Effects of GP Fund Holding: evidence from Scotland
Sutton, M. and Olajide, D. (HERU)
In the first stage, the aggregate-level effects of GP fundholding were examined in Scotland, tested evidence of practice-patient selection, and ‘cream-skimming by fundholders. In the second stage, the previous work was extended by focusing on the question: ‘Who were the marginal patients under GP fundholding?. In this case, we examined whether referrals were reduced for patients with particular demographic and socioeconomic characteristics and lifestyle behaviours. In the third stage, marginal ‘activities’ were examined using admissions to particular specialities and for particular elective procedures.
Olajide, D. and Sutton, M. Who were the marginalised patients under the Scottish GP Fundholding? HESG. Norwich, January 2008.