ORIGINAL ARTICLES
Payment by results: a guide for emergency physicians
Emergency Department, Derriford Hospital, Plymouth, UK
Correspondence to:
Dr Ian Higginson, Emergency Department, Level 6, Derriford Hospital, Plymouth, PL6 8DH, UK; ian.higginson{at}phnt.swest.nhs.uk
Payment by results is a new funding mechanism being introduced into the National Health Service. It is a key part of current health reforms and will impact significantly on the way emergency departments are financed and run. This paper aims to describe the basics of payment by results, examines how it relates to and impacts upon emergency medicine, and considers how emergency physicians can set about integrating this new system into current practice and thinking.
Abbreviations: CDUs, clinical decision units; CT, computed tomography; DoH, Department of Health; EDs, emergency departments; FCEs, finished consultant episodes; GPs, general practitioners; HRGs, healthcare resource groups; MFF, the market forces factor; PbR, payment by results; PCTs, primary care trusts
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Emerg. Med. J. 2007 24: 687.
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