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Making social policy work$
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John Hills, Julian Le Grand, and David Piachaud

Print publication date: 2007

Print ISBN-13: 9781861349583

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349583.001.0001

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PRINTED FROM POLICY PRESS SCHOLARSHIP ONLINE (www.policypress.universitypressscholarship.com). (c) Copyright Policy Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in PPSO for personal use.date: 19 February 2020

Quasi-markets in healthcare

Quasi-markets in healthcare

(p.131) seven Quasi-markets in healthcare
Making social policy work

Julian Le Grand

Policy Press

This chapter examines quasi-markets in publicly funded systems of healthcare, particularly as they have developed in the UK in the last two decades. It begins with a brief review of the theory behind the use of quasi-markets as a mechanism for delivering healthcare. It then considers some of the empirical evidence concerning quasi-markets in practice, concentrating on the impact of patient choice and competition — the principal elements of the new quasi-market — in healthcare systems that have already tried them, including the UK Conservative government's internal market. Finally, it draws on that experience to discuss some of the conditions necessary for the quasi-market to deliver high-quality, efficient and equitable healthcare — that is, for the healthcare system to work.

Keywords:   health care system, health care delivery, quasi-market, health care policy, patient choice, competition

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