A third way? England yes; Scotland maybe
| Autor: | Greg Parston, Laurie McMahon |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
media_common.quotation_subject
Population health Domestic market State Medicine White paper Humans Medicine Health policy General Environmental Science media_common business.industry Health Policy General Engineering General Medicine Public relations England Scotland Health Care Reform Command and control systems General Earth and Planetary Sciences Cash flow Bureaucracy Health care reform Family Practice business Research Article |
| Zdroj: | BMJ. 316:213-213 |
| ISSN: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.316.7126.213 |
| Popis: | Much of the comment on the white paper so far has ignored general intention and focused on details of employment, cash flow, and management-or rather the lack of them. Little is being said about the government's bold attempt to construct “a third way” between old bureaucratic command and control systems and the fragmentation and distortions of the internal market. This new path will effectively result in the creation of nationalised health maintenance organisations, led by clinicians but focused on population health. Yet the most commentators seem to be preoccupied with questions about “How do they expect to…?” without much understanding of “Why?” The English health maintenance organisation idea makes a lot of sense; moreover, the lack of detail at this stage is a positive feature. If there is anything to be learnt from the past two decades it is that changing a complex organisation like the NHS is … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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