Views And Reviews

Health Care Needs Assessment: The Epidemiologically Based Needs Assessment Reviews

BMJ 1994; 309 doi: (Published 05 November 1994) Cite this as: BMJ 1994;309:1241

Ed Andrew Stevens, James Raftery adcliffe, £95, pp 1311 (2 vols) ISBN 1-85775-047-0

The creation of a market in health care - separating the commissioning of health services from their provision - raises conundrums that are intellectually perplexing and practically challenging. In measuring health care needs, health care purchasers are charged with being responsive to the community's interests and patient's preferences. Yet people's demands for health care are based on a desire to be healthy and not on the - quite different - ability to benefit from health care which characterises the definition of epidemiologically assessed need.

The supply of health …

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