Electronic Resource
Oxford, UK
:
Blackwell Publishing Ltd
Financial accountability and management
11 (1995), S. 0
ISSN:
1468-0408
Source:
Blackwell Publishing Journal Backfiles 1879-2005
Topics:
Economics
Notes:
This article evaluates the capital charging system implemented in the National Health Service in Scotland, probing its intellectual coherence and implementa- tion. Asset valuations may be too high because of the decision to value at Depreciated Replacement Cost (even when higher than market value) and the decision to disregard the issues raised by Modern Equivalent Asset methodology. The incentive effects of capital charges are complex: historically good maintenance may be penalised, and economic and financial appraisal of new projects may give conflicting signals. Capital charging differently affects Hospital Trusts and Directly Managed Units. Moreover, the interaction of capital charging and the public corporation status of Hospital Trusts inflates gross public expenditure on health.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1111/j.1468-0408.1995.tb00396.x
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