The other invisible hand : delivering public services through choice and competition
著者
書誌事項
The other invisible hand : delivering public services through choice and competition
Princeton University Press, c2007
- : pbk
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注記
Includes bibliographical references (p. [183]-195)
内容説明・目次
内容説明
How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are often low quality, inefficiently run, unresponsive to their users, and inequitable in their distribution. In this book, Julian Le Grand argues that the best solution is to offer choice to users and to encourage competition among providers. Le Grand has just completed a period as policy advisor working within the British government at the highest levels, and from this he has gained evidence to support his earlier theoretical work and has experienced the political reality of putting public policy theory into practice. He examines four ways of delivering public services: trust; targets and performance management; "voice"; and choice and competition. He argues that, although all of these have their merits, in most situations policies that rely on extending choice and competition among providers have the most potential for delivering high-quality, efficient, responsive, and equitable services.
But it is important that the relevant policies be appropriately designed, and this book provides a detailed discussion of the principal features that these policies should have in the context of health care and education. It concludes with a discussion of the politics of choice.
目次
Acknowledgements ix INTRODUCTION 1 CHAPTER ONE: Ends and Means 6 CHAPTER TWO: Choice and Competition 38 CHAPTER THREE: School Education 63 CHAPTER FOUR: Health Care 94 CHAPTER FIVE: New Ideas 127 CHAPTER SIX: The Politics of Choice 156 AFTERWORDS: Alain Enthoven: An American Perspective 169 David Lipsey: A Sceptic's Perspective 174 Further Reading 180 Bibliography 183
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