The Evolution and Implications of Needs-Based and Equity-Oriented Approaches in Health Resource Allocation from the UK

doi:10.19546/j.issn.1674-3830.2024.12.016

China Health Insurance ›› 2024, Vol. 0 ›› Issue (12) : 111-122. DOI: 10.19546/j.issn.1674-3830.2024.12.016

International（ Region) Comparison

The Evolution and Implications of Needs-Based and Equity-Oriented Approaches in Health Resource Allocation from the UK

Author information +

History +

Abstract

Accurately measuring the demand for medical services and allocating resources between regions on demand is the core of ensuring fairness in the allocation of health resources, which is also related to the safe, efficient, and rational use of medical insurance funds. Under limited financial resources, how to fairly and rationally allocate health resources has been a common concern for health systems worldwide. Currently, China’s health service is moving towards a stage of high-quality development. Health resources allocation is shifting from capacity expansion to structural optimization with the goal of fairness and efficiency, and to promoting the balanced distribution of health resources, which is also closely related to basic medical insurance fund. This paper reviews the evolution of health resource allocation approach in the UK, whose practice of needs-based and more equity-oriented allocation of health resources can provide a reference for China.

Key words

NHS / health resource allocation / equity-orientation / needs-based allocation

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

The Evolution and Implications of Needs-Based and Equity-Oriented Approaches in Health Resource Allocation from the UK[J]. China Health Insurance. 2024, 0(12): 111-122 https://doi.org/10.19546/j.issn.1674-3830.2024.12.016

References

[1] RADINMANESH M, EBADIFARD AZAR F, AGHAEI HASHJIN A, et al.A review of appropriate indicators for need-based financial resource allocation in health systems[J]. BMC health services research, 2021 (21): 1-12.
[2] DAYAN M, WARD D, GARDNER T, et al.How good is the NHS?[M]. London: King's Fund, 2018.
[3] GORSKY M, MILLWARD G.Resource allocation for equity in the British National Health Service, 1948-89: an advocacy coalition analysis of the RAWP[J]. Journal of health politics, policy and law, 2018, 43(1): 69-108.
[4] BUCK D, DIXON A.Improving the allocation of health resources in England[M]. London: King's Fund, 2013.
[5] MAYNARD A, LUDBROOK A.Budget allocation in the National Health Service[J]. Journal of social policy, 1980, 9(3) :289-312.
[6] World Health Organization. Formula funding of health services: learning from experience in some developed countries[EB/OL]. (2008)[2024-11-03]. https://iris.who.int/handle/10665/85690.
[7] 安建民,丁晓沧,许汉年.英国卫生资源配置方法进展和评价[J].中国社会医学杂志,1997,14(3):107-109.
[8] SMITH P C.Resource allocation and purchasing in the health sector: the English experience[Z]. Bulletin of the World Health Organization, 2008, 86(11): 884-888.
[9] Advisory Committee on Resource Allocation, Department of Health. A brief history of resource allocation in the NHS, 1948-98[EB/OL]. (1999)[2024-11-03]. http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4 109403.pdf.?[10] PEACOCK S, SMITH P. The resource allocation consequences of the new NHS needs formula[J].Working papers, 1995, 17(2):94-101.
[11] CARR-HILL R, HARDMAN G, MARTIN S, et al.A formula for distributing NHS revenues based on small area use of hospital beds[J]. Working papers, 1994.
[12] SUTTON, M, GRAVELLE, H, MORRIS, S, et al.Allocation of resources to English areas: individual and small area determinants of morbidity and use of healthcare resources[R].Edinburgh: ISD Consultancy Services, 2002.
[13] SKATUN D, ELLIOT R F, EJEBU O Z, et al.The staff market forces factor component of the resource allocation weighted capitation formula: new estimates 2013-2015: final report to NHS improvement and NHS England[R]. University of Aberdeen, 2017.
[14] BARR B, BAMBRA C, WHITEHEAD M.The impact of NHS resource allocation policy on health inequalities in England 2001-11: longitudinal ecological study[J]. BMJ, 2014:348.
[15] CURRIE J, CASTILLO M G, ADEKANMBI V, et al.Evaluating effects of recent changes in NHS resource allocation policy on inequalities in amenable mortality in England, 2007-2014: time-series analysis[J]. Journal of epidemiology and community health, 2019, 73(2): 162-167.
[16] DIXON J, SMITH P, GRAVELLE H, et al.A person based formula for allocating commissioning funds to general practices in England: development of a statistical model[J]. BMJ, 2011(343):d6608.
[17] Department of Health. Resource allocation: weighted capitation formula (seven edition)[R]. DH Financial Planning and Allocations Division, 2011.
[18] NHS England Financial Allocations2016/17 to 2020/21 and the allocations published on 8 January 2016[EB/OL].[2024-11-03]. https://www.england.nhs.uk/resources/resources-for-ccgs/.
[19] PHILLIPS, DAVID,SIBIETA, et al. Does funding follow need? an analysis of the geographic distribution of public spending in England[EB/OL].(2022-10-20)[2024-11-03]. https://doi.org/10.1920/re.ifs.2022.0224.
[20] NHS England. Fair Shares-a guide to NHS allocations[EB/OL].(2023)[2024-11-03].https://www.england.nhs.uk.
[21] ASTHANA S, GIBSON A.Health care equity, health equity and resource allocation: towards a normative approach to achieving the core principles of the NHS[J]. Radical statistics, 2008 (96): 6.
[22] ASTHANA S, GIBSON A, HALLIDAY J.The medicalisation of health inequalities and the English NHS: the role of resource allocation.[J].Health economics, policy and law. 2013, 8(2):167-183.
[23] 王啸宇,王芊芊,徐景菊,等.我国卫生资源配置的公平性研究[J].现代预防医学,2022,49(5):845-850.
[24] 周迪,袁结松.兼顾效率与公平的中国卫生资源配置:问题发现及政策路径[J].中国卫生政策研究,2018,11(3):64-71.