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Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive

Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive Patient Opinion. But shopping for health is problematic because. Information asymmetries. Power unequal. Very unequal vulnerabilities. “The health economist’s search for the rational consumer

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Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive

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  1. Personal health budgets and clinicians Dr Paul Hodgkin Sheffield GP Chief Executive Patient Opinion

  2. But shopping for health is problematic because • Information asymmetries • Power unequal • Very unequal vulnerabilities

  3. “The health economist’s search for the rational consumer of health care is like the search for powdered unicorn horn - never ending, and always destined for disappointment” Robert Evans Canadian Health Care economist

  4. So how can we get the benefits of personal health budgets without the problems? By careful extension out from what we have learnt in social care By mapping where it helps and where it does not By having a variety of budget holders

  5. Best solution unknown/ No evidence Multiple Co-morbidities Much mental health Significant Discretionary budget Co-create using small budget Worried well Palliative care Life enhancing today Avoiding death tomorrow Vouchers and menu based care +/- discretionary budget screening Accept/decline best practice advice Medical aspects of individual LTC Life style: obesity, exercise, smoking Best solution known/ Good evidence

  6. Budget held by client, patient or non-professionals Stable LTC + mental Health Exercise Obesity Smoking Palliative care Budget held by professionals Provider market less regulated Provider market highly regulated

  7. Thank you Dr Paul Hodgkin paul.hodgkin@patientopinion.org.uk www.patientopinion.org.uk

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