Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Population-centered and patient-focused purchasing: the U.K. experience

C Ham1

  • 1University of Birmingham, UK.

The Milbank Quarterly
|January 1, 1996
PubMed
Summary

The UK National Health Service (NHS) separated healthcare purchasing and provision. While offering advantages, this reform risks fragmentation without coordination between population-centered and patient-focused purchasers.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Mhc haplotype M3 is associated with early control of SHIVsbg infection in Mauritian cynomolgus macaques.

Tissue antigens·2010
Same author

Values and health policy: the case of Singapore.

Journal of health politics, policy and law·2001
Same author

Explicit and implicit rationing: taking responsibility and avoiding blame for health care choices.

Journal of health services research & policy·2001
Same author

Hospital admissions. Just the ticket.

The Health service journal·2001
Same author

Improving NHS performance: human behaviour and health policy.

BMJ (Clinical research ed.)·1999
Same author

Tragic choices in health care: lessons from the child B case.

BMJ (Clinical research ed.)·1999

Area of Science:

  • Health policy and management
  • Healthcare economics
  • Public health administration

Background:

  • The United Kingdom's National Health Service (NHS) underwent significant reforms separating healthcare purchasing from provision.
  • This created distinct roles for health authorities (population perspective) and general practitioner fundholders (patient perspective).

Purpose of the Study:

  • To analyze the implications of separating healthcare purchasing and provision within the NHS.
  • To identify potential risks and benefits associated with new purchasing models.

Main Methods:

  • Analysis of the structural changes in the NHS.
  • Examination of the roles and decision-making processes of different purchaser types.
  • Assessment of the impact on the balance of power within the NHS.

Main Results:

  • The separation allows for both population-centered and patient-focused purchasing, each with unique advantages.
  • A significant risk of fragmentation exists if purchaser decisions are not coordinated.
  • Hybrid purchasing models exacerbate the risk of fragmentation.
  • The reform has altered the power dynamics within the NHS.

Conclusions:

  • The separation of purchasing and provision in the NHS presents both opportunities and challenges.
  • Effective coordination between different purchaser types is crucial to mitigate fragmentation.
  • The overall benefits versus costs of the new system remain under ongoing evaluation.

Related Experiment Videos