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Biomedical subjects

B Salter

Publications and source records attributed to B Salter.

At least 19 recordsLinked to original sources
PubMed1997

Primary care. Running on empty.

There has been a management vacuum in primary care since the beginning of the NHS, but it has been disguised by the stability of the area and the dominance of the acute sector in the public's mind. Health authorities are now responsible for implementing a highly ambitious policy in a field where they have little power few skills and no extra resources. To be successful, a primary care policy requires greater management capacity on the part of health authorities support from GPs and merged general medical services and hospital and community health services budgets.

Health Care Rationing↗
PubMed1994

Change in the British National Health Service: policy paradox and the rationing issue.

The National Health Service of the United Kingdom is trapped in a policy paradox. On the one hand, the 1990 reforms encourage the devolution of power to local purchaser and provider units through the operation of the "internal market." On the other, mechanisms of control and accountability are being revamped to produce a centrally managed system bound together by corporate contracts. The political frictions generated by this paradox are exacerbated by the problem of rationing health care in the face of apparently unlimited demand. This article examines the political problems faced by a single Health Authority as it sought to implement the changes required of it by the conflicting policies.

Consumer Behavior↗
PubMed1994

Patient satisfaction surveys as a market research tool for general practices.

BACKGROUND: Recent policy developments, embracing the notions of consumer choice, quality of care, and increased general practitioner control over practice budgets have resulted in a new competitive environment in primary care. General practitioners must now be more aware of how their patients feel about the services they receive, and patient satisfaction surveys can be an effective tool for general practices. AIM: A survey was undertaken to investigate the use of a patient satisfaction survey and whether aspects of patient satisfaction varied according to sociodemographic characteristics such as age, sex, social class, housing tenure and length of time in education. METHOD: A sample of 2173 adults living in Medway District Health Authority were surveyed by postal questionnaire in September 1991 in order to elicit their views on general practice services. RESULTS: Levels of satisfaction varied with age, with younger people being consistently less satisfied with general practice services than older people. Women, those in social classes 1-3N, home owners and those who left school aged 17 years or older were more critical of primary care services than men, those in social classes 3M-5, tenants and those who left school before the age of 17 years. CONCLUSION: Surveys and analyses of this kind, if conducted for a single practice, can form the basis of a marketing strategy aimed at optimizing list size, list composition, and service quality. Satisfaction surveys can be readily incorporated into medical audit and financial management.

Adolescent↗
PubMed1993

Public image limited.

Explore the source record for details and available documents.

Interprofessional Relations↗
PubMed1991

A difficult choice.

In their new role as purchasers health authorities will have to make difficult decisions about priorities. This, argues Brian Salter, is inevitably a political process and DHAs should not persuade themselves that there are objective approaches which avoid political pressures.

Decision Making, Organizational↗
PubMed1985

The funding market for nursing research.

The finance for nursing research is obtained from a funding market where the nursing profession competes with other groups for limited resources. In order to compete effectively in that market, nursing needs to understand the nature of the market and the importance of the professional and social networks which underpin it. This paper aims to enhance that understanding in two ways. Firstly it presents a descriptive profile of the main types of funding agencies relevant to nursing (government departments, the Medical Research Council, Economic and Social Research Council, Health Education Council, the locally organized research schemes of the regions, private charities and industry) and summarizes the position of nursing in each sector. Secondly, the paper analyses the way in which the social networks of the funding market monitor and control the competition for research resources and how the nursing profession can best approach those social networks.

Charities↗