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Big Business: The Corporatization of Primary Care in the UK and the USA

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  • Judith Smith
  • Kieran Walshe

Abstract

The corporatization of primary care in the USA and the UK over recent years has transformed the way that these services are managed and delivered. Traditional approaches based around small practices of doctors and their teams as the primary organizational unit have been largely overtaken by new models in which doctors, nurses and other primary care professionals work within much larger organizations. This article explores the experience in the USA and the UK of seeking to organize primary care more corporately, and suggests that a tightly managed organizational model does not work well in primary care. Looser, network-based models are needed in which some of the benefits of corporatization can be achieved while the traditional small-organization virtues of primary care can continue to thrive.

Suggested Citation

  • Judith Smith & Kieran Walshe, 2004. "Big Business: The Corporatization of Primary Care in the UK and the USA," Public Money & Management, Taylor & Francis Journals, vol. 24(2), pages 87-96, April.
    • Handle: RePEc:taf:pubmmg:v:24:y:2004:i:2:p:87-96
    DOI: 10.1111/j.1467-9302.2004.00400.x
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    Cited by:

    1. Sally Jacobs & Tom Fegan & Fay Bradley & Devina Halsall & Mark Hann & Ellen I Schafheutle, 2018. "How do organisational configuration and context influence the quantity and quality of NHS services provided by English community pharmacies? A qualitative investigation," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-14, September.
    2. Stephen Abbott & Richard Smith & Susan Procter & Nicci Iacovou, 2008. "Professional Executive Committees: What Do They Do?," Public Money & Management, Taylor & Francis Journals, vol. 28(5), pages 299-304, October.

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