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Economists and policy makers mostly forgot that Keynes prescribed budget surpluses during economic upswings to offset the deficits that he correctly advocated during downturns.
These services are predominantly funded by state governments, with funded places and thus access limited by prescribed budget caps, contrasting with open-ended funding by the Australian Government of GPs through the Medicare Benefits Schedule plus extensive funding for practice nursing and psychology.
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Indeed, in the UK cardiovascular medicines account for £1.35 billion annually, or 15% of the total primary care prescribing budget [ 10].
People over 65 years of age account for 51% of gross local authority spending on adult social care 3 and two-thirds of the primary care prescribing budget, while 70% of health and social care spend is on people with long-term conditions.
Many ASSRs are considering introducing capitation based prescribing budgets for their general practices.
Most of the existing models of demographic predictors of prescribing costs have been developed in England, where the National Health Service (NHS) has been adopting capitation based formulae, adjusted for age, sex, morbidity and socio-economic factors for allocating prescribing budgets.
If drug treatment is indicated, this is usually prescribed by general practitioners, who hold prescribing budgets.
3 Prescribing budgets for primary care trusts are now allocated using a needs based formula.
Including morbidity in the model considerably improves its explanatory power and therefore its potential utility for monitoring prescribing in general practice and the allocation of prescribing budgets.
However PPIs cost more than other acid inhibiting agents and the volume of prescribing has had a substantial impact on prescribing budgets worldwide [ 4, 5].
Tight prescribing budgets can mean that acquiring approval to switch to capecitabine is difficult but the additional benefits for patients should be weighed in any such decision.
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CEO of Professional Science Editing for Scientists @ prosciediting.com