“…The introduction of GP fundholding has raised concerns about creating a two‐tiered system of care as providers may allow fundholders to ‘queue jump’ at the expense of non‐fundholders (Spinks 1994; Donaldson & Mooney 1997). There is also the risk that making GPs more accountable for their budgets and spending may encourage them to treat patients themselves and deny access to expensive healthcare or to ‘cherry pick’ those patients likely to be least costly to their budgets (Beretta 1996; Donaldson & Mooney 1997) leaving the most vulnerable groups with limited access to healthcare (Spinks 1994; Bradshaw & Bradshaw 1995).…”
Rationing of healthcare resources is thought to be inevitable as demands for healthcare increase in a funds-limited service. Rationing of resources is a political problem that requires some form of guidance from central government.
“…The introduction of GP fundholding has raised concerns about creating a two‐tiered system of care as providers may allow fundholders to ‘queue jump’ at the expense of non‐fundholders (Spinks 1994; Donaldson & Mooney 1997). There is also the risk that making GPs more accountable for their budgets and spending may encourage them to treat patients themselves and deny access to expensive healthcare or to ‘cherry pick’ those patients likely to be least costly to their budgets (Beretta 1996; Donaldson & Mooney 1997) leaving the most vulnerable groups with limited access to healthcare (Spinks 1994; Bradshaw & Bradshaw 1995).…”
Rationing of healthcare resources is thought to be inevitable as demands for healthcare increase in a funds-limited service. Rationing of resources is a political problem that requires some form of guidance from central government.
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