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Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve purchasing responsibility from national and regional to more local agencies based in primary care. These primary care organisations are allocated budgets that span both primary and secondary services. This book draws on an extensive government-funded evaluation of the UK primary care led total purchasing experiment to shed light on important questions raised by these policies. In particular, it attempts to answer these questions: * Can general practitioner led primary care organisations successfully use an ability to purchase health services to achieve either more efficient or better health care for their patients? * What are the ingredients of more or less successful primary care purchasing organisations? * What lessons can be drawn from the experience of such a large and complex evaluation?
|Publication date:||1st October 2001|
|Publisher:||Open University Press|
|Categories:||Health systems & services, Central government policies, Civil service & public sector,|
Nicholas Mays is Health Adviser in the Health Directorate of the Social Policy Branch of the New Zealand Treasury. Sally Wyke is Foundation Director of the Scottish School of Primary Care and a Senior Research Fellow in the Primary Care Research Group at the University of Edinburgh. Gill Malbon is an Assistant Manager in the Public Services Research Department at the UK Audit Commission. Nick Goodwin is a Lecturer in the Health Services Management Centre at the University of Birmingham.More About Nicholas Mays