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Biomedical subjects

John Appleby

Publications and source records attributed to John Appleby.

At least 19 recordsLinked to original sources
PubMed2003

Waiting times. Catch up, keep up.

Trusts vary greatly on their progress in achieving waiting-list targets, particularly for 2005. A study of trusts with a range of performances identified four key criteria: information use, managerial focus, capacity and long-term efficiency. Actions that help a trust 'catch up' rarely help them 'keep up; strategies may need to change once waiting lists have fallen markedly. Flexibility, forward planning and 'expecting the unexpected' are characteristics of successful trusts.

Efficiency, Organizational↗
PubMed2003

Patients' views of explicit rationing: what are the implications for health service decision-making?

Patient groups in England and Wales have expressed concerns about the decision-making processes of the National Institute for Clinical Excellence (NICE), the body responsible for explicit rationing. Five key issues were identified by the Multiple Sclerosis Society regarding NICE appraisals and guidance: they focus too narrowly on costs to the National Health Service; quality-adjusted life-years are an inadequate measure of health gain, particularly for long-term conditions; NICE takes too conservative a view of long-term benefits; NICE's cost-effectiveness threshold is inappropriate; and NICE evaluations fail to capture patients' personal experiences of their condition and treatments. We question the veracity of some of these arguments and, where appropriate, suggest ways in which NICE's processes might be strengthened.

Academies and Institutes↗
PubMed2002

Internal Marker. This little piggy....

The government's proposals for a new fixed-price market could mean that many trusts will make significant losses. Policy must balance the need to protect some trusts from the effects of fixed prices with the desire for financial incentives with 'bite'. The basis on which prices are struck is crucial. Quality will need careful monitoring.

Economic Competition↗