Economic approaches to doctor/nurse skill mix: problems, pitfalls and partial solutions

D. Kernick, Anthony Scott

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Against a background of government calls for a radical change in the way the medical workforce is planned and trained, the concept of skill mix seeks to match clinical presentation to an intervention based on an appropriate level of skill and training. Health economics is not the only framework within which these changes can be analysed. However, unless the economic issues are thought through clearly there is a danger that resources may be used inefficienty. The aims of this paper are to outline the economic issues in the area of doctor/nurse skill mix and the problems of obtaining correct solutions from the perspective efficiency. It concludes by offering a pragmatic framework which can,facilitate decisions in this area. Although this paper is written from the perspective of primary care, it is equally relevant to skill mix in the secondary care sector.

Original languageEnglish
Pages (from-to)42-46
Number of pages4
JournalThe British Journal of General Practice
Volume52
Publication statusPublished - 2002

Keywords

  • skill mix
  • economic evaluation
  • PRIMARY-CARE
  • COST-CONSEQUENCE
  • DOCTORS
  • NURSES
  • OUTCOMES

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