Will the New GP Contract Lead to Cost Effective Medical Practice

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Centre for Health Economics, University of York, 1991 - Cost effectiveness - 74 pages
Prior to April 1st 1990 the general practitioners' contract was defined only in general terms. However, since that date the range of services provided by GPs has been more formally defined. The main aim of the new contract was to confirm formally general practice as the ideal setting for the prevention of illness and promotion of health. Various health prevention and promotion activities, most in the form of screening, have therefore been written into the new terms of service. The core of the contract is the result of public demands and political popularity, rather than as a result of careful clinical and economic evaluation. The setting of priorities in primary health care should be related to the evaluation of relative cost effectiveness of different GP activities. This paper examines the evidence concerning the cost effectiveness of each core contract proposal and will examine the main factors affecting: 1) the assessment of priorities within each proposal, and 2) the assessment of priorities between each proposal.

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