Chapter

What the doctor ordered: the Audit Commission's case study of general practice fundholders

David Wainwright and Michael Calnan

in Shaping Health Policy

Published by Policy Press

Published in print October 2011 | ISBN: 9781847427588
Published online May 2012 | e-ISBN: 9781447305576 | DOI: http://dx.doi.org/10.1332/policypress/9781847427588.003.0011
What the doctor ordered: the Audit Commission's case study of general practice fundholders

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General Practitioner (GP) fundholding originated in the belief that a quasi-market mechanism would lead to the more efficient and effective use of health care resources. The model was implemented and abandoned without formal recourse to evaluation or the evidence base. This chapter elucidates what can be learned from the past by taking the fundholding initiative of the 1990s as a case study. The Audit Commission's report emerged as the most extensive and systematic attempt to appraise the model. The authors have also broadened the case study to include evidence from other studies and consideration of the impact this evidence has had on policy.

Keywords: GP fundholding; NHS; Audit Commission; General Practitioner; fundholding initiative

Chapter.  7739 words.  Illustrated.

Subjects: Health, Illness, and Medicine

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