Ditching the single-payer system in the national health service: how the English Department of Health is learning the wrong lessons from the United States.
Int J Health Serv
; 42(3): 539-47, 2012.
Article
em En
| MEDLINE
| ID: mdl-22993967
ABSTRACT
Reforms to the British National Health Service introduce major changes to how health care will be delivered. The core elements include the creation of new purchaser organizations, Clinical Commissioning Groups, which unlike their predecessors will be able to recruit and reject general practices and their patients without geographical restriction. The Clinical Commissioning Groups are to transition from statutory bodies to freestanding organizations, with most of their functions privatized and an increasingly privatized system of provision, In this paper, we explore the likely consequences of these proposals, drawing in particular on the experience of managed care organizations in the United States, whose approach has influenced the English proposals extensively. We argue that the wrong lessons are being learned and the English reforms are likely to fundamentally undermine the principles on which the British National Health Service was founded.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Medicina Estatal
/
Programas de Assistência Gerenciada
/
Reforma dos Serviços de Saúde
/
Sistema de Fonte Pagadora Única
/
National Health Insurance, United States
Limite:
Humans
País/Região como assunto:
America do norte
/
Europa
Idioma:
En
Revista:
Int J Health Serv
Ano de publicação:
2012
Tipo de documento:
Article
País de afiliação:
Reino Unido