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Healthcare Providers in the English National Health Service: Public, Private or Hybrids?

Pauline Allen, Will Bartlett (), Virginie Pérotin, Greenwell Matchaya, Simon Turner and Bernarda Zamora
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Pauline Allen: London School of Hygiene and Tropical Medicine, UK
Virginie Pérotin: Leeds University Business School, UK
Greenwell Matchaya: University of Reading, UK
Simon Turner: King’s College London, UK
Bernarda Zamora: University of Bristol, UK

International Journal of Public and Private Healthcare Management and Economics (IJPPHME), 2011, vol. 1, issue 3, 1-18

Abstract: In recent years it has been noted that boundaries between public and private providers of many types of welfare have become blurred. This paper uses three dimensions of publicness to analyse this blurring of boundaries in relation to providers of healthcare in England. The authors find that, although most care is still funded and provided by the state, there are significant additional factors in respect of ownership and social control which indicate that many English healthcare providers are better understood as hybrids. Furthermore, the authors raise concerns about the possible deleterious effects of diminishing aspects of publicness on English healthcare. The most important of these is a decrease in accountability.

Date: 2011
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