Market--what market? A review of Health Authority purchasing in the NHS internal market.
Health Policy
; 44(2): 167-83, 1998 May.
Article
en En
| MEDLINE
| ID: mdl-10180680
This paper argues that the British NHS Reforms (the 'Reforms') set out in Working for Patients [1] largely failed to create a market, to achieve the changes that market forces might have been expected to achieve or to meet the objectives set for the NHS in Working for Patients. It draws on the available literature and the author's experience of work with the NHS during the 6 years after Working for Patients. It is hampered, as are all such reviews of the UK Reforms, by the lack of a detailed and systematic research appraisal of the internal market. Many small changes, resulting from market mechanisms, may have occurred throughout the NHS without being publicized or well documented. But overall, there is little convincing evidence that the Reforms have achieved their goals or met the objectives of the politicians who initiated them. The argument here is necessarily limited by the space available (but see [2] for a detailed analysis of the NHS Reforms). The initial sections of the paper examine the characteristics of markets and market power and the extent to which the NHS Reforms created a market, with health authorities and fund-holders as its buyers. The paper concentrates in particular on health authorities. Later sections then examine the extent to which the Reforms met the objectives set out in Working for Patients.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Medicina Estatal
/
Asignación de Recursos para la Atención de Salud
/
Reforma de la Atención de Salud
/
Sector de Atención de Salud
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
País/Región como asunto:
Europa
Idioma:
En
Revista:
Health Policy
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Año:
1998
Tipo del documento:
Article
Pais de publicación:
Irlanda