Effective Purchasing for Health Gain (European Ovservatory by Josep Figueras, Ray Robinson, Elke Jakubowski

By Josep Figueras, Ray Robinson, Elke Jakubowski

Deciding to buy is championed as key to enhancing overall healthiness structures functionality. even though, regardless of the imperative position the procuring functionality performs in lots of health and wellbeing approach reforms, there's little or no facts approximately its improvement or its genuine effect on societal targets. This ebook addresses this hole and gives: a entire account of the speculation and perform of buying for healthiness companies throughout Europe; an updated research of the proof on diversified techniques to buying; aid for policy-makers and practitioners as they formulate deciding to buy innovations on the way to elevate effectiveness and increase functionality of their personal nationwide context; and, an review of the intersecting roles of electorate, the govt. and the companies. Written by means of prime healthiness coverage analysts, this ebook is vital examining for well-being coverage makers, planners and executives in addition to researchers and scholars within the box of health and wellbeing reviews. participants comprise: Toni Ashton, Philip Berman, Michael Borowitz, Helmut model, Reinhard Busse, Andrea Donatini, Martin Dlouhy, Antonio Duran, Tamas Evetovits, Andre P. van den Exter, Josep Figueras, Nick Freemantle, Julian Forder, Peter Gaal, Chris Ham, Brian Hardy, Petr Hava, David Hunter, Danguole Jankauskiene, Maris Jesse, Ninel Kadyrova, Joe Kutzin, John Langenbrunner, Donald W. gentle, Hans Maarse, Nicholas Mays, Martin McKee, Eva Orosz, John A vretveit, Dominique Polton, Alexander S. Preker, Thomas A. Rathwell, Sabine Richard, Ray Robinson, Andrei Rys, Constantino Sakellarides, Sergey Shishkin, Peter C. Smith, Markus Schneider, Francesco Taroni, Marcial Velasco-Garrido, and Miriam Wiley.

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Extra info for Effective Purchasing for Health Gain (European Ovservatory on Health Systems Policies)

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The aim of these two chapters is to provide a broad description of the main approaches and developments in purchasing as well as a synthesis of the main lessons for policy making derived from the study. They are aimed at those readers who wish to have a broad and integrated overview of the field. Part Two, by contrast, provides a more in-depth analysis of the various components of purchasing, ranging from a detailed discussion of the theories underpinning purchasing to a thorough analysis of some of the main tools for purchasing such as contracting or payment systems.

Elsewhere the presence of spatial monopoly constitutes a major barrier to demand-side competition at both the meso and micro levels. Having identified the nature of purchaser organizations found in different European countries, we now move on to analyse their activities in terms of the three principal–agent relationships with citizens, providers and government. Purchasers as the public’s agent The first agency relationship developed in Chapter 1 concerns the purchaser organization as the public’s agent.

By 1998, there were 3500 of these GP fundholding practices covering 60% of the population. The new Labour government, which came into office in 1997, abolished fundholding and established a nationwide system of primary care trusts. Currently, all primary care doctors are assigned to a primary care trust, with each trust covering an average population of about 170 000 people. About 300 primary care trusts now have the major responsibilities for developing primary and community health services and for commissioning secondary care services.

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