| Titre | La réforme du service national de santé britannique : le consommateur introuvable | |
|---|---|---|
| Auteur | Rudolf Klein | |
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Revue | Revue française d'administration publique |
| Numéro | no 76, 1995/4 L'adaptation des systèmes de santé : maîtrise des dépenses et défis de santé publique | |
| Rubrique / Thématique | L'adaptation des systèmes de santé. Maîtrise des dépenses et défis de santé publique Nouveaux acteurs et déplacement des pouvoirs |
|
| Page | 10 pages | |
| Résumé anglais |
The Reform of the British National Health Service : the Elusive Consumer
The reform of the NHS in 1991 was supposed to represent a balance between public expectations 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 profitability, 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. Source : Éditeur (via Persée) |
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| Article en ligne | https://www.persee.fr/doc/rfap_0152-7401_1995_num_76_1_3015 |
