| Titre : | Multidisciplinary research for the improvement of health. Geographical resource allocation in the English National Health Service, 1971-1994 : the tension between normative and empirical approaches. (1995) |
| Auteurs : | N. MAYS ; Peter BURNEY, éd. ; Robert WOOD, éd. ; King's fund inst. London. GBR ; Umds. Dep public health medicine. St Thomas s hosp London. GBR |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 24, 1995) |
| Pagination : | S96-S102 |
| Langues: | Anglais |
| Mots-clés : | Royaume Uni ; Système santé ; Economie santé ; Europe |
| Résumé : | [BDSP. Notice produite par INIST IXR0x0Z6. Diffusion soumise à autorisation]. The policy response to the problem of developing a geographical resource allocation formula sensitive to relative population needs for hospital and community health services resources in the National Health Service demonstrates a continuing tension between normative and empirical solutions. Since 1988, the balance has shifted in favour of a more empirical approach to identifying and weighting population needs indicators in reponse to concerns about the theoretically justified, but essentially approximate, nature of the Resource Allocation Working Party formula introduced in 1977-1978. However, judgements and assumptions about the nature of "need" have still to be made in order to construct a usable resource allocation formula since empirical data on what is cannot provide a complete guide to what ought to be a fair distribution of ressources in relation to need. |
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