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- Title
INTERNAL MARKETS - THE ROAD TO INEFFICIENCY?
- Authors
Burke, Chris; Goddard, Andrew
- Abstract
This article focuses on the concept of the internal market within the National Health Service (NHS) in Great Britain. The analysis contribute to the debate by questioning whether the internal market concept will lead to increased efficiency in the management and utilization of health care resources. A high degree of uncertainty and complexity exist within the NHS. With the advent of performance measurement, and performance-related pay, incentives have been introduced which may well encourage more opportunism. The introduction of an internal market arrangement may in its turn provide an arena in which to conduct opportunistic games in the competition for resources.
- Subjects
UNITED Kingdom; GREAT Britain. National Health Service; PUBLIC health; MEDICAL care; WAGES; LABOR incentives; COMPETITION
- Publication
Public Administration, 1990, Vol 68, Issue 3, p389
- ISSN
0033-3298
- Publication type
Article
- DOI
10.1111/j.1467-9299.1990.tb00767.x