scholarly journals Divided by choice? For‐profit providers, patient choice and mechanisms of patient sorting in the English National Health Service

2021 ◽  
Vol 30 (4) ◽  
pp. 820-839
Author(s):  
Walter Beckert ◽  
Elaine Kelly
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Patient Choice ◽  
For Profit ◽  
English National Health ◽  
English National Health Service

Choice of providers and mutual healthcare purchasers: can the English National Health Service learn from the Dutch reforms?

2010 ◽  
Vol 5 (3) ◽  
pp. 343-363 ◽  
Author(s):  
Gwyn Bevan ◽  
Wynand P. M. M. van de Ven
Keyword(s):  
National Health Service ◽  
Health Service ◽  
The Netherlands ◽  
National Health ◽  
Thought Experiment ◽  
Internal Market ◽  
Patient Choice ◽  
Market Model ◽  
English National Health ◽  
English National Health Service

AbstractIn the 1990s, countries experimented with two models of health care reforms based on choice of provider and insurer. The governments of the UK, Italy, Sweden and New Zealand introduced relatively quickly ‘internal market’ models into their single-payer systems, to transform hierarchies into markets by separating ‘purchasers’ from ‘providers’, and enabling ‘purchasers’ to contract selectively with competing public and private providers so that ‘money followed the patient’. This model has largely been abandoned where it has been tried. England, however, has implemented a modified ‘internal market’ model emphasising patient choice, which has so far had disappointing results. In the Netherlands, it took nearly 20 years to implement successfully the model in which enrollees choose among multiple insurers; but these insurers have so far only realised in part their potential to contract selectively with competing providers. The paper discusses the difficulties of implementing these different models and what England and the Netherlands can learn from each other. This includes exploration, as a thought experiment, of how choice of purchaser might be introduced into the English National Health Service based on lessons from the Netherlands.

scholarly journals Free to Choose? Reform, Choice, and Consideration Sets in the English National Health Service

2016 ◽  
Vol 106 (11) ◽  
pp. 3521-3557 ◽  
Author(s):  
Martin Gaynor ◽  
Carol Propper ◽  
Stephan Seiler
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Patient Choice ◽  
Consideration Sets ◽  
Demand Model ◽  
Elasticity Of Demand ◽  
English National Health ◽  
Modest Reduction ◽  
English National Health Service

Choice in public services is controversial. We exploit a reform in the English National Health Service to assess the effect of removing constraints on patient choice. We estimate a demand model that explicitly captures the removal of the choice constraints imposed on patients. We find that, post-removal, patients became more responsive to clinical quality. This led to a modest reduction in mortality and a substantial increase in patient welfare. The elasticity of demand faced by hospitals increased substantially post-reform and we find evidence that hospitals responded to the enhanced incentives by improving quality. This suggests greater choice can raise quality. (JEL D12, I11, I18)

Changing Management Cultures in the English National Health Service

2010 ◽  
pp. 19-30 ◽  
Author(s):  
Russell Mannion ◽  
Huw Davies ◽  
Stephen Harrison ◽  
Frederick Konteh ◽  
Rowena Jacobs ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
English National Health ◽  
English National Health Service

More Patient Choice in England's National Health Service

2005 ◽  
Vol 35 (3) ◽  
pp. 479-483 ◽  
Author(s):  
Richard Lewis
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Urban Areas ◽  
Patient Choice ◽  
Private Provider ◽  
National Quality ◽  
The Government ◽  
English National Health

A new political consensus has emerged over the benefits of new rights for patients to choose their provider of elective health care in the English National Health Service. From December 2005, patients will be able to select from a number of alternative providers at the time they are referred for treatment. In the longer term, patients will be able to access care at any public or private provider that meets national quality and cost standards. The government intends that this policy will lead to improvements in the quality and efficiency of health care and will reduce levels of inequity among patients. Pilot schemes have shown that a majority of patients will exercise a choice of provider when this is offered. However, the policy of patient choice may involve significant costs to the NHS and may be more difficult to implement outside urban areas. Further, the information needed to support patients' choices is not yet available. Whether such a policy will increase or decrease levels of equity in the English NHS remains open to debate.

Sign in / Sign up

Export Citation Format

Share Document