to this literature have come from diverse fields; from…

Aids in Africa: Meeting the Challenge through Training Education and Prevention

1 January 1992

AIDS poses a formidable challenge to African policy makers and health professionals. Of the estimated 9 to 11 million cases of HIV infection worldwide, some 7…

Factors Influencing Clinical Decisions in General Practice

1 May 1991

In January 1989 the Government announced its proposals for reforming the National Health Service in the White Paper ‘Working for Patients’ (CM555). The two main objectives…

Variations between General Practitioners

1 July 1990

The Government’s National Health Service reforms are designed to increase cost effectiveness, widen consumer choice and improve the quality of care. In making the case for…