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.
Primary Care and the NHS Reforms: A Manager’s View
1 March 2000
Writing on the future of Primary Care Groups/Trusts, and of Labour’s health service reforms in general, invites subsequent ridicule by those blessed with the clarity of…
Leadership, Change and Primary Care Groups
1 October 1999
A number of important themes emerged, as well as some signals as to the leadership development needs of those charged with ensuring PCGs’ success. They challenges…
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…
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…
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…