Rational disinvestment

Cam Donaldson, Angela Bate, Craig Mitton, Francois Dionne, D. Ruta

Research output: Contribution to journalArticle

Abstract

With potential budget claw backs of 20% to be found in UK health care in forthcoming years, the question arises as to how these might be achieved. Based on the long-standing economic principle of marginal analysis, a framework for managing such a National Health Service credit crunch is outlined. The framework incorporates not only the natural starting point for cuts through schemes aimed at achieving the same for less cost, such as lean thinking and service redesign, but also the genuine disinvestments, in the form of stopping some services for some people, that might be required.

Original languageEnglish
Pages (from-to)801-807
Number of pages7
JournalQuarterly journal of medicine
Volume103
DOIs
Publication statusPublished - 1 Jan 2010

Fingerprint

Hoof and Claw
National Health Programs
Budgets
Cost-Benefit Analysis
Economics
Delivery of Health Care
Costs and Cost Analysis

Keywords

  • NHS
  • health economics
  • UK health care

Cite this

Donaldson, C., Bate, A., Mitton, C., Dionne, F., & Ruta, D. (2010). Rational disinvestment. Quarterly journal of medicine, 103, 801-807. https://doi.org/10.1093/qjmed/hcq086
Donaldson, Cam ; Bate, Angela ; Mitton, Craig ; Dionne, Francois ; Ruta, D. / Rational disinvestment. In: Quarterly journal of medicine. 2010 ; Vol. 103. pp. 801-807.
@article{d409707acb304b9a9e424c7d7a21cfd6,
title = "Rational disinvestment",
abstract = "With potential budget claw backs of 20{\%} to be found in UK health care in forthcoming years, the question arises as to how these might be achieved. Based on the long-standing economic principle of marginal analysis, a framework for managing such a National Health Service credit crunch is outlined. The framework incorporates not only the natural starting point for cuts through schemes aimed at achieving the same for less cost, such as lean thinking and service redesign, but also the genuine disinvestments, in the form of stopping some services for some people, that might be required.",
keywords = "NHS, health economics, UK health care",
author = "Cam Donaldson and Angela Bate and Craig Mitton and Francois Dionne and D. Ruta",
note = "<p>Originally published in: Quarterly Journal of Medicine (2010), 103, pp.801-807.</p>",
year = "2010",
month = "1",
day = "1",
doi = "10.1093/qjmed/hcq086",
language = "English",
volume = "103",
pages = "801--807",

}

Donaldson, C, Bate, A, Mitton, C, Dionne, F & Ruta, D 2010, 'Rational disinvestment', Quarterly journal of medicine, vol. 103, pp. 801-807. https://doi.org/10.1093/qjmed/hcq086

Rational disinvestment. / Donaldson, Cam; Bate, Angela; Mitton, Craig; Dionne, Francois; Ruta, D.

In: Quarterly journal of medicine, Vol. 103, 01.01.2010, p. 801-807.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Rational disinvestment

AU - Donaldson, Cam

AU - Bate, Angela

AU - Mitton, Craig

AU - Dionne, Francois

AU - Ruta, D.

N1 - <p>Originally published in: Quarterly Journal of Medicine (2010), 103, pp.801-807.</p>

PY - 2010/1/1

Y1 - 2010/1/1

N2 - With potential budget claw backs of 20% to be found in UK health care in forthcoming years, the question arises as to how these might be achieved. Based on the long-standing economic principle of marginal analysis, a framework for managing such a National Health Service credit crunch is outlined. The framework incorporates not only the natural starting point for cuts through schemes aimed at achieving the same for less cost, such as lean thinking and service redesign, but also the genuine disinvestments, in the form of stopping some services for some people, that might be required.

AB - With potential budget claw backs of 20% to be found in UK health care in forthcoming years, the question arises as to how these might be achieved. Based on the long-standing economic principle of marginal analysis, a framework for managing such a National Health Service credit crunch is outlined. The framework incorporates not only the natural starting point for cuts through schemes aimed at achieving the same for less cost, such as lean thinking and service redesign, but also the genuine disinvestments, in the form of stopping some services for some people, that might be required.

KW - NHS

KW - health economics

KW - UK health care

U2 - 10.1093/qjmed/hcq086

DO - 10.1093/qjmed/hcq086

M3 - Article

VL - 103

SP - 801

EP - 807

ER -

Donaldson C, Bate A, Mitton C, Dionne F, Ruta D. Rational disinvestment. Quarterly journal of medicine. 2010 Jan 1;103:801-807. https://doi.org/10.1093/qjmed/hcq086