La réforme du service national de santé britannique : le consommateur introuvable
By: KLEIN, Rudolf
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ArticlePublisher: Paris : IIAP, oct./déc. 1995Revue Française D'Administration Publique 76, p. 619-628Abstract: 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
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
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