Patient choice in the NHS: What is the effect of choice policies on patients and relationships in health economies?

Ian Greener*, Russell Mannion

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

18 Citations (Scopus)

Abstract

Policy-makers are increasingly advocating market-based reforms to increase choices for service users and therefore to drive improvement through competition. This article assesses this approach in a hospital trust where there is plenty of scope for patients to choose providers and so for reforms based on a market logic to work. The market had very little impact on the hospital's activities, but demands from the Department of Health and the strategic health authority for the hospital to become more market-oriented were creating the potential for significant dysfunctional consequences.

Original languageEnglish
Pages (from-to)95-100
Number of pages6
JournalPublic Money and Management
Volume29
Issue number2
DOIs
Publication statusPublished - Mar 2009
Externally publishedYes

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