Health Care Systems
Health care systems organise the finance and delivery of health care. They vary by country, reflecting specific history, culture, and economics. To maximise coverage and efficiency they must evolve with changing demographics, needs, and technologies.
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…
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…
Competition and contestability between acute hospitals
1 March 1998
The 1989-1991 Conservative reforms of the National Health Service (NHS) introduced fundamental changes in the organisation of health care in the UK. At the same time…
Managed Care – A Model for the UK?
3 January 1998
This paper examines the potential for managed care techniques to develop in the UK National Health Service. It begins with a review of managed care approaches…
National Health Service Reorganisation: Learning from History?
1 January 1998
I am greatly flattered to be invited to deliver the 1998 annual lecture of the Office of Health Economics, partly on account of my distinguished predecessors,…
Health Financing and Pharmaceutical Policy Reform in the Countries of Central and Eastern Europe
12 January 1997
The objective of this report is to provide an assessment of the reform process of the health care sector in the Countries of Central and Eastern…