Titlebook: Rationing and Rationality in the National Health Service; The Persistence of W Stephen Frankel,Robert West Textbook 1993Latest edition The

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Entering the Lobby: Access to Outpatient Assessment,ality. Large numbers of people are seen in outpatient clinics each year. During the financial year 1989–90, 36 262 539 outpatient attendances were recorded in England, equivalent to some 75% of the population (Government Statistical Service 1991a). Some 15% of the overall hospital budget is absorbed

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Waiting Lists and Health Policy, of the largest queues in the Western world’ (Lindsay and Feigenbaum, 1984:405). The implication is that the waiting list or, more importantly, the waiting time of potential inpatients is an evil that attaches to state provision alone.

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And So to Bed: Access to Inpatient Services,P, doctors working in primary care largely control access to hospital services. It is worth re-iterating that hospital consultants can themselves greatly influence the dynamics of outpatient work by means of their own practice with regard to the follow-up of both inpatients and outpatients.

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