000			02010naa a2200217uu 4500
001			9092116174213
003			OSt
005			20190211165422.0
008			090921s2009 xx ||||gr |0|| 0 eng d
100	1		_aABBOTT, Stephen _935981
245	1	0	_aNHS purchaser–provider relationships in england and wales : _bthe view from primary care
260			_bWiley-Blackwell, _cfebruary2009
520	3		_aPrimary 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			_aPrimary health care • Hospital health care • Health care markets • Relational markets • Commissioning
700	1		_aPROCTER, Sussan _937660
700	1		_aIACOVOU, Nicci _935984
773	0	8	_tSocial Policy & Administration _g43, 1, p. 1-14 _dWiley-Blackwell, february2009 _xISSN 01445596 _w
942			_cS
998			_a20090921 _b1617^b _cmayze
998			_a20090922 _b1502^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c30036 _d30036
041			_aeng