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Glennerster H, (1998)
‘Competition and Quality in Health Care: the UK Experience’
International Journal for Quality in Health Care, 10(5), pp.
403-410.
- Survey of the empirical literature on competition in the NHS.
- Reviews
all references relating to district-based purchasing, and GP fundholding
and commissioning.
Key findings:
- Evidence suggests little overall change for good or bad resulting
from reforms.
- The changes that occurred had an impact on speed of
treatment, patient convenience and choice. Benefits were reaped
in particular by the
more competitive agents - the family doctors or GPs.
- Medical quality
was largely unaffected.
- Overall evidence supports
the hypothesis that there were some efficiency gains by removing
the virtual monopoly of NHS hospitals. This was
done most effectively by GPs who had an interest in seeing their
patients treated quickly and well.
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