IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v40y1995i12p1683-1690.html
   My bibliography  Save this article

Agency and incentives in the NHS internal market

Author

Listed:
  • Propper, Carol

Abstract

This paper presents and assesses the structure of incentives created by the 1991 reforms to the U.K. National Health System. It argues that these reforms created a set of overlapping principal-agent relationships, in which the ownership of assets and the division of rewards from use of these assets is unclear. This lack of clarity and the form of performance monitoring used by the government as principal in these agency relationships seem likely to give limited incentives for improvements in efficiency in the medium term. The paper discusses possible means to improve incentives.

Suggested Citation

  • Propper, Carol, 1995. "Agency and incentives in the NHS internal market," Social Science & Medicine, Elsevier, vol. 40(12), pages 1683-1690, June.
    • Handle: RePEc:eee:socmed:v:40:y:1995:i:12:p:1683-1690
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/0277-9536(94)00285-2
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Paula González, 2005. "On a policy of transferring public patients to private practice," Health Economics, John Wiley & Sons, Ltd., vol. 14(5), pages 513-527, May.
    2. Xeni Dassiou & Peter Langham & Charles Nancarrow & Alex Scharaschkin & Dan Ward, 2015. "Public service markets: their economics, institutional oversight and regulation," Palgrave Communications, Palgrave Macmillan, vol. 1(palcomms2), pages 15035-15035, November.
    3. Daniel Rey Aldana & Francisco Reyes Santias & Pilar Mazón Ramos & Manuel Portela Romero & Sergio Cinza Sanjurjo & Belén Álvarez Álvarez & Rosa Agra Bermejo & Francisco Gude Sampedro & José R. González, 2021. "Cost and Potential Savings of Electronic Consultation and Its Relationship with Reduction in Atmospheric Pollution," Sustainability, MDPI, vol. 13(22), pages 1-16, November.
    4. James Lomas & Stephen Martin & Karl Claxton, 2018. "Estimating the marginal productivity of the English National Health Service from 2003/04 to 2012/13," Working Papers 158cherp, Centre for Health Economics, University of York.
    5. Propper, Carol & Wilson, Deborah & Soderlund, Neil, 1998. "The effects of regulation and competition in the NHS internal market: the case of general practice fundholder prices," Journal of Health Economics, Elsevier, vol. 17(6), pages 645-673, December.
    6. Peter C. Smith & Andrew Street, 2012. "Concepts and Challenges in Measuring the Performance of Health Care Organizations," Chapters, in: Andrew M. Jones (ed.), The Elgar Companion to Health Economics, Second Edition, chapter 32, Edward Elgar Publishing.
    7. Brian Ferguson, 1996. "Progress of the UK health reforms and the role of information: what can the "dismal science" contribute?," Working Papers 145chedp, Centre for Health Economics, University of York.
    8. Maria Alice Moz-Christofoletti & Paula Carvalho Pereda, 2021. "Winners and losers: the distributional impact of a carbon tax in Brazil," Working Papers, Department of Economics 2021_08, University of São Paulo (FEA-USP).
    9. Paul Anand & Mark Exworthy & Francesca Frosini & Lorelei Jones, 2012. "Autonomy and improved performance: lessons from an NHS policy reform," Public Money & Management, Taylor & Francis Journals, vol. 32(3), pages 209-216, May.
    10. Vining, Aidan R. & Globerman, Steven, 1999. "Contracting-out health care services: a conceptual framework," Health Policy, Elsevier, vol. 46(2), pages 77-96, January.
    11. Martin, Stephen & Smith, Peter C., 1999. "Rationing by waiting lists: an empirical investigation," Journal of Public Economics, Elsevier, vol. 71(1), pages 141-164, January.
    12. Carol Propper, 2005. "Why economics is good for your health. 2004 Royal Economic Society Public Lecture," Health Economics, John Wiley & Sons, Ltd., vol. 14(10), pages 987-997, October.
    13. Bernard Dowling & Rod Sheaff & Susan Pickard, 2008. "Governance Structures and Accountability in Primary Care," Public Money & Management, Taylor & Francis Journals, vol. 28(4), pages 215-222, August.
    14. Rowena Jacobs & Diane Dawson, 2003. "Hospital efficiency targets," Health Economics, John Wiley & Sons, Ltd., vol. 12(8), pages 669-684, August.
    15. Propper, Carol, 1996. "Market structure and prices: The responses of hospitals in the UK National Health Service to competition," Journal of Public Economics, Elsevier, vol. 61(3), pages 307-335, September.
    16. Lise Rochaix, 1997. "Asymétries d'information et incertitude en santé : les apports de la théorie des contrats," Économie et Prévision, Programme National Persée, vol. 129(3), pages 11-24.
    17. Carol Propper, 2001. "Expenditure on healthcare in the UK: a review of the issues," Fiscal Studies, Institute for Fiscal Studies, vol. 22(2), pages 151-183, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:40:y:1995:i:12:p:1683-1690. See general information about how to correct material in RePEc.

    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.

    We have no bibliographic references for this item. You can help adding them by using 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.