What is it about?
Every policy has unintended consequences. The four hour target for a wait in A&E was no exception. The A&E tariff was based on numerous assumptions which contradict the real world and real world behaviors of providers
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Why is it important?
The 4-hour target lead to an increase in assessment unit activity. The real cost of A&E can only be revealed by combining A&E and assessment costs. As expected costs show economy of scale.
Perspectives
Part of a series investigating the serious limitations in the HRG tariff and how politically correct decisions led to a series of serious flaws in the tariff, see http://www.hcaf.biz/2010/Publications_Full.pdf
Dr Rodney P Jones
Healthcare Analysis & Forecasting
Read the Original
This page is a summary of: Impact of the A&E targets in England, British Journal of Healthcare Management, January 2011, Mark Allen Group,
DOI: 10.12968/bjhc.2011.17.1.16.
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