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.

Hip Replacement in the NHS
1 March 1982
Of all forms of joint replacement operation, that for hips represents the most outstanding innovation. It is perhaps the major post-war surgical development and the key…

Doctors, Nurses and Midwives in the NHS
1 November 1981
There have been substantial increases in all categories of professional manpower in the National Health Service since it was first established in 1949. This Briefing examines…

Health Research in England: Topic for Debate
1 January 1981
This paper is derived from the proceedings of an Office of Health Economics Study Day, held at the Royal College of Obstetricians and Gynaecology on 11…

Effects of Prescription Charges
12 January 1980
The annual number of NHS prescriptions dispensed by chemist and appliance contractors in the United Kingdom is falling after a seven year period of expansion. As…

Question of Balance: the Benefits and Risks of Pharmaceutical Innovation
1 May 1980
Since this monograph was completed, two new stories concerning the safety of medicines have been featured prominently in the British press. The first has been on…

Cost of the NHS
1 October 1978
In 1978 the cost of the National Health Service in the United Kingdom will rise, to an estimated record level of £8,000 million. Even when adjusted…

Health Care Research Expenditure
1 June 1978
In the financial year 1976-77 over £220 million was spent on health care research in the United Kingdom. Taking account of recent expenditure growth and making…

Sources of Information for Prescribing Doctors in Britain
9 January 1977
The information which pharmaceutical manufacturers provide for prescribing doctors – in the form of sales promotion and advertising – has been the subject of considerable and…

The Reorganised NHS
1 March 1977
This study of the reorganised National Health Service is divided into two papers. The first describes the new structure and the management concepts on which it…