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Personalization in the health care system: do personal health budgets impact on outcomes and cost

Jones, Karen C., Forder, Julien E., Caiels, James, Welch, Elizabeth, Glendinning, Caroline, Windle, Karen (2013) Personalization in the health care system: do personal health budgets impact on outcomes and cost. Journal of Health Services Research and Policy, 18 (2suppl). pp. 59-67. ISSN 1355-8196. (doi:10.1177/1355819613503152) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1177/1355819613503152

Abstract

Objectives In England’s National Health Service, personal health budgets are part of a growing trend to give patients more choice and control over how health care services are managed and delivered. The personal health budget programme was launched by the Department of Health in 2009, and a three-year independent evaluation was commissioned with the aim of identifying whether the initiative ensured better health- and care-related outcomes and at what cost when compared to conventional service delivery.

Results The use of personal health budgets was associated with significant improvement in patients’ care-related quality of life and psychological wellbeing at 12 months. Personal health budgets did not appear to have an impact on health status, mortality rates, health-related quality of life or costs over the same period. With net benefits measured in terms of care-related quality of life on the adult social care outcome toolkit measure, personal health budgets were cost-effective: that is, budget holders experienced greater benefits than people receiving conventional services, and the budgets were worth the cost.

Conclusion The evaluation provides support for the planned wider roll-out of personal health budgets in the English NHS after 2014 in so far as the localities in the pilot sample are representative of the whole country.

Item Type: Article
DOI/Identification number: 10.1177/1355819613503152
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: R. Bass
Date Deposited: 15 Oct 2013 13:03 UTC
Last Modified: 11 Feb 2020 04:05 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/35442 (The current URI for this page, for reference purposes)
Jones, Karen C.: https://orcid.org/0000-0003-0851-8341
Forder, Julien E.: https://orcid.org/0000-0001-7793-4328
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