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Implementing GP Fundholding
"GP fundholding was one of the most contentious elements in the British Government's controversial reforms to the NHS. It gave GPs the power to buy services direct from hospitals on behalf of their patients, the most radical change in the funding of the service since 1946. Did this give more choice and power to patients or did it give fundholders' patients an unfair advantage? Is it destabilizing the NHS? Are GPs or district health authorities the best purchasers of health care?" "Professor Glennerster of the LSE has been monitoring the scheme since 1990 as part of a King's Fund-supported research project. This book reports on his research. It traces the origins of the idea and looks at the ...
Reforming Markets In Health Care
The UK government is introducing reforms to the internal health care market in the UK National Health Service which seek to address concerns such as these, and this book comprises a series of commentaries on their plans from a group of leading health economists. Authors examine the contribution of economics to the debate on the reforms, while seeking to make the analysis accessible to a general audience.
Controlling Costs: Strategic Issues in Health Care Management
Controlling costs in health care is rarely something that can be tackled in isolation. Cost control invariably interacts with issues of quality and health care access. Thus, this diverse collection of papers is concerned not just with costs but more importantly with value. Both macro and micro concerns are covered. At the macro level, health care reforms (and especially the ’marketisation’ of health care systems) receive some attention. Papers explore how policy prescriptions get translated and modified during implementation, and assess how these prescriptions impact on both the incentive context and subsequent patterns of service delivery. Resource allocation within bureaucratic health ...
Diffusion of Innovations in Health Service Organisations
This is a systematic review on how innovations in health service practice and organisation can be disseminated and implemented. This is an academic text, originally commissioned by the Department of Health from University College London and University of Surrey, using a variety of research methods. The results of the review are discussed in detail in separate chapters covering particular innovations and the relevant contexts. The book is intended as a resource for health care researchers and academics.
The LSE Companion to Health Policy
The LSE Companion to Health Policy covers a wide range of conceptual and practical issues from a number of different perspectives introducing the reader to, and summarising, the vast literature that analyses the complexities of health policy. the Companion also assesses the current state of the art. Health policy is a wide-ranging subject covering many academic disciplines, but what most studies in health policy have in common is an interest in applying theory to improve practice. This Companion brings academic rigour to bear evidence on a range of central areas within health policy. It covers key issues on the quality, access and inequalities in health and health care; supply and health markets; insurance and expenditures; pharmaceuticals and new technologies: and aging and long-term care. This unique Companion on health policy contains the most important features for health system reform at a time of funding constraints and will therefore hold great appeal for policy analysts and makers, students, academics and management professionals.
Fair Resource Allocation and Rationing at the Bedside
Priority setting and rationing contribute significantly to affordable and fair healthcare and clinicians play an indispensable role in these processes. This book offers practical strategies for clinicians to allocate resources fairly, to teach about it to students, and to discuss rationing more explicitly in the public arena and the doctor's office.
GPs and Purchasing in the NHS
This title was first published in 2000: The relative performance of health authorities and general practitioners as commissioners of health care services is a crucial question in the current health care policy debate, but hitherto a poorly researched area. This work addresses that topic, and represents a systematic direct comparison of GPs and health authorities as purchasers of health care services. In doing this it centres upon two of the chief controversies about the NHS internal market: the equality of hospital waiting times for fund-holding patients, and the fairness of the budgets received by fund-holding practices for commissioning effective surgery. In discussing the policy implications of the research, the book then addresses what lessons should be learned from the internal market about equity and efficiency in the service now that the present Labour Government is reforming the NHS with the introduction of Primary Care Groups and Primary Care Trusts.
