The effects of regulation and competition in the NHS internal market: the case of general practice fundholder prices

被引:10
作者
Propper, C
Wilson, D
Soderlund, N
机构
[1] Univ Bristol, Dept Econ, Bristol BS8 1TN, Avon, England
[2] Univ Witwatersrand, Ctr Hlth Policy, Johannesburg, South Africa
基金
英国经济与社会研究理事会;
关键词
competition; pricing behaviour; National Health Service; internal markets;
D O I
10.1016/S0167-6296(98)00029-0
中图分类号
F [经济];
学科分类号
02 ;
摘要
The 1989 reforms of the UK National Health Service introduced competition in supply within a tightly regulated framework. The paper examines whether this competition affects the prices posted by sellers of medical services. We argue that despite regulation market forces may have an impact on price. We test this using the posted prices for one of the two types of buyer, General Practice Fundholders. We find the regulatory rules are not observed, and some evidence of the impact of market forces on price. (C) 1998 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:645 / 673
页数:29
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