PUBLIC CONTRACTS AS ACCOUNTABILITY MECHANISMS Assuring quality in public health care in England and Wales

被引：13

作者：

Allen, Pauline ^{[1
]}

Hughes, David ^{[2
]}

Vincent-Jones, Peter ^{[1
,3
]}

Petsoulas, Christina

Doheny, Shane ^{[4
]}

Roberts, Jennifer A. ^{[1
]}

机构：

[1] London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London WC1, England

[2] Swansea Univ, Dept Publ Hlth Policy Studies, Swansea, W Glam, Wales

[3] Univ Sheffield, Sch Law, Sheffield, S Yorkshire, England

[4] Cardiff Univ, Sch Planning & Geog, Cardiff CF10 3AX, S Glam, Wales

来源：

PUBLIC MANAGEMENT REVIEW | 2016年 / 18卷 / 01期

关键词：

Contracts; accountability; health care; markets; AGENCY; GOVERNANCE; BEHAVIOR; MARKET; STATE; NHS;

D O I：

10.1080/14719037.2014.957341

中图分类号：

C93 [管理学];

学科分类号：

12 ; 1201 ; 1202 ; 120202 ;

摘要：

Contracting in the public sector is designed to enhance the accountability of service providers to their funders. The idea is that quality is improved by the use of service specifications, monitoring of performance and imposition of contractual sanctions. Socio-legal and economic theories of contract indicate that it will be difficult to make and enforce contracts to achieve this. The results of a study of National Health Services contracting in England and Wales are reported. We conclude that contracts alone are not sufficient to improve accountability - collibration of various regulatory measures (including more hierarchical mechanisms such as performance targets) is required.

引用

页码：20 / 39

页数：20

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