Abstract
This paper presents a comparative study of investment appraisal practices in Health Authorities in England and Health Boards in Scotland. The study focused on (a) the origination of investment proposals (b) the means by which financial evaluations are carried out and (c) the existence or otherwise of backchecks. These findings demonstrate that the investment appraisal practices of Health Boards are broadly comparable to those of Health Authorities. This study also highlights areas of potential research in investment appraisal in health care institutions.
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