Effect of the introduction of a financial incentive for fee-paying AandE attenders to consult their general practitioner before attending the AandE department

The Health (Out-Patient Charges) Regulations 1994 were designed to encourage those patients liable for their own health care costs to attend their GP before their local AandE department. Such patients are referred to as General Medical Services-ineligible. Prior to the introduction of the regulation...

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Published inFamily practice Vol. 14; no. 5; pp. 407 - 410
Main Authors Murphy, A W, Leonard, C, Plunkett, P K, Bury, G, Lynam, F, Smith, M, Gibney, D
Format Journal Article
LanguageEnglish
Published 01.10.1997
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Summary:The Health (Out-Patient Charges) Regulations 1994 were designed to encourage those patients liable for their own health care costs to attend their GP before their local AandE department. Such patients are referred to as General Medical Services-ineligible. Prior to the introduction of the regulations in March 1994, there was a perverse financial incentive for these patients to attend directly AandE departments. The aim was to compare the number of GMS-ineligible patients referred by a GP during the year before and the year after the implementation of the Regulations, and involved the audit of all new attendances to a large AandE department, for 1 year before and 1 year after the introduction of the new regulations. (Original abstract-amended)
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ISSN:0263-2136