{"id":"https://openalex.org/W2122017149","doi":"https://doi.org/10.2471/blt.07.049528","title":"Resource allocation and purchasing in the health sector: the English experience","display_name":"Resource allocation and purchasing in the health sector: the English experience","publication_year":2008,"publication_date":"2008-11-01","ids":{"openalex":"https://openalex.org/W2122017149","doi":"https://doi.org/10.2471/blt.07.049528","mag":"2122017149","pmid":"https://pubmed.ncbi.nlm.nih.gov/19030695","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/2649545"},"language":"en","primary_location":{"id":"doi:10.2471/blt.07.049528","doi":"https://doi.org/10.2471/blt.07.049528","is_oa":true,"landing_page_url":"https://doi.org/10.2471/blt.07.049528","pdf_url":"https://doi.org/10.2471/blt.07.049528","source":{"id":"https://openalex.org/S22004576","display_name":"Bulletin of the World Health Organization","issn_l":"0042-9686","issn":["0042-9686","1564-0604"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","ddh","doaj","dongbi-b","doyens","fnege-4","jufo-3","ki-jl-3","medline","norway-2","oarl","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319663","host_organization_name":"World Health Organization","host_organization_lineage":["https://openalex.org/P4310319663","https://openalex.org/P4310321776"],"host_organization_lineage_names":["World Health Organization","United Nations"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bulletin of the World Health Organization","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.2471/blt.07.049528","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5001508652","display_name":"Peter Smith","orcid":"https://orcid.org/0000-0003-0058-7588","observed_orcids":["https://orcid.org/0000-0003-0058-7588","https://orcid.org/0000-0001-8286-4563","https://orcid.org/0000-0001-8707-2581"]},"institutions":[{"id":"https://openalex.org/I52099693","display_name":"University of York","ror":"https://ror.org/04m01e293","country_code":"GB","type":"education","lineage":["https://openalex.org/I52099693"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Peter Smith","raw_affiliation_strings":["Centre for Health Economics, University of York, England. pcs1@york.ac.uk","Centre for Health Economics, University of York, England"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Health Economics, University of York, England. pcs1@york.ac.uk","institution_ids":["https://openalex.org/I52099693"]},{"raw_affiliation_string":"Centre for Health Economics, University of York, England","institution_ids":["https://openalex.org/I52099693"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5001508652"],"corresponding_institution_ids":["https://openalex.org/I52099693"],"apc_list":null,"apc_paid":null,"fwci":4.0632,"has_fulltext":true,"cited_by_count":54,"citation_normalized_percentile":{"value":0.94326564,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":99},"biblio":{"volume":"86","issue":"11","first_page":"884","last_page":"888"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5292999744415283,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.5292999744415283,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T13896","display_name":"Health Services Management and Policy","score":0.4293999969959259,"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/T11461","display_name":"Local Government Finance and Decentralization","score":0.02290000021457672,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"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":0.8690000176429749},{"id":"https://openalex.org/keywords/healthcare-procurement","display_name":"health care purchasing","score":0.6819999814033508},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.546999990940094},{"id":"https://openalex.org/keywords/decentralization","display_name":"decentralization","score":0.7710000276565552},{"id":"https://openalex.org/keywords/general-practice-funding","display_name":"general practice funding","score":0.7639999985694885},{"id":"https://openalex.org/keywords/accountability","display_name":"accountability","score":0.36500000953674316},{"id":"https://openalex.org/keywords/health-policy","display_name":"health policy","score":0.4819999933242798},{"id":"https://openalex.org/keywords/england","display_name":"England","score":0.5839999914169312}],"concepts":[{"id":"https://openalex.org/C199728807","wikidata":"https://www.wikidata.org/wiki/Q2578557","display_name":"Equity (law)","level":2,"score":0.6696429252624512},{"id":"https://openalex.org/C2778813691","wikidata":"https://www.wikidata.org/wiki/Q1369832","display_name":"Purchasing","level":2,"score":0.6563825607299805},{"id":"https://openalex.org/C2776007630","wikidata":"https://www.wikidata.org/wiki/Q2798912","display_name":"Accountability","level":2,"score":0.6393458247184753},{"id":"https://openalex.org/C29202148","wikidata":"https://www.wikidata.org/wiki/Q287260","display_name":"Resource allocation","level":2,"score":0.6090192198753357},{"id":"https://openalex.org/C45555294","wikidata":"https://www.wikidata.org/wiki/Q28113351","display_name":"Inequality","level":2,"score":0.5456833839416504},{"id":"https://openalex.org/C2988643123","wikidata":"https://www.wikidata.org/wiki/Q15067276","display_name":"Health sector","level":4,"score":0.5199207663536072},{"id":"https://openalex.org/C47344431","wikidata":"https://www.wikidata.org/wiki/Q1519812","display_name":"Health policy","level":3,"score":0.4972434341907501},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.4947223365306854},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.4659731388092041},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.4588594436645508},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.4041847288608551},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3712546229362488},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3512136936187744},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.25846850872039795},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.24973252415657043},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.18144571781158447},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.17221763730049133},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1294156014919281},{"id":"https://openalex.org/C34447519","wikidata":"https://www.wikidata.org/wiki/Q179522","display_name":"Market economy","level":1,"score":0.0},{"id":"https://openalex.org/C134306372","wikidata":"https://www.wikidata.org/wiki/Q7754","display_name":"Mathematical analysis","level":1,"score":0.0},{"id":"https://openalex.org/C33923547","wikidata":"https://www.wikidata.org/wiki/Q395","display_name":"Mathematics","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}],"mesh":[{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002017","descriptor_name":"Budgets","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002204","descriptor_name":"Capitation Fee","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004739","descriptor_name":"England","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005194","descriptor_name":"Family Practice","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D006113","descriptor_name":"United Kingdom","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012040","descriptor_name":"Regional Health Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012737","descriptor_name":"Sex Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012935","descriptor_name":"Social Justice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D013222","descriptor_name":"State Medicine","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D018166","descriptor_name":"Health Care Reform","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019982","descriptor_name":"Organizational Case Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020379","descriptor_name":"Risk Adjustment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D040841","descriptor_name":"Resource Allocation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D040841","descriptor_name":"Resource Allocation","qualifier_ui":"Q000941","qualifier_name":"ethics","is_major_topic":false},{"descriptor_ui":"D054625","descriptor_name":"Healthcare Disparities","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.2471/blt.07.049528","doi":"https://doi.org/10.2471/blt.07.049528","is_oa":true,"landing_page_url":"https://doi.org/10.2471/blt.07.049528","pdf_url":"https://doi.org/10.2471/blt.07.049528","source":{"id":"https://openalex.org/S22004576","display_name":"Bulletin of the World Health Organization","issn_l":"0042-9686","issn":["0042-9686","1564-0604"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","ddh","doaj","dongbi-b","doyens","fnege-4","jufo-3","ki-jl-3","medline","norway-2","oarl","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319663","host_organization_name":"World Health Organization","host_organization_lineage":["https://openalex.org/P4310319663","https://openalex.org/P4310321776"],"host_organization_lineage_names":["World Health Organization","United Nations"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bulletin of the World Health Organization","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:1451061","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/articles/PMC2649545","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:2649545","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/2649545","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"Bull World Health Organ","raw_type":"Text"},{"id":"pmid:19030695","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/19030695","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":"Bulletin of the World Health Organization","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:ecff1fb279824f8ca7d429a45feef60b","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/ecff1fb279824f8ca7d429a45feef60b","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Bulletin of the World Health Organization, Vol 86, Iss 11, Pp 884-888 (2008)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.2471/blt.07.049528","doi":"https://doi.org/10.2471/blt.07.049528","is_oa":true,"landing_page_url":"https://doi.org/10.2471/blt.07.049528","pdf_url":"https://doi.org/10.2471/blt.07.049528","source":{"id":"https://openalex.org/S22004576","display_name":"Bulletin of the World Health Organization","issn_l":"0042-9686","issn":["0042-9686","1564-0604"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","ddh","doaj","dongbi-b","doyens","fnege-4","jufo-3","ki-jl-3","medline","norway-2","oarl","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319663","host_organization_name":"World Health Organization","host_organization_lineage":["https://openalex.org/P4310319663","https://openalex.org/P4310321776"],"host_organization_lineage_names":["World Health Organization","United Nations"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Bulletin of the World Health Organization","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7578999996185303}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2122017149.pdf","grobid_xml":"https://content.openalex.org/works/W2122017149.grobid-xml"},"referenced_works_count":11,"referenced_works":["https://openalex.org/W121207634","https://openalex.org/W620430927","https://openalex.org/W1499796422","https://openalex.org/W2016117430","https://openalex.org/W2023391833","https://openalex.org/W2028342144","https://openalex.org/W2045214563","https://openalex.org/W2092073578","https://openalex.org/W2137171237","https://openalex.org/W2166503382","https://openalex.org/W4244628643"],"related_works":["https://openalex.org/W7100284249","https://openalex.org/W2616377426","https://openalex.org/W2108340863","https://openalex.org/W7098344349","https://openalex.org/W2151481997","https://openalex.org/W4243196015","https://openalex.org/W2470004936","https://openalex.org/W1595975717","https://openalex.org/W2025525513","https://openalex.org/W6981572971"],"abstract_inverted_index":{"The":[0,51,73],"United":[1],"Kingdom":[2],"of":[3,46],"Great":[4],"Britain":[5],"and":[6,19,92],"Northern":[7],"Ireland":[8],"has":[9],"extensive":[10],"experience":[11],"in":[12],"allocating":[13],"health":[14,40,80],"service":[15],"funds":[16,63],"to":[17,33,37,61,64,78,87,89,93],"regions":[18],"localities":[20],"using":[21],"funding":[22],"formulae.":[23,50],"This":[24],"paper":[25,52],"focuses":[26],"on":[27],"England.":[28],"Special":[29],"attention":[30],"is":[31,76],"given":[32],"recent":[34],"policy":[35],"concerns":[36],"reduce":[38],"avoidable":[39],"inequalities":[41],"by":[42],"broadening":[43],"the":[44,47,55],"remit":[45],"resource":[48],"allocation":[49],"also":[53],"examines":[54],"issues":[56],"that":[57],"arise":[58],"when":[59],"seeking":[60,86],"allocate":[62],"very":[65],"small":[66],"organizational":[67],"units,":[68],"such":[69],"as":[70],"general":[71],"practices.":[72],"English":[74],"example":[75],"relevant":[77],"less-developed":[79],"systems,":[81],"especially":[82],"for":[83],"those":[84],"governments":[85],"decentralize,":[88],"improve":[90],"accountability":[91],"promote":[94],"equity.":[95]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":7},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2015,"cited_by_count":5},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":4},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}