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NATIONAL PRIMARY CARE RESEARCH &DEVELOPMENT CENTRELIBRARY AND INFORMATION SERVICE
CURRENT AWARENESS BULLETIN
November- December 2008
 
 ACCESS TO CARE..........................................................................................................3CHRONIC ILLNESS.......................................................................................................5COMMISSIONING........................................................................................................11COMORBIDITY.............................................................................................................12EMPOWERMENT.........................................................................................................13EVIDENCE BASED PRACTICE.................................................................................14HEALTH ECONOMICS...............................................................................................14HEALTH INEQUALITIES...........................................................................................16HEALTH POLICY.........................................................................................................18INFORMATION AND COMMUNICATIONS TECHNOLOGY.............................19MEDICINES MANAGEMENT....................................................................................21MENTAL HEALTH.......................................................................................................22ORGANIZATIONS........................................................................................................33PATIENT AND PUBLIC INVOLVEMENT...............................................................33PRIMARY/SECONDARY CARE INTERFACE........................................................37QUALITY OF CARE.....................................................................................................40RESEARCH AND DEVELOPMENT..........................................................................49SELF MANAGEMENT.................................................................................................55SERVICE ORGANISATION AND DELIVERY........................................................60WORKFORCE...............................................................................................................60As far as possible, a digital object identifier (DOI) and a PubMed Identifier havebeen supplied for each citation. Please inform the Library staff if any of these donot work, so this can be investigated. Thank you.
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These citations have been derived from PubMed.
ACCESS TO CARE
Deb,P., & Trivedi,P.K. (2008). Provider networks and primary-care signups: dothey restrict the use of medical services?
 Health Economics 18
 th
December 2008
http://dx.doi.org/10.1002/hec.1432 http://pmid.us/19097145 
This article analyzes the effect of gatekeeper and network restrictions on use of health-care services using simulation-based estimation methods. Data from the CommunityTracking Survey (1996-1997) show significant evidence of selection into plans withgatekeeper and/or network restrictions. Enrollees in plans with networks of physicianshave fewer office-based visits to non-physician medical professionals, but moreemergency room visits and hospital stays. Individuals in plans that require signups with aprimary-care provider have more visits to non-physician providers of care, more surgeriesand hospital stays but substantially fewer emergency room visits. Enrollees of plans thatdo not pay for out-of-network services have more office-based and emergency roomvisits, but less surgeries and hospitalizations. Copyright (c) 2008 John Wiley & Sons, Ltd
Godager,G., & Luras,H. (2008). Dual job holding general practitioners: the effect of patient shortage.
 Health Economics
Epub 19/8/2008http://dx.doi.org/ 
10.1002/hec.1418 http://pmid.us/18973224
In 2001, a listpatient system with capitation payment was introduced in Norwegiangeneral practice. After an allocation process where each inhabitant was listed with ageneral practitioner (GP), a considerable share of the GPs got fewer persons listed thanthey would have preferred. We examine whether GPs who experience a shortage of patients to a larger extent than other GPs seek to hold a second job in the communityhealth service even though the wage rate is low compared with the wage rate in generalpractice. Assuming utility maximization, we model the effect of patient shortage on aGP's decision to contract for a second job in the community health service. The modelpredicts a positive relationship between patient shortage and participation in thecommunity health service. This prediction is tested by means of censored regressionanalyses, taking account of labour supply as a censored variable. We find a significanteffect of patient shortage on the number of hours the GPs supply to community healthservice. The estimated marginal effect is 1.72 hours per week.3
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