Krachler, N, Greer, I and Umney, C orcid.org/0000-0001-5757-920X (2022) Can public healthcare afford marketization? Market principles, mechanisms, and effects in five health systems. Public Administration Review, 82 (5). pp. 876-886. ISSN 0033-3352
Abstract
Policymakers now have four decades’ experience using marketization to address cost and quality problems in public‐sector health services. While much is known about the challenges, it is difficult to draw lessons because there remains no agreed‐upon definition of marketization. This article contributes a definition that focuses on the transaction, particularly the effects of funding arrangements on the intensity of competition among providers. Based on prior literature and 106 interviews with practitioners and researchers in 5 countries, the authors contribute a systematization of 12 concrete market mechanisms enacting 3 market principles. Furthermore, the authors analyze respondents’ perceptions of healthcare marketization's effects on costs and quality. While marketization is a multi‐faceted, sometimes ambiguous phenomenon requiring further research before definite conclusions can be reached, most statements from our respondents about cost and quality effects were negative.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2021 The Authors. Public Administration Review published by Wiley Periodicals LLC on behalf of American Society for Public Administration. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Business (Leeds) > Work and Employment Relation Division (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 21 Apr 2021 09:32 |
Last Modified: | 07 Apr 2023 00:13 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/puar.13388 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:172929 |