Policy, Organisation and Incentives in Health Systems
Health system policies should incentivise high-quality health care in areas of highest need at the lowest feasible cost. Our aim is to expand our understanding of policies that result in healthier populations and achieve sustainability while being responsive to patients’ needs.
The New NHS: What Can We Learn From Managed Care in New Zealand and the US?
1 July 1999
• The integration of health care is the defining theme of policy developments in the UK, US and New Zealand. The common element between the three…
Organisational Costs in the New NHS
1 April 1999
There is widespread criticism of organisational costs in the NHS. ‘Reduce bureaucracy, release funds for patient care’ has become a popular slogan. This so-called ‘bureaucracy’ may,…
Disease Management, the NHS and the Pharmaceutical Industry
1 March 1999
Forms of health care management exist that embody all the principles of disease management, but which are given a different label. In this report, we explore…
Doctors, Economics and Clinical Practice Guidelines: Can they be brought together?
1 January 1999
The topic I have been asked to address, ‘Doctors, Economics and Clinical Practice Guidelines: Can they be Brought Together’, is both difficult and controversial. It is…
Controlling NHS Expenditure: The Impact of Labour’s NHS White Papers
1 December 1998
The English, Scottish and Welsh National Health Service (NHS) White Papers published by the government in December 1997 and January 1998, have changed the tone of…
GP Commissioning Groups – The Nottingham Experience
1 December 1998
From 1 April 1999 the structure of the Health Services in the United Kingdom will look radically different. In England there will be Primary Care Groups…
Our Certain Fate: Rationing in Health Care
1 November 1998
Benjamin Franklin remarked in 1789 that ‘in this world nothing can be said to be certain, except death and taxes’. To these two certainties the economist…
Effective Commissioning: Lessons from purchasing in American managed care
1 June 1998
It may seem odd that someone from the most overpriced, wasteful and inequitable health care system in the industrialised world should pen a report on how…
Managed Care – An Option for the German Health Care System?
1 April 1998
Caught between rising expenditure, suspected room for improved efficiency and dwindling availability of public funds, Germany’s health care system is now in the forefront of public…