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Assessing efficiency in the new National Health Service

Mike Drummond ()
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Mike Drummond: Centre for Health Economics, The University of York

No 075chedp, Working Papers from Centre for Health Economics, University of York

Abstract: Increased efficiency is one of the major objectives of the reforms of the NHS. However, this begs the question of how efficiency will be assessed, since one cannot necessarily assume that the adoption of market principles will automatically lead to efficiency. This paper discusses the methods for assessing the efficiency of health care programmes and treatments, the ways in which the reforms are likely to encourage assessment of efficiency and the monitoring systems that should be put in place to assess that more efficient health care provision has been secured as a result of the reforms. It is concluded that while there has been relatively little formal assessment of the efficiency of alternative programmes and treatments to date, the reforms present new opportunities. Efficiency assessments could be used by purchasing authorities in deciding whether or not to place a contract and in deciding upon the contract specification. They could also help providers decide upon the most appropriate treatment technologies. In the primary care sector, efficiency assessments of drug therapy could assist in the monitoring of the indicative prescribing scheme.

Keywords: NHS; efficiency (search for similar items in EconPapers)
Pages: 28 pages
Date: 1990-09
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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http://www.york.ac.uk/media/che/documents/papers/d ... ion%20Paper%2075.pdf First version, 1990 (application/pdf)

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Persistent link: https://EconPapers.repec.org/RePEc:chy:respap:75chedp

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