The significance of outcomes within european health sector reforms : (Record no. 33638)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02107naa a2200217uu 4500 |
| 001 - CONTROL NUMBER | |
| control field | 0052715291437 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20190211172109.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 100527s1999 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 | LONG, Andrew F. |
| 9 (RLIN) | 40630 |
| 245 10 - TITLE STATEMENT | |
| Title | The significance of outcomes within european health sector reforms : |
| Remainder of title | towards the development of an outcomes culture |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | New York : |
| Name of publisher, distributor, etc. | Marcel Dekker, |
| Date of publication, distribution, etc. | 1999 |
| 520 3# - SUMMARY, ETC. | |
| Summary, etc. | Recently, policy makers, managers and users of health services have focused their attention on questions about service outcomes and effectiveness. However, the stakeholders in health care-communities, patients, clinicians, insurers, purchasers, managers and policy-makers - may, for various reasons, desire different outcomes to be realised over different timescales. Whilst a focus on outcomes forms a key evaluative criteria within the reforms of European health care systems, the significance of information and the priorities given to outcomes vary across Europe. A central tension lies between the pursuit of individual as opposed to population health gain. Other key issues include the need to separate the evaluation tools from their use and the importance of user choice and user involvement. The article outlines a model of the possible roles and needs for outcomes information. It differentiates between the uses of outcomes information at the patient care and population levels and for considering individual and population health gain. The needs to enhance country-based outcomes databases and to aid the development of an outcomes culture across health care systems in Europe are discussed. The article also discusses issues relating to developing an outcomes culture as an essential element of the health care reform process. |
| 590 ## - LOCAL NOTE (RLIN) | |
| Local note | Volume 22 |
| 590 ## - LOCAL NOTE (RLIN) | |
| Local note | Numbers 3-4 |
| 700 1# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | JEFFERSON, Jenny |
| 9 (RLIN) | 40631 |
| 773 08 - HOST ITEM ENTRY | |
| Title | International Journal of Public Administration - IJPA |
| Related parts | 22, 3-4, p. 385-424 |
| Place, publisher, and date of publication | New York : Marcel Dekker, 1999 |
| International Standard Serial Number | ISSN 01900692 |
| Record control number | |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Periódico |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
| -- | 20100527 |
| Operator's initials, OID (RLIN) | 1529^b |
| Cataloger's initials, CIN (RLIN) | Daiane |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) | |
| -- | 20100531 |
| Operator's initials, OID (RLIN) | 1641^b |
| Cataloger's initials, CIN (RLIN) | Carolina |
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