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  • Journal article
    Ghani AC, Ferguson NM, Donnelly CA, Anderson RMet al., 2003,

    Short-term projections for variant Creutzfeldt-Jakob disease onsets

    , STATISTICAL METHODS IN MEDICAL RESEARCH, Vol: 12, Pages: 191-201, ISSN: 0962-2802
  • Journal article
    Donnelly CA, Ferguson NM, Ghani AC, Anderson RMet al., 2003,

    Extending backcalculation to analyse BSE data

    , STATISTICAL METHODS IN MEDICAL RESEARCH, Vol: 12, Pages: 177-190, ISSN: 0962-2802
    • Cite
    • Citations: 16
  • Journal article
    Wetten S, Basáñez M-G, Marshall C, 2003,

    Vector competence of Simulium exiguum s.l. in Ecuador: cytospecies or density-dependence?

    , Br Simulid Group Bull, Vol: 21, Pages: 14-18, ISSN: 1363-3376
  • Journal article
    Grassly NC, Garnett GP, 2003,

    Explicit models make better policy

    , International Journal of Drug Policy, Vol: 14, Pages: 339-341
  • Conference paper
    Bottomley C, Isham V, Basáñez MG, 2003,

    Population biology of multiple helminth infections

    , 52nd (Centenary) Meeting of the American Society of Tropical Medicine and Hygiene, Publisher: The American Journal of Tropical Medicine and Hygiene
  • Journal article
    Boily M-C, White R, Lowndes C, Alary M, Orroth Ket al., 2003,

    Transmission of HIV via unsafe injection or unsafe sex? Anomalies or misunderstanding?

    , Int J of STD&AIDS, Vol: 15, Pages: 61-62
  • Journal article
    Grassly NC, Lowndes CM, Rhodes T, Judd A, Renton A, Garnett GPet al., 2003,

    Modelling emerging HIV epidemics: the role of injecting drug use and sexual transmission in the Russian Federation, China and India.

    , International Journal of Drug Policy, Vol: 14, Pages: 25-43
  • Journal article
    Nyamukapa C, Foster G, Gregson S, 2003,

    Orphans' household circumstances and access to education in a maturing HIV epidemic in eastern Zimbabwe

    , Journal of Social Development in Africa, Vol: 18, Pages: 7-32
  • Conference paper
    Kennedy S, Basáñez M-G, Williams JR, 2003,

    The sensitivity of a mathematical model for the transmission dynamics and control of human onchocerciasis to vector-related parameters

    , 52nd (Centenary) Meeting of the American Society of Tropical Medicine and Hygiene, Publisher: The American Journal of Tropical Medicine and Hygiene, Pages: 229-230
  • Journal article
    Hauck K, Rice N, Smith P, 2003,

    The influence of health care organisations on health system performance

    , Journal of Health Services Research and Policy, Vol: 8, Pages: 68-74

    Objectives: The governments of many countries are undertaking initiatives to assess the extent to which health care organisations fulfil important objectives of health care, such as health improvement, fair access and efficiency. However, the extent to which these health care organisations can influence these objectives is unclear. The purpose of this study is to examine the potential influence of English National Health Service territorial health authorities on 14 indicators of system performance. Methods: The study uses performance data relating to approximately 5000 small geographical areas with average populations of 10 000. Multi-level statistical models are used to attribute variation in the indicators to three hierarchical levels - small areas, district health authorities and regional health authorities - after controlling for socio-demographic characteristics. Variations in indicators attributable to district or regional level give an indication of the extent to which health authorities may influence performance. Results: After adjusting for socio-demographic characteristics, the proportion of variation in performance attributable to district health authorities varies from about 8% (for standardised mortality ratios) to about 76% (for waiting time for elective surgery). Variation at the regional level is smaller than at the district level. Conclusions: There appear to be very large variations between indicators in the extent to which health care organisations can influence health system performance. Choice of performance indicators and the managerial incentive regime based on the indicators should recognise this variability, as it is highly dysfunctional to hold managers accountable for measures of performance that are beyond their control.

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