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Related Experiment Videos

[Need-based resource allocation--experiences with the RAWP formula in Great Britain]

H Brand1, R Menke

  • 1Landesinstitut für den öffentlchen Gesundheitsdienst des Landes Nordrhein-Westfalen (LOGD), Bielefeld.

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|July 1, 1997
PubMed
Summary

The Resource Allocation Working Party (RAWP) formula improved regional hospital supply equity in Great Britain. This morbidity-oriented model successfully reduced disparities, demonstrating qualified success in resource allocation.

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Area of Science:

  • Health economics
  • Healthcare management
  • Public health policy

Background:

  • The Resource Allocation Working Party (RAWP) formula was a key tool for controlling healthcare resources in Great Britain from 1976 to 1991.
  • Its development aimed to address regional inequalities in hospital supply, guided by principles of equity and efficiency.
  • The formula has received limited attention in Germany, despite its significant impact.

Purpose of the Study:

  • To analyze the RAWP formula as a morbidity-oriented resource allocation and control instrument.
  • To examine the development, basic elements, and modifications of the RAWP formula.
  • To evaluate the effectiveness of the RAWP formula in reducing regional disparities in hospital supply.

Main Methods:

  • Discussion of the RAWP formula's core components: regional population, average bed use, and Standardized Mortality Ratios (SMRs) by ICD chapter.

Related Experiment Videos

  • Outline of various modifications and refinements applied to the RAWP formula over time.
  • Analysis of the formula's impact on controlling resource allocation and hospital supply.

    • Main Results:

    • The RAWP formula demonstrated significant potential in controlling resource allocation.
    • It led to a progressive reduction in disparities in hospital supply across different regions.
    • The overall impact of the RAWP formula was considered a "qualified success".

    Conclusions:

    • The RAWP formula effectively contributed to more equitable resource distribution in the UK healthcare system.
    • Its morbidity-oriented approach proved successful in addressing regional inequalities.
    • Future developments may need to adapt such models to evolving healthcare systems, like internal markets.