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Related Experiment Videos

Managing markets

J A Roberts1

  • 1Department of Health Policy and Planning, London School of Hygiene and Tropical Medicine.

Journal of Public Health Medicine
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

This study examines market management within the reformed National Health Service (NHS), focusing on regulation, contracts, and agent management. It critiques oversimplified approaches, questioning current NHS market practices and purchaser accountability for healthcare provision and spending.

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Area of Science:

  • Health Services Management
  • Market Economics
  • Public Policy

Background:

  • The reformed National Health Service (NHS) incorporates market mechanisms.
  • Effective management of these markets is crucial for efficient healthcare delivery.

Purpose of the Study:

  • To analyze the multifaceted aspects of managing markets within the NHS.
  • To evaluate the complexities of market structures, contract management, and agent motivation.
  • To critique existing market management strategies and their effectiveness.

Main Methods:

  • Conceptual analysis of market management principles.
  • Application of the concept of opportunism to healthcare contracts.
  • Review of factors influencing agent motivation and monitoring.

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  • Critical evaluation of existing literature and NHS practices.

    • Main Results:

    • Market management involves regulation, contract management, and agent oversight.
    • Self-interested behavior (opportunism) significantly impacts healthcare contracts.
    • Current NHS market management faces challenges and may be oversimplified.
    • Purchaser accountability for healthcare services and expenditure is a key concern.

    Conclusions:

    • The management of markets in the NHS requires a nuanced approach, considering structure, contracts, and agents.
    • Oversimplified models of market management, like Enthoven's, are inadequate.
    • There are significant questions regarding current NHS market management and purchaser accountability.