PMID: 7541918May 1, 1995Paper

Contracting for palliative care

Social Science & Medicine
D ClarkP Heather

Abstract

In this paper the role of purchasing authorities, as set out in the current U.K. policy literature, is reviewed in the context of recent developments in palliative care. The notion of the purchasing cycle, from need assessment and strategic planning through to contracting and monitoring is outlined, along with core features of recent health and social care legislation in Britain: quality assurance, consumer choice and value for money. The role of providers and service users in the purchasing process is examined and the relationship between purchasers across the health/social care divide is explored. The implications of contracting for the voluntary sector provision of palliative care are also assessed. The review highlights the difficulties under the new legislation in reconciling the aim of efficiency with that of quality assurance, and of separating out the roles of purchasers and providers in a context where palliative care service developments have been provider-led. These factors reinforce the requirement to turn the purchaser-provider split into an effective partnership. Finally, the review highlights the need to address the current imbalances in the purchasing cycle by giving adequate attention to aggregate need assessme...Continue Reading

References

Jan 1, 1991·The American Journal of Hospice & Palliative Care·D MacDonald
Jan 1, 1990·Health Affairs·C O Ness
May 1, 1994·The American Journal of Hospice & Palliative Care·S McCrackenL Pastorik
Feb 1, 1993·British Journal of Obstetrics and Gynaecology·J Lumley, S Brown

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Citations

May 14, 1998·Social Science & Medicine·J Addington-HallM McCarthy
Jul 21, 2009·Journal of Pain and Symptom Management·Silvia Paz-RuizJoaquim Esperalba
Oct 11, 2005·International Journal of Palliative Nursing·Kate A SullivanFelicity Hasson
Nov 23, 2005·British Journal of Community Nursing·Kate A SullivanFelicity Hasson
Mar 2, 1997·International Journal of Palliative Nursing·Tara McDonnell, Monica Morris
Jan 1, 1997·The Hospice Journal·J M Weggel

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