000			01452naa a2200181uu 4500
001			0092816354737
003			OSt
005			20190218141842.0
008			100928s1995 xx ||||gr |0|| 0 fre d
100	1		_aGLENNERSTER, Howard _94129
245	1	0	_aLa contractualisation au sein du service national de santé au Royaume-Uni
260			_aParis : _bIIAP, _coct./déc. 1995
520	3		_aThe National Health Service (NHS) in the United Kingdom underwent an important reform in 1991. This huge transformation allowed an improvement in transparency of NHS activities and the highlighting of preoccupations concerning profitability and quality. Nevertheless the desired separation between the purchasers of health care services and the providers of these services, and the introduction of a policy of contractualisation between the two sets of actors has not brought about satisfactory results. In fact obstacles to change remain numerous and have become particularly apparent with regard to the uncertain legal status of the contracts, the as yet insufficient competition between the different actors involved and a certain lack of motivation amongst the district health-authorities over whom no-one exercises control
773	0	8	_tRevue Française D'Administration Publique _g76, p. 641-648 _dParis : IIAP, oct./déc. 1995 _xISSN 01527401 _w
942			_cS
998			_a20100928 _b1635^b _cDaiane
998			_a20101006 _b1729^b _cCarolina
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c36525 _d36525
041			_afre