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Markets, Bureaucracy and Public Management: The NHS: Quasi-market, Quasi-hierarchy and Quasi-network?

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  • Mark Exworthy
  • Martin Powell
  • John Mohan

Abstract

It has been argued that the British National Health Service (NHS) has moved from a hierarchical and bureaucratic organization to a market and, more recently, towards a network. The authors believe that this view is too simplistic: the three organizational forms have co-existed and continue to do so. It is more accurate to view moves over time as a changing mix between quasi-hierarchies, quasi-markets and quasi-networks.

Suggested Citation

  • Mark Exworthy & Martin Powell & John Mohan, 1999. "Markets, Bureaucracy and Public Management: The NHS: Quasi-market, Quasi-hierarchy and Quasi-network?," Public Money & Management, Taylor & Francis Journals, vol. 19(4), pages 15-22, October.
    • Handle: RePEc:taf:pubmmg:v:19:y:1999:i:4:p:15-22
    DOI: 10.1111/1467-9302.00184
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    Cited by:

    1. Idris Adjerid & Julia Adler-Milstein & Corey Angst, 2018. "Reducing Medicare Spending Through Electronic Health Information Exchange: The Role of Incentives and Exchange Maturity," Information Systems Research, INFORMS, vol. 29(2), pages 341-361, June.
    2. Hammond, Jonathan & Lorne, Colin & Coleman, Anna & Allen, Pauline & Mays, Nicholas & Dam, Rinita & Mason, Thomas & Checkland, Kath, 2017. "The spatial politics of place and health policy: Exploring Sustainability and Transformation Plans in the English NHS," Social Science & Medicine, Elsevier, vol. 190(C), pages 217-226.
    3. Gale, Nicola & Dowswell, George & Greenfield, Sheila & Marshall, Tom, 2017. "Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care," Social Science & Medicine, Elsevier, vol. 177(C), pages 9-18.
    4. Claudio Melacarne, 2020. "La consulenza pedagogica nella prospettiva del professionalismo," QUADERNI DI ECONOMIA DEL LAVORO, FrancoAngeli Editore, vol. 2020(112), pages 69-81.
    5. Daniel Pop & Roxana Radu, 2013. "Challenges to Local Authorities under EU Structural Funds: Evidence from Mixed Quasi-markets for Public Service Provision in Romania," Journal of Common Market Studies, Wiley Blackwell, vol. 51(6), pages 1108-1123, November.

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