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Payment by results: a guide for emergency physicians
  1. Ian Higginson,
  2. Henry Guly
  1. Emergency Department, Derriford Hospital, Plymouth, UK
  1. Dr Ian Higginson, Emergency Department, Level 6, Derriford Hospital, Plymouth, PL6 8DH, UK; ian.higginson{at}phnt.swest.nhs.uk

Abstract

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.

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Footnotes

  • Funding: None.

  • Competing interests: None.

  • 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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