• Health policy · Sep 1993

    The new NHS in a global context: is it taking us where we want to be?

    • C Donaldson and G Mooney.
    • Department of Public Health, University of Aberdeen, Scotland, UK.
    • Health Policy. 1993 Sep 1;25(1-2):9-24.

    AbstractIn this paper, the new NHS is put in a global context, comparing the UK internal market arrangements with changes occurring in other health care systems. An assessment is made of whether the new UK NHS will result in more efficient and equitable health care provision than the 'old' NHS. Regarding financing of health care, most countries seem to be moving in the direction of NHS or public-insurance-based systems. New Zealand and The Netherlands are among the few countries attempting to inject competition into health care financing. There is a greater move, globally, towards competition in the provision of services. In terms of allocative efficiency and equity, we believe that, on balance, the new NHS will bring no improvement. Indeed, in terms of equity, it may be detrimental. If there is any improvement, it is likely to be in technical efficiency.

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