KLEIN, Rudolf
La réforme du service national de santé britannique : le consommateur introuvable - Paris : IIAP, oct./déc. 1995
The reform of the NHS in 1991 was supposed to represent a balance between public expectation and financial constraints. While continuing to be a universal system financed through taxation, the reformed NHS was designed to encourage competition in order to offer a better standard of care. It is evident that administrative costs are high, that even if the role of those general practitioners who are now fund-holders has been re-evaluated, true competition is still not yet a reality, and that the services offered to patients are frequently being reduced. While profirability, quality and transparency are high on the agenda, the NHS remains a system of health care in which needs are defined by professionals and not by the choices or demands of consumers
La réforme du service national de santé britannique : le consommateur introuvable - Paris : IIAP, oct./déc. 1995
The reform of the NHS in 1991 was supposed to represent a balance between public expectation and financial constraints. While continuing to be a universal system financed through taxation, the reformed NHS was designed to encourage competition in order to offer a better standard of care. It is evident that administrative costs are high, that even if the role of those general practitioners who are now fund-holders has been re-evaluated, true competition is still not yet a reality, and that the services offered to patients are frequently being reduced. While profirability, quality and transparency are high on the agenda, the NHS remains a system of health care in which needs are defined by professionals and not by the choices or demands of consumers
