메뉴 건너뛰기




Volumn 10, Issue 3, 2009, Pages 245-253

The actuarial basis for financial risk in practice-based commissioning and implications to managing budgets

Author keywords

budgets; chance; financial risk; PBC; risksharing; statistics

Indexed keywords


EID: 85011525645     PISSN: 14634236     EISSN: 14771128     Source Type: Journal    
DOI: 10.1017/S1463423609990089     Document Type: Article
Times cited : (11)

References (31)
  • 1
    • 85011511244 scopus 로고    scopus 로고
    • Wading through medical insurance pools: A primer. Retrieved 1 June 2009 from
    • American Academy of Actuaries. 2006: Wading through medical insurance pools: A primer. Retrieved 1 June 2009 from http://www.actuary.org/pdf/health/pools_sep06.pdf
    • (2006)
  • 2
    • 0033090875 scopus 로고    scopus 로고
    • Methods of reducing the financial risk of physicians under capitation
    • Anderson G. 1999: Methods of reducing the financial risk of physicians under capitation. Archives Family Medicine 8, 149–155.
    • (1999) Archives Family Medicine , vol.8 , pp. 149-155
    • Anderson, G.1
  • 3
    • 0035885074 scopus 로고    scopus 로고
    • Use of risk adjustment in setting budgets and measuring performance in primary care. I: How it works
    • Azeem M., Bindman A., Weiner J. 2001: Use of risk adjustment in setting budgets and measuring performance in primary care. I: How it works. British Medical Journal 323, 604–607.
    • (2001) British Medical Journal , vol.323 , pp. 604-607
    • Azeem, M.1    Bindman, A.2    Weiner, J.3
  • 4
    • 0029806407 scopus 로고    scopus 로고
    • Determining the size of a total purchasing site to manage the financial risks from rare costly referrals: computer simulation model
    • Bachmann M., Beavan G. 1996: Determining the size of a total purchasing site to manage the financial risks from rare costly referrals: computer simulation model. British Medical Journal 313, 1054–1057. 8898599
    • (1996) British Medical Journal , vol.313 , pp. 1054-1057
    • Bachmann, M.1    Beavan, G.2
  • 5
    • 0030807750 scopus 로고    scopus 로고
    • Regional variation in intervention rates: what are the implications for patient selection?
    • Black N., Griffiths J., Glickman M.E. 1997: Regional variation in intervention rates: what are the implications for patient selection? Journal of Public Health Medicine 19, 274–280. 9347450
    • (1997) Journal of Public Health Medicine , vol.19 , pp. 274-280
    • Black, N.1    Griffiths, J.2    Glickman, M.E.3
  • 6
    • 0035835940 scopus 로고    scopus 로고
    • Is bigger better for primary care groups and trusts?
    • Bojke C., Gravelle H., Wilkin D. 2001: Is bigger better for primary care groups and trusts? British Medical Journal 322, 599–602.
    • (2001) British Medical Journal , vol.322 , pp. 599-602
    • Bojke, C.1    Gravelle, H.2    Wilkin, D.3
  • 10
    • 85011499839 scopus 로고    scopus 로고
    • Uncertainty intervals and the regional capitation formula. Retrieved 1 June 2009 from
    • Department of Health, Social Services and Personal Safety (DHSSPS). 2004: Uncertainty intervals and the regional capitation formula. Retrieved 1 June 2009 from http://www.dhsspsni.gov.uk/uncertainty-intervals.pdf
    • (2004)
  • 11
    • 85011454419 scopus 로고    scopus 로고
    • NHS Reference costs 2006/07. Retrieved 1 June 2009 from
    • Department of Health. 2008: NHS Reference costs 2006/07. Retrieved 1 June 2009 from http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_082571
    • (2008)
  • 13
    • 0032600551 scopus 로고    scopus 로고
    • Productivity and efficiency changes in primary care: a Malmquist index approach
    • Giuffrida A. 1999: Productivity and efficiency changes in primary care: a Malmquist index approach. Health Care Management Science 2, 11–26.
    • (1999) Health Care Management Science , vol.2 , pp. 11-26
    • Giuffrida, A.1
  • 14
    • 0030453363 scopus 로고    scopus 로고
    • Economies of scale and scope as an explanation of merger and output diversification activities in the health maintenance organization industry
    • Given R. 1996: Economies of scale and scope as an explanation of merger and output diversification activities in the health maintenance organization industry. Journal of Health Economics 15, 685–713.
    • (1996) Journal of Health Economics , vol.15 , pp. 685-713
    • Given, R.1
  • 15
    • 0030064145 scopus 로고    scopus 로고
    • Ways of measuring rates of recurrent events
    • Glynn R., Buring J. 1996: Ways of measuring rates of recurrent events. British Medical Journal 312, 364–367. 8611837
    • (1996) British Medical Journal , vol.312 , pp. 364-367
    • Glynn, R.1    Buring, J.2
  • 16
    • 85011454655 scopus 로고    scopus 로고
    • Inside Dr Solomon’s dilemma. Retrieved 1 June 2009 from
    • Jennings T. 2008: Inside Dr Solomon’s dilemma. Retrieved 1 June 2009 from http://www.pbs.org/wgbh/pages/frontline/shows/doctor/etc/inside.html
    • (2008)
    • Jennings, T.1
  • 17
    • 44949238263 scopus 로고    scopus 로고
    • a:, Camberley, UK, Healthcare Analysis & Forecasting
    • Jones R. 1996 a: How many patients next year? Camberley, UK: Healthcare Analysis & Forecasting.
    • (1996) How many patients next year?
    • Jones, R.1
  • 18
    • 77949477884 scopus 로고    scopus 로고
    • Estimation of annual activity and the use of activity multipliers
    • Jones R. 1996 b: Estimation of annual activity and the use of activity multipliers. Health Informatics 2, 71–77.
    • (1996) Health Informatics , vol.2 , pp. 71-77
    • Jones, R.1
  • 19
    • 0034707006 scopus 로고    scopus 로고
    • Feeling a bit peaky
    • AMBIGUOUS 11185824,11184524,11126068
    • Jones R. 2000: Feeling a bit peaky. Health Service Journal 110, 28–31. AMBIGUOUS 11185824,11184524,11126068
    • (2000) Health Service Journal , vol.110 , pp. 28-31
    • Jones, R.1
  • 22
    • 44949137310 scopus 로고    scopus 로고
    • Financial risk in practice based commissioning
    • Jones R. 2008 a: Financial risk in practice based commissioning. British Journal of Healthcare Management 14, 199–204.
    • (2008) British Journal of Healthcare Management , vol.14 , pp. 199-204
    • Jones, R.1
  • 23
    • 48049107105 scopus 로고    scopus 로고
    • Financial risk in health purchasing: Risk pools
    • Jones R. 2008 b: Financial risk in health purchasing: Risk pools. British Journal of Healthcare Management 14, 240–245.
    • (2008) British Journal of Healthcare Management , vol.14 , pp. 240-245
    • Jones, R.1
  • 25
  • 26
    • 85011477097 scopus 로고    scopus 로고
    • Financial risk in healthcare purchasing – emergency admissions. Retrieved 1 June 2009 from
    • Jones R. 2009: Financial risk in healthcare purchasing – emergency admissions. Retrieved 1 June 2009 from http://www.docstoc.com/docs/5049808/The-financial-risk-associated-with-emergency-admissions
    • (2009)
    • Jones, R.1
  • 27
    • 85011493674 scopus 로고    scopus 로고
    • Risk and the GP budget holder. University of York, Centre for Health Economics, Discussion Paper 153. Available at
    • Martin S., Rice N. Smith P. 1997: Risk and the GP budget holder. University of York, Centre for Health Economics, Discussion Paper 153. Available at http://www.york.ac.uk/inst/che/pdf/DP153.pdf
    • (1997)
    • Martin, S.1    Rice, N.2    Smith, P.3
  • 28
    • 0038284082 scopus 로고    scopus 로고
    • Comparing the financial risk of bed-day and DRG based pricing types using parametric and simulation methods
    • Mikkola H., Sund R., Linna M., Hakkinen U. 2003: Comparing the financial risk of bed-day and DRG based pricing types using parametric and simulation methods. Health Care Management Science 6, 67–74.
    • (2003) Health Care Management Science , vol.6 , pp. 67-74
    • Mikkola, H.1    Sund, R.2    Linna, M.3    Hakkinen, U.4
  • 29
    • 1542723219 scopus 로고    scopus 로고
    • A longitudinal study of the effects of age and time to death on hospital costs
    • Seshamani M., Gray A.M. 2003: A longitudinal study of the effects of age and time to death on hospital costs. Journal of Health Economics 23, 217–235.
    • (2003) Journal of Health Economics , vol.23 , pp. 217-235
    • Seshamani, M.1    Gray, A.M.2
  • 30
    • 0033586299 scopus 로고    scopus 로고
    • Setting budgets for general practice in the new NHS
    • Smith P.C. 1999: Setting budgets for general practice in the new NHS. British Medical Journal 318, 776–779. 10082704
    • (1999) British Medical Journal , vol.318 , pp. 776-779
    • Smith, P.C.1


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.