Exact(5)
The rationing of treatments, or limiting the NHS to a set of core services, have been the subject of heated debate.
As a consequence of the local autonomy central to the community control of SSLPs, they did not have a prescribed "protocol" of services to promote adherence to a prescribed model even though they had a set of core services to deliver.
The process by which a set of core services is formulated and agreed should be evidence-based, transparent, and fit-for-purpose.
Thus, the starting point for any initiative that seeks to develop a set of core services is to agree on an explicit purpose.
Impartial discussions about the resourcing implications (financial and otherwise) of providing services to all within a given health system can only proceed after a set of core services have been defined.
Similar(55)
Given this variation, the specification or synthesis of a universal set of core services proved to be a complex and arguably contentious task.
MASON is an agent-based modeling library that seeks to provide a focused set of core services that can be easily used with other libraries (Luke et al. 2005).
One reason that a definitive set of core services was not evident from the literature was because of the idiosyncratic nature with which different authors defined different sets of core services using different terminology with different methods and for different purposes.
Alternatively, this study has been able to synthesise the extant literature to formulate a matrix of dimensions and demarcations that will enable health authorities to assess local health needs and plan an appropriate set of core services accordingly.
This systematic review provides significant guidance for the development of a set of core PHC services that can be used by health service planners to influence policy-makers and consult with consumers to guide the equitable provision of PHC.
Alternatively the NHS could establish itself as a set of core 'generic' services, designed to suit the majority population, and with provision of 'ethnic-specific' tailored specialist services for identified local groups of minority ethnic backgrounds.
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