Accidental logics, Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s

2011 ◽  
pp. 279-290
Author(s):  
Pauline Allen
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Internal Market ◽  
English National Health ◽  
English National Health Service

Choice of providers and mutual healthcare purchasers: can the English National Health Service learn from the Dutch reforms?

2010 ◽  
Vol 5 (3) ◽  
pp. 343-363 ◽  
Author(s):  
Gwyn Bevan ◽  
Wynand P. M. M. van de Ven
Keyword(s):  
National Health Service ◽  
Health Service ◽  
The Netherlands ◽  
National Health ◽  
Thought Experiment ◽  
Internal Market ◽  
Patient Choice ◽  
Market Model ◽  
English National Health ◽  
English National Health Service

AbstractIn the 1990s, countries experimented with two models of health care reforms based on choice of provider and insurer. The governments of the UK, Italy, Sweden and New Zealand introduced relatively quickly ‘internal market’ models into their single-payer systems, to transform hierarchies into markets by separating ‘purchasers’ from ‘providers’, and enabling ‘purchasers’ to contract selectively with competing public and private providers so that ‘money followed the patient’. This model has largely been abandoned where it has been tried. England, however, has implemented a modified ‘internal market’ model emphasising patient choice, which has so far had disappointing results. In the Netherlands, it took nearly 20 years to implement successfully the model in which enrollees choose among multiple insurers; but these insurers have so far only realised in part their potential to contract selectively with competing providers. The paper discusses the difficulties of implementing these different models and what England and the Netherlands can learn from each other. This includes exploration, as a thought experiment, of how choice of purchaser might be introduced into the English National Health Service based on lessons from the Netherlands.

Changing Management Cultures in the English National Health Service

2010 ◽  
pp. 19-30 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies ◽  
Stephen Harrison ◽  
Frederick Konteh ◽  
Rowena Jacobs ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
English National Health ◽  
English National Health Service

scholarly journals Organisation of Prostate Cancer Services in the English National Health Service

2016 ◽  
Vol 28 (8) ◽  
pp. 482-489 ◽  
Author(s):  
A. Aggarwal ◽  
J. Nossiter ◽  
P. Cathcart ◽  
J. van der Meulen ◽  
J. Rashbass ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Cancer Services ◽  
English National Health ◽  
English National Health Service
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