Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-12-01T09:16:15.671Z Has data issue: false hasContentIssue false
  • English
  • Français

Choice and competition in publicly funded health care

Published online by Cambridge University Press:  01 October 2009

JULIAN LE GRAND
JULIAN LE GRAND*
Affiliation:
Richard Titmuss Professor of Social Policy, Department of Social Policy, London School of Economics, London, UK
*
*Correspondence to: Julian Le Grand, Department of Social Policy, London School of Economics, Houghton Street, London WC2A 2AE, UK. Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract:

There are four basic models of health service delivery: those that rely on trust, on command and control, on voice, and on choice and competition. All have their merits and demerits; but there are both theoretical and empirical arguments for preferring choice and competition in many situations. However, the relevant policies do have to be properly designed.

Type
Debate
Information
Health Economics, Policy and Law , Volume 4 , Issue 4 , October 2009 , pp. 479 - 488
Copyright
Copyright © Cambridge University Press 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Appleby, J. and Alvarez, A. (2005), ‘Public Response to NHS Reform’, British Social Attitudes Survey, 22nd Report, London: Sage.Google Scholar
Bevan, G. and Hood, C. (2006), ‘Have targets improved performance in the English NHS?’, British Medical Journal, 332: 419–422.CrossRefGoogle ScholarPubMed
Burgess, S., Propper, C. and Wilson, D. (2005), Will More Choice Improve Outcomes in Education and Health Care? The Evidence from Economic Research, Bristol: Centre for Market and Public Organisation, University of Bristol.Google Scholar
Coulter, A., le Maistre, N. and Henderson, L. (2005), Patients’ Experience of Choosing Where to Undergo Surgical Treatment – Evaluation of the London Patient Choice Scheme, Oxford: Picker Institute.Google Scholar
Dawson, D., Jacobs, R., Martin, S. and Smith, P. (2004), ‘Evaluation of the London Patient Choice Project: System-Wide Impacts’, Final Report, Centre for Health Economics, University of York, York.Google Scholar
Department of Health (2005), Chief Executive’s Report to the NHS: December 2005, London: Department of Health.Google Scholar
Hibbard, J. and Peters, E. (2003), ‘Supporting informed consumer health care decisions: data presentation approaches that facilitate the use of information in choice’, Annual Review of Public Health, 24: 435–456.CrossRefGoogle ScholarPubMed
Le Grand, J. (2002), ‘The Labour government and the National Health Service’, Oxford Review of Economic Policy, 18, 137–153.Google Scholar
Le Grand, J. (2006), Motivation, Agency and Public Policy: Of Knights and Knaves, Pawns and Queens, paperback edition, Oxford: Oxford University Press.Google Scholar
Le Grand, J. (2007), The Other Invisible Hand, Oxford: Princeton University Press.Google Scholar
Le Grand, J.Mays, N. and Mulligan, J.-A. (1998), Learning from the Internal Market: A Review of the Evidence, London: King’s Fund.Google Scholar
Marshall, M., Shekelle, P.Leatherman, S. and Brook, R. (2000), Dying to Know: Public Release of Information About the Quality of Health Care, Nuffield Trust Series 12, London: Nuffield Trust.Google Scholar
Propper, C., Burgess, S. and Green, K. (2004), ‘Does competition between hospitals improve the quality of care? Hospital death rates and the NHS internal market’, Journal of Public Economics, 88: 1247–1272.Google Scholar