ArticleBMJ (Clinical research ed.)2000
Derivation of a needs based capitation formula for allocating prescribing budgets to health authorities and primary care groups in England: regression analysis.
Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- A methodology for apportioning federal SUS resources: the health needs index.Revista de saude publica · 2020Article
- The scale of repeat prescribing--time for an update.BMC health services research · 2014Article
- Toward a needs based mechanism for capitation purposes in Italy: the role of socioeconomic level in explaining differences in the use of health services.International journal of health care finance and economics · 2010Article
- Practice characteristics and prescribing of cardiovascular drugs in areas with higher risk of CHD in Scotland: cross-sectional study.International journal for equity in health · 2008Article
- Identifying how age and gender influence prescription drug use in a primary health care environment in Catalonia, Spain.British journal of clinical pharmacology · 2008Article
- ASSET (Age/Sex Standardised Estimates of Treatment): a research model to improve the governance of prescribing funds in Italy.PloS one · 2007Article
- How equitable are GP practice prescribing rates for statins?: an ecological study in four primary care trusts in North West England.International journal for equity in health · 2007Article
- The relationship between prescribing expenditure and quality in primary care: an observational study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2006Article
- Differential associations between actual and expected GP practice prescribing rates for statins, ACE inhibitors, and beta-blockers: a cross-sectional study in England.Therapeutics and clinical risk management · 2005Article
- Exploring the equity of GP practice prescribing rates for selected coronary heart disease drugs: a multiple regression analysis with proxies of healthcare need.International journal for equity in health · 2005Article
- Are GP practice prescribing rates for coronary heart disease drugs equitable? A cross sectional analysis in four primary care trusts in England.Journal of epidemiology and community health · 2004Article
- Need for redefining needs.Health and quality of life outcomes · 2003Article
- Use of risk adjustment in setting budgets and measuring performance in primary care I: how it works.BMJ (Clinical research ed.) · 2001Review
- Inequalities in treated heart disease and mental illness in England and Wales, 1994-1998.The British journal of general practice : the journal of the Royal College of General Practitioners · 2001Article
- A prescription for improvement? An observational study to identify how general practices vary in their growth in prescribing costs.BMJ (Clinical research ed.) · 2000Article
- Allocating prescribing budgets. Limitations of formula should have been stated more clearly.BMJ (Clinical research ed.) · 2000Article
- New formula for GP prescribing budgets. General practitioners in England need to understand its implications.BMJ (Clinical research ed.) · 2000Article
- Analysis of the ability of the new needs adjustment formula to improve the setting of weighted capitation prescribing budgets in English general practice.BMJ (Clinical research ed.) · 2000Article
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4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo develop a weighted capitation formula for setting target allocations for prescribing expenditures for health authorities and primary care groups in England.
designRegression analysis relating prescribing costs to the demographic, morbidity, and mortality composition of practice lists.
setting8500 general practices in England. SUBJECTS: Data from the 1991 census were attributed to practice lists on the basis of the place of residence of the practice population.
main outcome measuresVariation in age, sex, and temporary resident originated prescribing units (ASTRO(97)-PUs) adjusted net ingredient cost of general practices in England for 1997-8 modelled for the impact of health and social needs after controlling for differences in supply.
resultsA needs gradient based on the four variables: permanent sickness, percentage of dependants in no carer households, percentage of students, and percentage of births on practice lists. These, together with supply characteristics, explained 41% of variation in prescribing costs per ASTRO(97)-PU adjusted capita across practices. The latter alone explained about 35% of variation in total costs per head across practices.
conclusionsThe model has good statistical specification and contains intuitively plausible needs drivers of prescribing expenditure. Together with adjustments made for differences in ASTRO(97)-PUs the model is capable of explaining 62% (35%+0.65% (41%)) of variation in prescribing expenditure at practice level. The results of the study have formed the basis for setting target budgets for 1999-2000 allocations for prescribing expenditure for health authorities and primary care groups.
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