Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Fundholders' prescribing costs: the first five years

C M Harris1, G Scrivener

  • 1Prescribing Research Unit, University of Leeds Research School of Medicine.

BMJ (Clinical Research Ed.)
|December 14, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Identification of potent and selective inhibitors of PKR via virtual screening and traditional design.

Bioorganic & medicinal chemistry letters·2022
Same author

Supranuclear eye movements and nystagmus in children: A review of the literature and guide to clinical examination, interpretation of findings and age-appropriate norms.

Eye (London, England)·2018
Same author

Examining change in social support and fruit and vegetable consumption in African American adults.

The journal of nutrition, health & aging·2014
Same author

Vertical saccade palsy: a presenting sign of Niemann-Pick type IIS.

European journal of neurology·2013
Same author

The oxidative costs of territory quality and offspring provisioning.

Journal of evolutionary biology·2013
Same author

The Scottish dental practitioner's role in managing child abuse and neglect.

British dental journal·2013

English fundholding practices achieved a modest 6% reduction in prescribing costs compared to non-fundholders. This cost saving, driven by lower average item costs, was retained but diminished after three years.

Area of Science:

  • Health economics
  • Pharmaceutical policy
  • General practice management

Background:

  • Fundholding was introduced in the UK to give general practices more control over their budgets.
  • Previous studies suggested potential cost savings associated with fundholding.

Purpose of the Study:

  • To evaluate the impact of fundholding on prescribing costs in English general practices.
  • To determine the duration of any cost reductions achieved by fundholding practices.

Main Methods:

  • Analysis of prescribing item and cost data for all English general practices (April 1990-March 1996).
  • Comparison of cost changes in fundholding practices versus continuing non-fundholding practices.
  • Assessment of net ingredient cost per prescribing unit and items per prescribing unit.

Related Experiment Videos

Main Results:

  • Absolute prescribing costs increased across all practices, but fundholders saw a smaller increase (56-59%) than non-fundholders (66%).
  • Fundholding practices achieved a relative cost reduction of approximately 6% compared to non-fundholders.
  • The number of prescription items remained stable; cost reductions were due to lower average cost per item, not fewer items.

Conclusions:

  • Fundholding practices demonstrated a small but retained cost reduction relative to non-fundholders.
  • The relative cost savings were modest compared to overall cost increases and largely disappeared after the third year of fundholding.
  • Fundholding influenced prescribing costs by reducing the average cost per item.