Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive Patient Opinion.
8
Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive Patient Opinion
-
Upload
julianna-stokes -
Category
Documents
-
view
213 -
download
0
description
But shopping for health is problematic because Information asymmetries Power unequal Very unequal vulnerabilities
Transcript of Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive Patient Opinion.
Personal health budgets and clinicians
Dr Paul HodgkinSheffield GP
Chief ExecutivePatient Opinion
But shopping for health is problematic because
•Information asymmetries
•Power unequal
•Very unequal vulnerabilities
“The health economist’s search for the rational consumerof health care is like the search for powdered unicorn horn - never ending, and always destined for disappointment”
Robert Evans Canadian Health Care economist
So how can we get the benefits of personal healthbudgets without the problems?
By careful extension out from what we have learnt insocial care
By mapping where it helps and where it does not
By having a variety of budget holders
Life enhancing today
Avoiding death tomorrow
Best solution known/Good evidence
Best solution unknown/No evidence
Co-create using small budget
Significant Discretionary
budget
Vouchers and menu based care+/- discretionary budget Accept/decline
best practice advice
Multiple Co-morbidities
Worried well
screening
Medical aspectsof individual LTC
Much mental health
Life style: obesity, exercise, smoking
Palliative care
Budget held by professionals
Budget held by client, patient or non-professionals
Palliative care
Exercise ObesitySmoking
StableLTC
+mental Health
Provider market highly regulated
Provider market less regulated
