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Assessing efficiency in the new National Health Service

Author

Listed:
  • Mike Drummond

    (Centre for Health Economics, The University of York)

Abstract

Increased efficiency is one of the major objectives of the reforms of the NHS. However, this begs the question of how efficiency will be assessed, since one cannot necessarily assume that the adoption of market principles will automatically lead to efficiency. This paper discusses the methods for assessing the efficiency of health care programmes and treatments, the ways in which the reforms are likely to encourage assessment of efficiency and the monitoring systems that should be put in place to assess that more efficient health care provision has been secured as a result of the reforms. It is concluded that while there has been relatively little formal assessment of the efficiency of alternative programmes and treatments to date, the reforms present new opportunities. Efficiency assessments could be used by purchasing authorities in deciding whether or not to place a contract and in deciding upon the contract specification. They could also help providers decide upon the most appropriate treatment technologies. In the primary care sector, efficiency assessments of drug therapy could assist in the monitoring of the indicative prescribing scheme.

Suggested Citation

  • Mike Drummond, 1990. "Assessing efficiency in the new National Health Service," Working Papers 075chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:75chedp
    as

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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%2075.pdf
    File Function: First version, 1990
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    References listed on IDEAS

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    1. N/A, 1989. "Annual Report," Evaluation Review, , vol. 13(3), pages 320-320, June.
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    Cited by:

    1. Ross, Jayne, 1995. "The use of economic evaluation in health care: Australian decision makers' perceptions," Health Policy, Elsevier, vol. 31(2), pages 103-110, February.
    2. Pim Borren & Alan Maynard, 1993. "Searching for the Holy Grail in antipodes: the market reform of the New Zealand health care system," Working Papers 103chedp, Centre for Health Economics, University of York.

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    Keywords

    NHS; efficiency;

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