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The "third way" to innovate the clinical governance in the British Health System

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  • Mario Miccoli

Abstract

Nel corso degli ultimi decenni i processi di trasformazione del National Health Service hanno rappresentato per molti sistemi sanitari europei un modello a cui ispirarsi per gli importanti obiettivi raggiunti in termini di spesa e innovazione manageriale. Tuttavia, tali riforme, pur avendo in una prima fase aperto la strada a forme di governance più evolute ed efficienti, hanno favorito l'affermarsi di situazioni monopolistiche e indebolito gli incentivi alla concorrenza. Lo scarso sviluppo del settore privato e la limitata libertà di scelta dei pazienti figurano tra le principali cause dei bassi standard qualitativi che hanno afflitto il National Health Service per molto tempo. La cosiddetta "terza via" di Tony Blair si è orientata verso un'innovazione della governance sanitaria basata su una riorganizzazione dei soggetti acquirenti, nuovi incentivi per il controllo della qualità e un "decentramento privatistico" dell'erogazione dei servizi che garantisca equità ed efficienza.

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  • Mario Miccoli, 2007. "The "third way" to innovate the clinical governance in the British Health System," Mercato Concorrenza Regole, Società editrice il Mulino, issue 2, pages 365-390.
  • Handle: RePEc:mul:jhpfyn:doi:10.1434/25127:y:2007:i:2:p:365-390
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