Papers

Allocating resources to health authorities: development of method for small area analysis of use of inpatient services

Correspondence to: Mr Smith

Every year about 22 billion pounds is allocated to health authorities for hospital and community services in England. The distribution of most of these funds is based on a formula developed to reflect the population's needs, but the existing formula has been criticised on several grounds. This paper describes the development of a method to determine the health needs for small geographical areas. Data from the hospital episodes statistics and 1991 census together with information on vital statistics and supply of health care facilities were used in the model. Two stage least squares regression was used to identify true indicators of need, and these were entered into a multilevel model to take account of variations in practice in different health authorities. The resulting formula should be more statistically robust and more sensitive to needs than previous approaches.

(Accepted 22 March 1994)

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    StumbleUpon    Technorati    What's this?

Relevant Article

Self reported health and mortality: ecological analysis based on electoral wards across the United Kingdom

Dermot O'Reilly, Michael Rosato, and Chris Patterson
BMJ 2005 331: 938-939. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

• Tyrer, P., Suryanarayan, G., Rao, B., Cicchetti, D., Fulop, N., Roberts, F., Slaughter, J. (2006). The Bed Requirement Inventory: A Simple Measure To Estimate The Need For A Psychiatric Bed. Int J Soc Psychiatry 52: 267-277 [Abstract]  
• O'Reilly, D., Rosato, M., Patterson, C. (2005). Self reported health and mortality: ecological analysis based on electoral wards across the United Kingdom. BMJ 331: 938-939 [Full text]  
• Leyland, A. H., Groenewegen, P. P. (2003). Multilevel modelling and public health policy. Scand J Public Health 31: 267-274 [Abstract]  
• Martin, R. M, Sterne, J. A C, Gunnell, D., Ebrahim, S., Davey Smith, G., Frankel, S. (2003). NHS waiting lists and evidence of national or local failure: analysis of health service data. BMJ 326: 188-188 [Abstract] [Full text]  
• Carr-Hill, R. A, Jamison, J. Q, O'Reilly, D., Stevenson, M. R, Reid, J., Merriman, B. (2002). Risk adjustment for hospital use using social security data: cross sectional small area analysis. BMJ 324: 390-390 [Abstract] [Full text]  
• Critchley, J.A., Capewell, S. (2002). Why model coronary heart disease?. Eur Heart J 23: 110-116 [Full text]  
• Rice, N., Smith, P. C (2001). Ethics and geographical equity in health care. J. Med. Ethics 27: 256-261 [Abstract] [Full text]  
• Majeed, A., Bardsley, M., Morgan, D., O'Sullivan, C., Bindman, A. B (2000). Cross sectional study of primary care groups in London: association of measures of socioeconomic and health status with hospital admission rates. BMJ 321: 1057-1060 [Abstract] [Full text]  
• BINDMAN, J., GLOVER, G., GOLDBERG, D., CHISHOLM, D. (2000). Expenditure on mental health care by English health authorities: a potential cause of inequity. Br. J. Psychiatry 177: 267-274 [Abstract] [Full text]  
• Rice, N., Dixon, P., Lloyd, D. C E F, Roberts, D., Cole, T J (2000). Derivation of a needs based capitation formula for allocating prescribing budgets to health authorities and primary care groups in England: regression analysis • Commentary: The emphasis on transparency weakens the formula. BMJ 320: 284-288 [Abstract] [Full text]  
• Carr-Hill, R. A, Rice, N., Roland, M. (1996). Socioeconomic determinants of rates of consultation in general practice based on fourth national morbidity survey of general practices. BMJ 312: 1008-1012 [Abstract] [Full text]  
• Judge, K, Mays, N (1994). A new approach to weighted capitation. BMJ 309: 1031-1032 [Full text]