Purchasing for health : a multidisciplinary introduction to the theory and practice of health purchasing

著者

書誌事項

Purchasing for health : a multidisciplinary introduction to the theory and practice of health purchasing

John Øvretveit

（Health services management）

Open University Press, c1995

  • : hb
  • : pb

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注記

Includes bibliographical references (p. 329-338) and index

内容説明・目次

巻冊次

: pb ISBN 9780335193325

内容説明

Health purchasing has grown in prominence as a result of health reform in Europe and the USA to become one of the world's biggest industries. People's health increasingly depends on the skills and abilities of health purchasing managers, yet little is known about the subject. Ordinary people are becoming aware of the sums spent in their name by 'faceless bureaucrats', and cannot see what value health purchasers add. Although health purchasing is more than paying bills and contracting services, there is uncertainty about the purpose and future role of purchasing organizations in different health systems. This first book on the subject views health purchasing - both public and private - as a service industry. It argues that, to survive, purchasers have to be more than agents of cost control and must win public support by shaping technological and service changes to uphold our rights and interests. Purchasers need to use service management methods and organization to improve their services to ordinary people. This book contributes to the theory and practice of the new management discipline of health purchasing, and to an understanding of health purchasing organizations, both public and private. It examines the purpose and methods of health purchasing as a service industry in a rapidly changing and unique type of market. Although concentrating on public health purchasing in the British National Health Service, the book does so in a way which allows comparisons to be made with purchasing in other countries. It presents practical approaches, concepts, and models which have helped purchasing managers and governing board members to tackle key issues. It draws on experience from a variety of sources including a development programme for seven integrated NHS purchasing agencies and the author's research into health reforms in Europe and the USA. Taking a multidisciplinary perspective, the book also draws on knowledge from public health, health policy, health economics, service management and organization, and organization development.

目次

Purchasing for health purchasing and "market reform" health commissioning - purpose and work "decentralized" or "locality" commissioning justifiable commissioning - rationing, priorities, effectiveness and outcome contracting and contracts quality in commissioning collaboration with local authorities developing primary and community health services commissioning primary health care and the role of the FHSA integrating primary and secondary health commissioning commissioning agency organization the future for health purchasing - financing, competition and values
巻冊次

: hb ISBN 9780335193332

内容説明

This text contributes to the theory and practice of the new management discipline of health purchasing and to an understanding of health purchasing organizations, both public and private. It examines the purpose and methods of health purchasing as a service industry in a rapidly changing market. The book presents practical approaches, concepts and models which have helped purchasing managers and governing board-members to tackle key issues. It draws on experience from a variety of sources, including a development programme with seven integrated NHS commissioning agencies, and the author's research into health-market reforms in Europe and the USA. Taking a multidisciplinary perspective, the book also draws on knowledge from public health, health policy, health economics, service management and organization, and organization development. Although concentrating on UK NHS commissioning, this book should also be of use to managers, governing board members, researchers and students in countries outside the UK.

目次

  • Purchasing for health
  • purchasing and "market reform"
  • health commissioning - purpose and work
  • "decentralized" or "locality" commissioning
  • justifiable commissioning - rationing, priorities, effectiveness and outcome
  • contracting and contracts
  • quality in commissioning
  • collaboration with local authorities
  • developing primary and community health services
  • commissioning primary health care and the role of the FHSA
  • integrating primary and secondary health commissioning
  • commissioning agency organization
  • the future for health purchasing - financing, competition and values.

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