Health Maintenance Organisations
Just What the Doctor Ordered
Bibliographic Data
| ID | 2113268 |
|---|---|
| Authors | Roland Petchey (corresponding author) |
| Year | 1987 |
| Volume | 16 |
| Issue | 4 |
| Pages | 489-507 |
| Publication date | 1987-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Social Policy (JOURNAL) |
| Journal identifiers | ISSN: 0047-2794 • E-ISSN: 1469-7823 |
| Publisher | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s0047279400016147 |
| PMID | 10302097 |
| OpenAlex | W2034454384 |
| Language | EN |
| Citations received | 2 |
| References cited | 38 |
Following its recent reorganisation of the management of the hospital sector of the NHS, the Government is currently engaged in a review of the primary health care sector. Certain of its proposals may be interpreted as suggesting movement towards a system modelled on American-style Health Maintenance Organisations (HMOs). This article seeks to explore the context in which HMOs have developed, to assess their current performance and to evaluate their potential impact on the health delivery system. It suggests that they must be understood primarily in the context of initiatives aimed at reducing health expenditure, and finds that the cost advantages claimed for them are achieved through reduced utilisation rather than through greater efficiency. It also argues that this reduced utilisation is likely to increase inequalities in health care
Business · Context (archaeology) · Economic growth · Economics · Environmental health · Geography · Government (linguistics) · Health care · Health care delivery · Health maintenance · Health sector · Health services · Inequality · Political science · Public economics · Public relations · Healthcare cost, quality, practices · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes
The New Medical-Industrial Complex
The Inverse Care Law
The social transformation of American medicine
British Social Attitudes -- The 1985 Report
Issues in the Political Economy of Health Care
The Griffiths reorganisation of the National Health Service
Implications of DRG Payments for Medical Intensive Care
The Growth of HMOs
Quality Control of Hospital Discharge Data
Self-Care Education
Trends in Medical Care Costs
Out-of-Plan Use and Disenrollment
British Social Attitudes
Financial, organizational and professional factors affecting health care utilization
| Unique citing works | 2 |
|---|---|
| Citations per year | 0,05 |
| Citation span | 1989 - 1989 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 2 |