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Choosing choice?
1Department of ENT Surgery, New Cross Hospital, Wednesfield Road, Wolverhampton, WV10 0QP, UK. dulanimendis@yahoo.com
The International Journal of Health Planning and Management
|December 1, 2009
Summary
Patient choice in public services is reviewed, examining its impact on efficiency, equity, quality, and user-responsiveness. Financial and political implications within the National Health Service are also discussed.
Area of Science:
- Public Health Policy
- Health Services Research
Background:
- Patient choice is a favored public service delivery model.
- Previous public service models provide context for current trends.
Purpose of the Study:
- To review the meaning and implications of patient choice.
- To analyze the effects of increased choice on key healthcare metrics.
- To discuss the financial and political context of the National Health Service.
Main Methods:
- Literature review of public service models.
- Analysis of potential impacts on efficiency, equity, quality, and user-responsiveness.
- Discussion of financial and political factors within the National Health Service.
Main Results:
- Increased patient choice may have varied effects on efficiency, equity, quality, and user-responsiveness.
- Financial and political considerations significantly influence the implementation of patient choice.
- The National Health Service context presents unique challenges and opportunities.
Conclusions:
- Understanding the multifaceted implications of patient choice is crucial for effective public service delivery.
- Policy decisions regarding patient choice must consider economic and political realities.
- Further research is needed to fully elucidate the long-term impacts on the National Health Service.
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