Document Detail


Ditching the single-payer system in the national health service: how the English Department of Health is learning the wrong lessons from the United States.
MedLine Citation:
PMID:  22993967     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Reforms to the British National Health Service introduce major changes to how health care will be delivered. The core elements include the creation of new purchaser organizations, Clinical Commissioning Groups, which unlike their predecessors will be able to recruit and reject general practices and their patients without geographical restriction. The Clinical Commissioning Groups are to transition from statutory bodies to freestanding organizations, with most of their functions privatized and an increasingly privatized system of provision, In this paper, we explore the likely consequences of these proposals, drawing in particular on the experience of managed care organizations in the United States, whose approach has influenced the English proposals extensively. We argue that the wrong lessons are being learned and the English reforms are likely to fundamentally undermine the principles on which the British National Health Service was founded.
Authors:
Lucy Reynolds; Clare Gerada; Martin McKee
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of health services : planning, administration, evaluation     Volume:  42     ISSN:  0020-7314     ISO Abbreviation:  Int J Health Serv     Publication Date:  2012  
Date Detail:
Created Date:  2012-09-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1305035     Medline TA:  Int J Health Serv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  539-47     Citation Subset:  IM    
Affiliation:
London School of Hygiene and Tropical Medicine, London, United Kingdom.
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