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Shaping Health PolicyCase Study Methods and Analysis$
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Mark Exworthy, Stephen Peckham, Martin Powell, and Alison Hann

Print publication date: 2011

Print ISBN-13: 9781847427588

Published to Policy Press Scholarship Online: May 2012

DOI: 10.1332/policypress/9781847427588.001.0001

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What the doctor ordered: the Audit Commission's case study of general practice fundholders

What the doctor ordered: the Audit Commission's case study of general practice fundholders

Chapter:
(p.165) Eleven What the doctor ordered: the Audit Commission's case study of general practice fundholders
Source:
Shaping Health Policy
Author(s):

David Wainwright

Michael Calnan

Publisher:
Policy Press
DOI:10.1332/policypress/9781847427588.003.0011

General Practitioner (GP) fundholding originated in the belief that a quasi-market mechanism would lead to the more efficient and effective use of health care resources. The model was implemented and abandoned without formal recourse to evaluation or the evidence base. This chapter elucidates what can be learned from the past by taking the fundholding initiative of the 1990s as a case study. The Audit Commission's report emerged as the most extensive and systematic attempt to appraise the model. The authors have also broadened the case study to include evidence from other studies and consideration of the impact this evidence has had on policy.

Keywords:   GP fundholding, NHS, Audit Commission, General Practitioner, fundholding initiative

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