{"id":"https://openalex.org/W1986147458","doi":"https://doi.org/10.1016/j.healthpol.2010.10.014","title":"Setting health care capitations through diagnosis-based risk adjustment: A suitable model for the English NHS?","display_name":"Setting health care capitations through diagnosis-based risk adjustment: A suitable model for the English NHS?","publication_year":2010,"publication_date":"2010-11-20","ids":{"openalex":"https://openalex.org/W1986147458","doi":"https://doi.org/10.1016/j.healthpol.2010.10.014","mag":"1986147458","pmid":"https://pubmed.ncbi.nlm.nih.gov/21093953"},"language":"en","primary_location":{"id":"doi:10.1016/j.healthpol.2010.10.014","doi":"https://doi.org/10.1016/j.healthpol.2010.10.014","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2010.10.014","pdf_url":null,"source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074644848","display_name":"Sheena Asthana","orcid":"https://orcid.org/0000-0002-1483-2719","observed_orcids":["https://orcid.org/0000-0002-1483-2719"]},"institutions":[{"id":"https://openalex.org/I897542642","display_name":"University of Plymouth","ror":"https://ror.org/008n7pv89","country_code":"GB","type":"education","lineage":["https://openalex.org/I897542642"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Sheena Asthana","raw_affiliation_strings":["Faculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, United Kingdom. sasthana@plymouth.ac.uk","Faculty of Health, University of Plymouth, Drake Circus, Plymouth PL4 8AA, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, United Kingdom. sasthana@plymouth.ac.uk","institution_ids":["https://openalex.org/I897542642"]},{"raw_affiliation_string":"Faculty of Health, University of Plymouth, Drake Circus, Plymouth PL4 8AA, United Kingdom","institution_ids":["https://openalex.org/I897542642"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5138016346","display_name":"Alex Gibson","orcid":"https://orcid.org/0000-0003-2761-2819","observed_orcids":["https://orcid.org/0000-0003-2761-2819"]},"institutions":[{"id":"https://openalex.org/I897542642","display_name":"University of Plymouth","ror":"https://ror.org/008n7pv89","country_code":"GB","type":"education","lineage":["https://openalex.org/I897542642"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Alex Gibson","raw_affiliation_strings":["Faculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Health, University of Plymouth, Drake Circus, Plymouth, PL4 8AA, United Kingdom","institution_ids":["https://openalex.org/I897542642"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5074644848"],"corresponding_institution_ids":["https://openalex.org/I897542642"],"apc_list":{"value":4220,"currency":"USD","value_usd":4220},"apc_paid":null,"fwci":1.2691,"has_fulltext":false,"cited_by_count":18,"citation_normalized_percentile":{"value":0.81035033,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"101","issue":"2","first_page":"133","last_page":"139"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5522000193595886,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5522000193595886,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.40380001068115234,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.030500000342726707,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-resource-allocation","display_name":"healthcare resource allocation","score":0.7160000205039978},{"id":"https://openalex.org/keywords/practice-based-commissioning","display_name":"practice-based commissioning","score":0.8040000200271606},{"id":"https://openalex.org/keywords/primary-care-trusts","display_name":"primary care trusts","score":0.753000020980835},{"id":"https://openalex.org/keywords/circularity","display_name":"circularity","score":0.5360000133514404},{"id":"https://openalex.org/keywords/english-nhs","display_name":"English NHS","score":0.6110000014305115},{"id":"https://openalex.org/keywords/health-system-design","display_name":"health system design","score":0.375}],"concepts":[{"id":"https://openalex.org/C2776196091","wikidata":"https://www.wikidata.org/wiki/Q5035821","display_name":"Capitation","level":3,"score":0.7743957042694092},{"id":"https://openalex.org/C165347436","wikidata":"https://www.wikidata.org/wiki/Q1514547","display_name":"Project commissioning","level":3,"score":0.6889343857765198},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5701539516448975},{"id":"https://openalex.org/C29202148","wikidata":"https://www.wikidata.org/wiki/Q287260","display_name":"Resource allocation","level":2,"score":0.5295416116714478},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.49222293496131897},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.4453943073749542},{"id":"https://openalex.org/C2776414048","wikidata":"https://www.wikidata.org/wiki/Q5690891","display_name":"Health care rationing","level":3,"score":0.42116445302963257},{"id":"https://openalex.org/C2778223634","wikidata":"https://www.wikidata.org/wiki/Q224952","display_name":"Suspect","level":2,"score":0.412124365568161},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.4085947573184967},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.38769057393074036},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3858572840690613},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3363270163536072},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.2318580448627472},{"id":"https://openalex.org/C151719136","wikidata":"https://www.wikidata.org/wiki/Q3972943","display_name":"Publishing","level":2,"score":0.20882689952850342},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.18791860342025757},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.11629822850227356},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D002204","descriptor_name":"Capitation Fee","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006779","descriptor_name":"Hospitals, Public","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true},{"descriptor_ui":"D017146","descriptor_name":"Models, Organizational","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020379","descriptor_name":"Risk Adjustment","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D040841","descriptor_name":"Resource Allocation","qualifier_ui":"Q000458","qualifier_name":"organization & administration","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.healthpol.2010.10.014","doi":"https://doi.org/10.1016/j.healthpol.2010.10.014","is_oa":false,"landing_page_url":"https://doi.org/10.1016/j.healthpol.2010.10.014","pdf_url":null,"source":{"id":"https://openalex.org/S4210209709","display_name":"Health Policy","issn_l":"0168-8510","issn":["0168-8510","1872-6054"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-a","anvur-class-a","anvur-scientific","cwts-core","dongbi-c","doyens","fnege-2","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Policy","raw_type":"journal-article"},{"id":"pmid:21093953","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21093953","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health policy (Amsterdam, Netherlands)","raw_type":"Journal Article"},{"id":"pmh:oai:RePEc:eee:hepoli:v:101:y:2011:i:2:p:133-139","doi":null,"is_oa":false,"landing_page_url":"http://www.sciencedirect.com/science/article/pii/S0168851010003088","pdf_url":null,"source":{"id":"https://openalex.org/S4306401271","display_name":"RePEc: Research Papers in Economics","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I77793887","host_organization_name":"Federal Reserve Bank of St. Louis","host_organization_lineage":["https://openalex.org/I77793887"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10","score":0.7578999996185303},{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.6240000128746033}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320319990","display_name":"National Institute for Health and Care Research","ror":"https://ror.org/0187kwz08"},{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W99295644","https://openalex.org/W152200932","https://openalex.org/W620430927","https://openalex.org/W1544729927","https://openalex.org/W1597940376","https://openalex.org/W1755602555","https://openalex.org/W1976494066","https://openalex.org/W1986375315","https://openalex.org/W1993642633","https://openalex.org/W1996052215","https://openalex.org/W2001359038","https://openalex.org/W2002383991","https://openalex.org/W2015961056","https://openalex.org/W2020860921","https://openalex.org/W2023391833","https://openalex.org/W2030642117","https://openalex.org/W2033141358","https://openalex.org/W2033644686","https://openalex.org/W2047761219","https://openalex.org/W2059227744","https://openalex.org/W2076221821","https://openalex.org/W2106188657","https://openalex.org/W2113772619","https://openalex.org/W2122017149","https://openalex.org/W2137386213","https://openalex.org/W2148607508","https://openalex.org/W2148840596","https://openalex.org/W2155368513","https://openalex.org/W2168646629","https://openalex.org/W3124782477"],"related_works":["https://openalex.org/W1986375315","https://openalex.org/W7096366417","https://openalex.org/W1979555644","https://openalex.org/W1602271894","https://openalex.org/W1549461411","https://openalex.org/W2082827516","https://openalex.org/W7098258504","https://openalex.org/W7099218273","https://openalex.org/W2031614350","https://openalex.org/W2505570035"],"abstract_inverted_index":null,"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":2},{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":2},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}