The Politics of Purchasing in the National Health Service
Bibliographic Data
| ID | 6326412 |
|---|---|
| Authors | B Salter (0000-0002-0779-2712, University of Kent, corresponding author) |
| Year | 1993 |
| Volume | 21 |
| Issue | 3 |
| Pages | 171-184 |
| Publication date | 1993-07-01 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Policy & Politics (JOURNAL) |
| Journal identifiers | ISSN: 0305-5736 • E-ISSN: 1470-8442 |
| Publisher | Bristol University Press (PUBLISHER • GB) |
| DOI | 10.1332/030557393782331074 |
| OpenAlex | W2069030179 |
| Language | EN |
| Citations received | 1 |
With the 1992 NHS reforms and the introduction of the internal market a new political game has begun where, for the first time, the rationing of the supply of health care to make it fit unlimited demand is the explicit responsibility of purchasing agents (DHAs, FHSAs and GP Fundholders). This paper analyses the inherent clash between purchaser rationing and traditional NHS values, the unbridled pluralism of the gameplay surrounding the purchaser function, and the absence of accepted rules and procedures. It concludes by reviewing the implication of the reforms for the distribution of power in the NHS
Business · Distribution (mathematics · Economic growth · Economics · Health care · Macroeconomics · Pluralism (philosophy · Political science · Politics · Power (physics · Public economics · Purchasing · Purchasing power · Rationing · Health Services Management and Policy · Healthcare innovation and challenges · Healthcare Policy and Management · Law · Marketing
| Citations per year | 0.03 |
|---|---|
| Citation span | 1996 - 1996 (1) |
| Highly cited | No |