Search PubMed⌕ Search
Home/Archive/PubMed

PubMed · 8917877

Rationing: a transatlantic perspective.

S Purdy
View original source ↗Export metadata ↓

Abstract

Despite the differing mechanisms of health care delivery and financing in the United Kingdom and the United States many of the issues faced by the two countries are similar, most notably the increasing financial pressures. In both countries there have been recent changes in the allocation of resources and the mechanisms of decision making. Different criteria for determining resource allocation have been tried in the two health care systems. These developments change long traditions of rationing decisions at the individual patient level in the US, and of centralised government decision making in the UK.

Explore related subjects

Health Care RationingHealth Services AccessibilityHumansInsurance, HealthInternationalityPatient-Centered CareResource AllocationUnited KingdomUnited StatesHealth Care and Public HealthNational Health ServiceComparative StudyJournal Article

Keep this discovery

Explore connections, maps & timelines

BibTeXRIS

S Purdy. 1996. Rationing: a transatlantic perspective.. https://pubmed.ncbi.nlm.nih.gov/8917877/

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related citations

PubMed2007

Public versus private health care in a national health service.

This paper studies the interaction between public and private health care provision in a National Health Service (NHS), with free public care and costly private care. The health authority decides whether or not to allow private provision and sets the public sector remuneration. The physicians allocate their time (effort) in the public and (if allowed) in the private sector based on the public wage income and the private sector profits. We show that allowing physician dual practice 'crowds out' public provision, and results in lower overall health care provision. While the health authority can mitigate this effect by offering a higher wage, we find that a ban on dual practice is more efficient if private sector competition is weak and public and private care are sufficiently close substitutes. On the other hand, if private sector competition is sufficiently tough, a mixed system, with physician dual practice, is always preferable to a pure NHS system.

Health Care Rationing↗
PubMed2006

Health reform interrupted: the unraveling of the Oregon Health Plan.

The Oregon Health Plan (OHP) has received national and international attention for rationing medical care based on explicit priorities. However, in recent years OHP has lost substantial enrollment and struggled to live up to its core principles. This paper explores what went wrong in OHP and the implications of Oregon's experience for state-led health reform.

Health Care Rationing↗
PubMed2006

NICE work: nice try.

Explore the source record for details and available documents.

Health Care Rationing↗