The effects of regulation and competition in the NHS internal market: the case of general practice fundholder prices

The 1989 reforms of the UK National Health Service introduced competition in supply within a tightly regulated framework. The paper examines whether this competition affects the prices posted by sellers of medical services. We argue that despite regulation market forces may have an impact on price....

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Veröffentlicht in:	Journal of health economics 1998-12, Vol.17 (6), p.645-673
Hauptverfasser:	Propper, Carol, Wilson, Deborah, Söderlund, Neil
Format:	Artikel
Sprache:	eng
Schlagworte:	Budgets Competition Contract Services - economics Costs and Cost Analysis Economic Competition Economic models Family Practice - economics Health administration Health Care Sector Health economics Health services Health Services Research Hospital Charges - statistics & numerical data Hospital Charges - trends Hospitals, Public - economics Impact analysis Internal markets Market forces Models, Economic National Health Service Price level changes Prices Pricing behaviour Privatization - economics Regulation Reimbursement, Incentive State Medicine - economics State Medicine - legislation & jurisprudence Studies United Kingdom
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Beschreibung
Zusammenfassung:	The 1989 reforms of the UK National Health Service introduced competition in supply within a tightly regulated framework. The paper examines whether this competition affects the prices posted by sellers of medical services. We argue that despite regulation market forces may have an impact on price. We test this using the posted prices for one of the two types of buyer, General Practice Fundholders. We find the regulatory rules are not observed, and some evidence of the impact of market forces on price.
ISSN:	0167-6296 1879-1646
DOI:	10.1016/S0167-6296(98)00029-0