The objective of this paper is to set out the key findings and implications from an analysis of the activity and workload of nurses of different grades. This is with a view to identifying nursing skill mixes and working practices that may reduce workforce demand for more highly skilled nursing...

This report describes preliminary results from research funded by the Health Foundation under its Quest for Quality and Improved Performance (QQuIP) initiative.

We investigate the impact of area general practitioner (GP) supply on individual health in England. If no allowance is made for the endogeneity of GP supply, the effect is positive but not statistically significant. When GP supply is instrumented by age related capitation the effect is markedly...

This is a follow-up paper arising from a World Health Organisation meeting which was held in Disley (near Manchester) in England in September 1984. The original paper for that conference (Maynard (1984)) was revised as a result of comments perceived at the Disley meeting and circulated to...

In a recently published monograph of the INstitute of Economic Affairs by Dr David Green entitled Which Doctor?, the argument is made that the ills of the NHS can all at root be laid at the door of one professionally regulated froup: the doctors, and that, if only this encumbrance could be...

There has been a vigorous dispute about quality adjusted life years (QALYs) and it has been argued that they are an inappropriate measure of patient utility and that a more efficient approach is to measure outcomes in terms of health year equivalents (HYEs). This paper explores the theoretical...

Approximately 17.5% of all pregnancies in England are induced. Induction of labour may be required for several reasons. These include hypertension, intra-uterine growth retardation, diabetes, poor weight profile of the mother and prolonged pregnancy. The two principle methods used to induce...

This paper describes the evaluation of investment options in nurse human capital and examines how managers can identify the costs and benefits of alternative arrangements. This study followed a request from four health districts on Humberside (East Yorkshire, Grimsby, Hull and Scunthorpe) where...

Although economic evaluation in health care has a long-standing tradition in the United Kingdom, very little is known about its impact on decision making, particularly following the introduction of the internal market. Since managed competition appears to be growing in popularity worldwide, the...

We review and evaluate the international literature on activity-based funding of health services, focussing especially on experience in Australia (Victoria), Denmark, Norway and Sweden. In evaluating this literature we summarise the differences and pros and cons of three different funding...