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The health debatePolicy & Politics in the Twenty-First Century$
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David J. Hunter

Print publication date: 2008

Print ISBN-13: 9781861349293

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349293.001.0001

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Choice and competition in health systems

Choice and competition in health systems

(p.89) 4 Choice and competition in health systems
The health debate

David J. Hunter

Policy Press

This chapter discusses choice and competition, two components of the market-style changes under way in many health systems. It discusses the belief of health reformers that without choice and competition there can be no guarantee of services that are responsive to patients' wishes, or efficient and effective in terms of quality. It also discusses other policy instruments that can incentivise change and improvements in health care systems, including target setting and performance management through inspection and regulation.

Keywords:   choice, competition, health systems, market-style changes, policy instruments, target setting, performance management

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