RESTRUCTURING THE NHS AGAIN: SUPPLY SIDE REFORM IN RECENT ENGLISH HEALTH CARE POLICY

被引：30

作者：

Allen, Pauline ^{[1
]}

机构：

[1] London Sch Hyg & Trop Med, London, England

来源：

FINANCIAL ACCOUNTABILITY & MANAGEMENT | 2009年 / 25卷 / 04期

关键词：

contracting out; health care reform; health services; internal markets; New Public Management;

D O I：

10.1111/j.1468-0408.2009.00483.x

中图分类号：

F8 [财政、金融];

学科分类号：

0202 ;

摘要：

Introducing market-like structures to public services is a key aspect of New Public Management. The restructuring of the NHS into an internal market of the 1990s is an example. Recent policies have further developed this notion. A new aspect of the restructuring is a focus on increasing the diversity of types of provider of healthcare organisations. The objectives of the restructuring policy entailing the increase in supply side diversity are examined, and the challenges raised by these changes are discussed. It is argued that the government is too optimistic about the benefits, and insufficiently concerned about possible undesirable consequences. © 2009 The Author(s) Journal Compilation © 2009 Blackwell Publishing Ltd

引用

页码：373 / 389

页数：17