By Nicholas Mays, Sally Wyke, Gill Malbon and Nick Goodwin.
Governments in a number of Western countries are attempting to improve the efficiency, appropriateness and equity of their health systems. One of the main ways of doing this is to devolve purchasing responsibility from national and regional to more local agencies based in primary care. These primary care organizations are allocated budgets that span both primary and secondary services. The book draws on an extensive government-funded evaluation of the UK primary care led total purchasing experiment to shed light on important questions raised by these policies.
Published by Open University Press 0 335 20900 9. 22 pounds 50p.