View Entire Collection
By Clinical Topic
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, April 1 (HealthDay News) -- A new British program to improve patient choices and competition in the health care marketplace may lead to excess capacity in some areas and instability in others, according to a commentary published online March 31 in BMJ.
Jo Ellins, and colleagues at the Health Services Management Centre in Birmingham, U.K., examined the effects of a program that calls for every primary care trust in England to contract for a new health center led by a general practitioner. Some evidence has shown that new providers have delivered benefits such as longer hours, and services such as management of chronic conditions.
However, a drawback is that primary care trusts have had to develop new health centers regardless of whether the need existed. The money allocated for these centers might have been better spent on new services to satisfy local needs. In addition, patients may be reluctant to leave their familiar physicians to use the new services, or they may be unaware of them, the authors write.
"The national program to procure additional primary medical care services may result in underused capacity in some areas and difficulties in attracting new providers into other areas. There is also a risk that new providers may unintentionally destabilize existing practices delivering a high standard of care to patients if they are offered guaranteed funding for the provision of services. These seemingly contradictory outcomes may occur simultaneously," Ellins and colleagues conclude.
Full Text (subscription or payment may be required)
Find in-depth content on major issues provided by leading companies in partnership with NursingCenter.com
BD Safety Beyond Needlestick Prevention Learning Center
Sponsored by BD Medical
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top