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NHS purchaser–provider relationships in england and wales : (Record no. 30036)

000 -LEADER
fixed length control field 02010naa a2200217uu 4500
001 - CONTROL NUMBER
control field 9092116174213
003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20190211165422.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 090921s2009 xx ||||gr |0|| 0 eng d
999 ## - SYSTEM CONTROL NUMBERS (KOHA)
Koha Dewey Subclass [OBSOLETE] PHL2MARC21 1.1
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title eng
100 1# - MAIN ENTRY--PERSONAL NAME
Personal name ABBOTT, Stephen
9 (RLIN) 35981
245 10 - TITLE STATEMENT
Title NHS purchaser–provider relationships in england and wales :
Remainder of title the view from primary care
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Name of publisher, distributor, etc. Wiley-Blackwell,
Date of publication, distribution, etc. february2009
520 3# - SUMMARY, ETC.
Summary, etc. Primary care organizations (PCOs) in the National Health Service in England and Wales are required to purchase most hospital-based health care for their populations. This 'quasi-market' in health care can be seen as 'relational', characterized by an emphasis on cooperative long-term relationships rather than on true competition. The English government has recently introduced new market mechanisms as a response to the perceived weakness of the relational market. This article draws on three qualitative case studies of PCOs to investigate whether PCO personnel interviewed in 2005/6 concurred with that perception of weakness. Overall, relationships between PCOs and hospital services providers were regarded as unbalanced in favour of the latter, despite a shared framework of central government policy. Commissioners were seen as generally weak, and providers were judged to be generally unresponsive to PCOs' wishes. Top–down pressure by governments on PCOs and providers of hospital services was more important than commissioning power in shaping hospital services. It remains to be seen whether the remarketization strategy succeeds in strengthening the commissioning function in primary care.
590 ## - LOCAL NOTE (RLIN)
Local note Primary health care • Hospital health care • Health care markets • Relational markets • Commissioning
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name PROCTER, Sussan
9 (RLIN) 37660
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name IACOVOU, Nicci
9 (RLIN) 35984
773 08 - HOST ITEM ENTRY
Title Social Policy & Administration
Related parts 43, 1, p. 1-14
Place, publisher, and date of publication Wiley-Blackwell, february2009
International Standard Serial Number ISSN 01445596
Record control number
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Periódico
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20090921
Operator's initials, OID (RLIN) 1617^b
Cataloger's initials, CIN (RLIN) mayze
998 ## - LOCAL CONTROL INFORMATION (RLIN)
-- 20090922
Operator's initials, OID (RLIN) 1502^b
Cataloger's initials, CIN (RLIN) Carolina

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