Advanced Search
MyIDEAS: Login

La régulation économique des dépenses de santé : réflexions sur la réforme britannique

Contents:

Author Info

  • Dominique Bureau
  • Jacques Esposito
Registered author(s):

    Abstract

    [eng] Despite universal coverage, the N.H.S. is the health system which obtains the best outcome for spending control. Prior to 1991, this result was associated with little consumer choice over health care, queues, and a general lack of flexibility. The 1991 reform has reintroduced market-type mechanisms in the N.H.S. One of its central ideas is the systematic identification of a purchaser function: the "GP fundholder", who is responsible for purchasing secondary services for his patients, is an agent of particular interest in this new context. The study of this wide-ranging reform provides an useful benchmark to discuss the various policy options available to improve the performances of health care systems. [fre] Tout en offrant une couverture universelle, le N.H.S. est le système de santé qui enregistre une des meilleures performances dans le contrôle des dépenses de santé. Avant sa réforme, il représentait l'archétype du système public fiscalisé, dont la maîtrise des coûts n'était réalisée qu'au prix de contraintes réglementaires progressivement contestées. La réforme entreprise en 1991 y a rétabli certains mécanismes de marché, notamment une véritable fonction d'acheteur, les prestataires de soins de premier recours achetant des soins aux prestataires de second recours. Il s'agit là d'une réforme d'ensemble dont l'examen permet de dégager une grille d'analyse de portée générale sur la régulation des dépenses de santé.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://dx.doi.org/10.3406/rfeco.1996.999
    Download Restriction: no

    File URL: http://www.persee.fr/articleAsPDF/rfeco_0769-0479_1996_num_11_1_999/rfeco_0769-0479_1996_num_11_1_999.pdf?mode=light
    Download Restriction: no

    Bibliographic Info

    Article provided by Programme National Persée in its journal Revue française d'économie.

    Volume (Year): 11 (1996)
    Issue (Month): 1 ()
    Pages: 147-181

    as in new window
    Handle: RePEc:prs:rfreco:rfeco_0769-0479_1996_num_11_1_999

    Note: DOI:10.3406/rfeco.1996.999
    Contact details of provider:
    Web page: http://www.persee.fr/web/revues/home/prescript/revue/rfeco

    Related research

    Keywords:

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:prs:rfreco:rfeco_0769-0479_1996_num_11_1_999. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Equipe PERSEE).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.