| Titre : | Managed care in a new key : Britain's strategies for the 1990s. (1998) |
| Auteurs : | Donald LIGHT |
| Type de document : | Article |
| Dans : | International journal of health services (vol. 28, n° 3, 1998) |
| Pagination : | 427-444 |
| Langues: | Anglais |
| Mots-clés : | Réseau soins coordonnés ; Fundholding ; NHS ; Réforme ; Organisation ; Gestion ; Système santé ; Ecosse ; Royaume Uni ; Qualité ; Evaluation ; Hôpital ; Marché ; Audit médical ; Soins santé primaire |
| Résumé : | The new Labour government in Britain has issued three variations of a White Paper that outline significant changes in how the world's largest managed care health system will run. All three emphasize systemwide criteria for quality, effectiveness, and health gainin turn imply redressing past inequalities in funding and service. One, the Scottish Paper, eliminates Thatcher's internal market and returns to a simple organizational structure centering on health boards. The other two propose combining primary care practices into purchasing groups, a daunting task that will spawn many new problems and expenses as it recreates the internal market. |
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