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Centre for Policy on Ageing | |
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| A "fair innings" for efficiency in health services? | | Author(s) | Nick Bosanquet |
| Journal title | Journal of Medical Ethics, vol 27, no 4, August 2001 |
| Pages | pp 228-233 |
| Keywords | Health services ; National Health Service ; Needs [elderly] ; Econometrics. |
| Annotation | This paper critically reviews health economists' one-sided fixation with equity issues, neglecting the efficiency agenda. It argues that economists developed a more balanced agenda in the 1970s, but have failed to follow it up. The paper defines the triple nationalisation of the National Health Service (NHS), and presents evidence that pluralism, using the purchaser/provider split, has become more efficient in long term care, home care and services for people with learning difficulties. Health economics has failed to explore options for using the dynamic forces of choice and competition for improving health services. The paper makes the case for a decision rule that "we should seek the process of health care service supply and development which maximises the delivery of high quality, lower cost user relevant services." (KJ/RH). |
| Accession Number | CPA-011011206 A |
| Classmark | L: L4: IK: WE |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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