The authors of the NHS White Paper ‘Working for Patients’ apparently wish to create a UK health care market, ie a network of purchasers and providers who contract with one…
Abstract
The authors of the NHS White Paper ‘Working for Patients’ apparently wish to create a UK health care market, ie a network of purchasers and providers who contract with one another. However the rules governing the behaviour of these actors may create a market which is not competitive but highly regulated. This thesis is explored here in the context of self‐governing hospitals (SGHs). The characteristics of a market are set out elsewhere. Even though the White Paper is terse and incomplete, the rules which will determine the behaviour of SGHs are clearly set out and may inhibit considerably the freedom of managers. To explore these constraints and other areas in which the rules of management may have considerable impact on economic efficiency, a series of questions is posed.
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In the British National Health Service and most other health care systems the medical market place, in particular the terms and conditions of the doctors’ contract, is highly…
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In the British National Health Service and most other health care systems the medical market place, in particular the terms and conditions of the doctors’ contract, is highly regulated. In the UK, for instance, a powerful monopoly organisation, the British Medical Association, seeks to ensure tenure and a high rate of return over the life cycle to a largely publicly financed investment in medical education by doctors. A potentially powerful monopsony (sole buyer) organisation, the Department of Health and Social Security seeks, often weakly for fear of political (electoral) consequences, to hold down the price paid for a doctors' services and thereby contain the costs of the NHS.
The system for the provision of supplies in the UK National Health Service is being continually ‘redisorganised’ in an effort to improve efficiency and get better value for money…
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The system for the provision of supplies in the UK National Health Service is being continually ‘redisorganised’ in an effort to improve efficiency and get better value for money. Alongside these reorganisations, the regulation of the supply of pharmaceuticals to the NHS is also being altered. What are the differences between these two processes and can any obvious lessons be learnt from the ways in which the NHS seeks to control the prices, qualities and quantities of products in these two closely related areas of supplies?
Evidence that the productivity of marginal expenditures on health care is low is reviewed. A number of reasons why expenditure on health care continues to be high in the light of…
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Evidence that the productivity of marginal expenditures on health care is low is reviewed. A number of reasons why expenditure on health care continues to be high in the light of such evidence are presented. Priorities for research in health economics are then set out.
Since the first Volume of this Bibliography there has been an explosion of literature in all the main areas of business. The researcher and librarian have to be able to uncover…
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Since the first Volume of this Bibliography there has been an explosion of literature in all the main areas of business. The researcher and librarian have to be able to uncover specific articles devoted to certain topics. This Bibliography is designed to help. Volume III, in addition to the annotated list of articles as the two previous volumes, contains further features to help the reader. Each entry within has been indexed according to the Fifth Edition of the SCIMP/SCAMP Thesaurus and thus provides a full subject index to facilitate rapid information retrieval. Each article has its own unique number and this is used in both the subject and author index. The first Volume of the Bibliography covered seven journals published by MCB University Press. This Volume now indexes 25 journals, indicating the greater depth, coverage and expansion of the subject areas concerned.
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Highlights the importance of responding to the individual needs of patients, from a personal and general viewpoint. The reforms to health care organization have provided one…
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Highlights the importance of responding to the individual needs of patients, from a personal and general viewpoint. The reforms to health care organization have provided one mechanism for reconciling both patients′ and the community′s need for quality services, but not necessarily the individual. Within a hospital, a philosophy centred on individual patient needs; “patient focused care” provides a way of making explicit quality choices for the individual as well as the community served. While patient focused care is open to many interpretations, argues that in quality terms it is an important milestone as is the first quality approach which makes explicit reference to the patient.
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While it would be foolish to deny that morality is co‐extensive with the whole range of human activity, it is nevertheless true that some areas of that activity raise moral…
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While it would be foolish to deny that morality is co‐extensive with the whole range of human activity, it is nevertheless true that some areas of that activity raise moral questions in greater numbers and with greater density than others. It follows that there will be considerable variation in the degree to which moral considerations permeate management of such activity. A good case can be made for the claim that management of the provision of health care comes high in the list of those areas where moral values shape and identify the character of the decisions to be made in the most intimate and penetrating way.
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INCAA is a computer systems house whose primary objectives are the development, manufacture and support of special systems for industry and science. Applying modern technology…
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INCAA is a computer systems house whose primary objectives are the development, manufacture and support of special systems for industry and science. Applying modern technology, INCAA has developed in addition to the CAMAC range of microprocessor modules, a modular system based on the Eurocard standard printed circuit boards and connectors.