Implementing market-based reforms in the English NHS: Bureaucratic coping strategies and social embeddedness
نویسندگان
چکیده
منابع مشابه
Implementing market-based reforms in the English NHS: bureaucratic coping strategies and social embeddedness.
This paper reports findings from an ethnographic study that explored how market-based policies were implemented in one local health economy in England. We identified a number of coping strategies employed by local agents in response to multiple, rapidly changing and often contradictory central policies. These included prioritising the most pressing concern, relabelling existing initiatives as n...
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BACKGROUND Over the past three decades, a limited range of market like mechanisms have been introduced into the hierarchically structured English National Health Service ('NHS'), which is a nationally tax funded, budget limited healthcare system, with access to care for all, producing structures known as a quasi market. Recently, the Health and Social Care Act 2012 ('HSCA') has been enacted, in...
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Starting in 2002, the UK Labour Government of 1997-2010 introduced a series of changes to the National Health Service (NHS) in England designed to increase patients' choices of the place of elective hospital care and encourage competition among public and private providers of elective hospital services for NHS-funded patients. In 2006, the Department of Health initiated the Health Reform Evalua...
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ژورنال
عنوان ژورنال: Health Policy
سال: 2013
ISSN: 0168-8510
DOI: 10.1016/j.healthpol.2013.03.010