| 000 -LEADER |
|---|
| fixed length control field |
01781naa a2200181uu 4500 |
| 001 - CONTROL NUMBER |
|---|
| control field |
11718 |
| 003 - CONTROL NUMBER IDENTIFIER |
|---|
| control field |
OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
|---|
| control field |
20190211155616.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
030311s2006 xx ||||gr |0|| 0 eng d |
| 999 ## - SYSTEM CONTROL NUMBERS (KOHA) |
|---|
| Koha Dewey Subclass [OBSOLETE] |
PHL2MARC21 1.1 |
| 041 ## - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
eng |
| 100 1# - MAIN ENTRY--PERSONAL NAME |
|---|
| Personal name |
LOCOCK, Louise |
| 9 (RLIN) |
6218 |
| 245 10 - TITLE STATEMENT |
|---|
| Title |
The changing nature of rationing in the UK national health service |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Name of publisher, distributor, etc. |
R.A.W. Rhodes, |
| Date of publication, distribution, etc. |
2000 |
| 520 3# - SUMMARY, ETC. |
|---|
| Summary, etc. |
This paper presents findings from empirical research exploring recent developments in healthcare rationing in the UK , and how far these were influenced by the National Health Service (NHS) internal market. Results suggest explicit rationing has continued to spread, but the focus has shifted from exclusions of whole treatments from NHS provision towards a reconciliation of implicit and explicit approaches. There is growing interest in explicit criteria to guide decision making, within clinicians exercise discretion in individual cases. The market contributed to the growth in explicit rationing, notably by decoupling healthcare purchasers (health authorities and GP fundholders) and providers (hospital and comunity health services) from their previously shared responsibility to manage resources. However, other factors have been influential , especially concern to control rising expenditure. Having originally prompted more explicit decisions (especially exclusions), resource pressures are now rekindling interest in fixed provider budgets and implicit clinicl decision making. The paper concludes by considering the implications for rationing of proposals to abolish the NHS internal market |
| 773 08 - HOST ITEM ENTRY |
|---|
| Title |
Public Administration: an international quarterly |
| Related parts |
78, 1, p. 91-109 |
| Place, publisher, and date of publication |
R.A.W. Rhodes, 2000 |
| Record control number |
|
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Periódico |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) |
|---|
| -- |
20030311 |
| Operator's initials, OID (RLIN) |
Cassio |
| Cataloger's initials, CIN (RLIN) |
Cassio |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) |
|---|
| -- |
20060330 |
| Operator's initials, OID (RLIN) |
1620^b |
| Cataloger's initials, CIN (RLIN) |
Quiteria |
