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• Vincent Koen

Health services are largely tax-financed in the United Kingdom and account for 14 per cent of general government spending. This paper analyses how the National Health Service (NHS) has been dealing with the associated expenditure pressures in the pre-1990 set-up and during the “quasi-market” years and how it is to cope with them under the “co-operative” arrangements put in place since 1997. While the budget constraint was traditionally tight in the NHS, leading to pervasive rationing and queuing as well as diversion towards the private sector, it has been relaxed somewhat with the budgetary boost announced by the Government in March 2000. The challenge is now to make the best use of the new-found financial room for improvement ...

Les services de santé sont largement financés par l'impôt au Royaume-Uni et représentent 14 pour cent de la dépense des administrations publiques. Ce document analyse comment le Service National de Santé (NHS) a géré les pressions à la dépense associées dans le contexte du système existant avant 1990 et pendant la période du « quasi-marché », et comment il est appelé à y faire face dans le cadre « co-opératif » mis en place depuis 1997. La contrainte budgétaire était traditionnellement rigoureuse dans le NHS, d'où un rationnement et des files d'attente généralisés, de même qu'un effet d'éviction vers le privé, mais elle a été assouplie quelque peu avec l'annonce par le gouvernement, en mars 2000, d'une injection de resources budgétaires supplémentaires. Le défi est maintenant de faire le meilleur usage de la marge de manœuvre financière nouvellement degage ...

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Paper provided by OECD, Economics Department in its series OECD Economics Department Working Papers with number 256.

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Date of creation: 29 Aug 2000
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Handle: RePEc:oec:ecoaaa:256-en

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Related research

Keywords: budgets; health; United Kingdom; budget; Royaume-Uni; santé;

Find related papers by JEL classification:
H40 - Public Economics - - Publicly Provided Goods - - - General
H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
H61 - Public Economics - - National Budget, Deficit, and Debt - - - Budget; Budget Systems
I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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