| Titre | La contractualisation au sein du service national de santé au Royaume-Uni | |
|---|---|---|
| Auteur | Howard Glennerster | |
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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 De nouveaux instruments au service de la régulation |
|
| Page | 8 pages | |
| Résumé anglais |
Contractualisation at the Heart of the National Health Service in the United Kingdom
The 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 conceming 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 exercices control. Source : Éditeur (via Persée) |
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| Article en ligne | https://www.persee.fr/doc/rfap_0152-7401_1995_num_76_1_3018 |
