From quasi-market to market in the National Health Service in England: what does this mean for the purchasing of health services?

Research output: Contribution to journalArticle

Standard

Harvard

APA

Vancouver

Author

Bibtex

@article{ca24634ca9ae4525a1ec3770220f1aef,
title = "From quasi-market to market in the National Health Service in England: what does this mean for the purchasing of health services?",
abstract = "The purchasing function was first developed within the British National Health Service as part of a quasi-market introduced by a Conservative government in 1990 and retained by the Labour government on coming to power in 1997. Since 2002 further reforms in England have begun to transform the quasi-market into a 'real' market with greater diversity of supplier, including from the private sector, a payment regime designed to reward additional hospital activity and new rights for patients to choose their provider. Evidence from the quasi-market era suggests that the purchasing function made little significant impact on services for patients or shifts in the pattern of hospital provision. The new market reforms, in theory, provide an opportunity to overcome prior weaknesses in the purchasing function. As this market develops, we suggest that the purchasers should develop three new sets of skills and activities if they are to be effective: the identification of need and shaping of demand; shaping the structure of supply; and holding the market to account.",
author = "R Lewis and Judith Smith and A Harrison",
year = "2009",
month = jan,
day = "1",
doi = "10.1258/jhsrp.2008.008054",
language = "English",
volume = "14",
pages = "44--51",
journal = "Journal of Health Services Research & Policy",
issn = "1355-8196",
publisher = "SAGE Publications",
number = "1",

}

RIS

TY - JOUR

T1 - From quasi-market to market in the National Health Service in England: what does this mean for the purchasing of health services?

AU - Lewis, R

AU - Smith, Judith

AU - Harrison, A

PY - 2009/1/1

Y1 - 2009/1/1

N2 - The purchasing function was first developed within the British National Health Service as part of a quasi-market introduced by a Conservative government in 1990 and retained by the Labour government on coming to power in 1997. Since 2002 further reforms in England have begun to transform the quasi-market into a 'real' market with greater diversity of supplier, including from the private sector, a payment regime designed to reward additional hospital activity and new rights for patients to choose their provider. Evidence from the quasi-market era suggests that the purchasing function made little significant impact on services for patients or shifts in the pattern of hospital provision. The new market reforms, in theory, provide an opportunity to overcome prior weaknesses in the purchasing function. As this market develops, we suggest that the purchasers should develop three new sets of skills and activities if they are to be effective: the identification of need and shaping of demand; shaping the structure of supply; and holding the market to account.

AB - The purchasing function was first developed within the British National Health Service as part of a quasi-market introduced by a Conservative government in 1990 and retained by the Labour government on coming to power in 1997. Since 2002 further reforms in England have begun to transform the quasi-market into a 'real' market with greater diversity of supplier, including from the private sector, a payment regime designed to reward additional hospital activity and new rights for patients to choose their provider. Evidence from the quasi-market era suggests that the purchasing function made little significant impact on services for patients or shifts in the pattern of hospital provision. The new market reforms, in theory, provide an opportunity to overcome prior weaknesses in the purchasing function. As this market develops, we suggest that the purchasers should develop three new sets of skills and activities if they are to be effective: the identification of need and shaping of demand; shaping the structure of supply; and holding the market to account.

U2 - 10.1258/jhsrp.2008.008054

DO - 10.1258/jhsrp.2008.008054

M3 - Article

C2 - 19103916

VL - 14

SP - 44

EP - 51

JO - Journal of Health Services Research & Policy

JF - Journal of Health Services Research & Policy

SN - 1355-8196

IS - 1

ER -