The americanization of the British National Health... Catalogue en ligne

Titre :	The americanization of the British National Health Service. (1995)
Auteurs :	D. MECHANIC
Type de document :	Article
Dans :	Health affairs (vol. 14, n° 2, 1995)
Pagination :	51-67
Langues:	Anglais
Mots-clés :	NHS ; Système santé ; Réforme ; Etude comparée ; Etats Unis ; Royaume Uni
Résumé :	The core reform of the British National Service (NHS) was the establishment o a quasi market with a split between purchasres and providers. Health authorities and general practitionners (GP) fundholders were to be discriminating purchasers seeking more efficient and responsive services. This market orientation was embedded in a larger context of managerial, allocational, public health and primary care changes. This paper reviews rhe background and dynamics of these modifications and offers an early assessment. This is evidence that the reforms have unleashed much energy, activity, and tjpughtfulness about future health care, but it remains unclear whether the gains justify the increased administrative and other transaction costs and potential threats to equal access. (Résumé d'auteur).

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