Journal of Management in Medicine: Volume 1 Issue 4

The National Health Service: The trials and tribulations of resource allocation

Stuart Haywood, John Yates, Mike Harley

The London teaching hospitals' case for a larger slice of National Health Service (NHS) funds is gaining ground. The House of Commons Social Services Committee has already made a…

The management of measles in the UK — A cause for concern and suggestions for more effective control

D. Baxter

This paper highlights defects in the UK measles control programme, and identifies possible reasons for this. The consequences of continuing low uptake rates are predicted on the…

HMOs — A new management model from the United States

Eamonn Butler

Perhaps the most remarkable event in the US medical market in the last ten years has been the astonishing growth of the new kinds of health‐care delivery systems that are…

All that glitters is not gold: The need for economic evaluation of supplies' options

Alan Maynard

The system for the provision of supplies in the UK National Health Service is being continually ‘redisorganised’ in an effort to improve efficiency and get better value for money…

Hospital utilisation before and after the implementation of DRGs for hospital payment: US, 1979–1984

Jean L. Freeman, Robert Fetter, Robert Nowbold, Jean‐Marie Rodrigues

In October 1983, a new hospital payment system was introduced in the United States which was a radical departure from traditional methods of reimbursement. Concern over continuing…

Competition and management

David G. Green

There is now wide recognition that the UK National Health Service needs to be reformed, and there is particular recognition that something needs to be done about incentives. Hence…

Should doctors be concerned about ‘value for money’?

Michael Drummond, Ron Akehurst

After five years of medical education and a somewhat longer period of practical training before obtaining a consultant post, or partnership in general practice, the British…

The value of pre‐admission assessment clinics in orthopaedics

M.H. Stone, K.A. Miles

The value of pre‐admission assessment clinics prior to elective surgery has been previously reported. However, no assessment of their value to orthopaedics in particular has been…

Clinical trials — some medical, ethical, legal and practical problems

Diana Brahams

The last 60 years have seen unprecedented advances in medical treatment. Patients' expectations for a successful outcome are now higher than at any previous time. More and more…