(in the UK) a former system of state funding for general practitioners, in which a GP was allocated a budget with which they could buy a limited range of hospital services.
（英国）由政府向全科社区医生提供专款的制度
Example sentencesExamples
The systematic collection of community data was eroded not just by the loss of regional information departments but also by contracting out to the private sector and general practice fundholding.
For many people, practice based commissioning will seem to be simply general practice fundholding rebadged.
He was a trainer and pioneered computing and fundholding in his practice.
We are unable to explain the association between fundholding and higher teenage pregnancy rates.
Although an evaluation found fundholding had no effect on overall rates of referral, fundholding practices did have a slower rate of rise in referral rates than non-fundholding practices.
In April 1991 prescribing budgets were introduced into English general practice as part of the fundholding and indicative prescribing schemes.
Capitation based budgets in England were first introduced for health authorities and then, through the fundholding scheme, for general practices.
Dr Morton said: ‘Suddenly, with the change of government, an impulsive and arbitrary decision to stop fundholding was taken.’
This is especially so because previous reforms of primary care, such as fundholding, were driven by ideologies of competition rather than evidence.
A degree of fundholding already occurs in principle in some medical schools.
Setting budgets which would enable fundholding to purchase an appropriate level of care, but without overfunding them, was critical to the establishment of a functioning market.
Now fundholding was fundamentally against my principles as I had always believed that patients were entitled to high quality of care regardless of where they lived or who they were registered with.
A group of practices with 10,000 patients would have attracted, for full fundholding about £48,000
This is an idea raised by health economist Paul Gross, who says fundholding has merit, but he's not convinced divisions are the organisations to hold the dollars.
The introduction of fundholding in primary care in the United Kingdom contained prescribing costs, although the effect was modest and seemingly not accompanied by parallel improvements in the quality of prescribing.
The reaction of the Australian Medical Association is the same as that of organised medicine to fundholding in Britain and to budget holding in New Zealand almost a decade ago.
A study of prescribing in all general practices in England for the first 6 years of fundholding found costs increased 56% to 59% for fundholders and 66% for non-participating practices.
Commissioning by primary care groups or trusts is an internal market-like idea that could be seen as generalisation of general practitioner fundholding.
Community fundholding was aimed at small practices or those not ready for the full scheme.
He does not think fundholding was an ideal system but points out that it did give GPs some control over the health delivered in their local area.
Derivatives
fundholder
nounˈfʌndˌhəʊldə
Private providers did not make returns to the centre, fundholders who employed their own community staff did not have systems capable of capturing data on staff or service contacts, while some trusts simply stopped collecting data.
Example sentencesExamples
Some of the inequity resulted from the continuation of access acquired previously by general practice fundholders.
Consumers of these resources should have a duty to show a benefit from any consultations or treatments provided, and the fundholders should have a duty to withhold funds in the absence of such evidence.
Persuading fundholders to prioritise cessation services is vital to ensuring the future of the services
Another study, based on admission data for four years, showed that fundholders reduced admission rates for elective procedures by 3.3% compared with non-fundholders.