The internal market—can quality stand the competition?
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The year 1991 saw the introduction of a competitive environment for health care. Beyond the ‘bottom line’ facts and figures of service agreements or contracts, we must concern ourselves with how to contract for the hitherto immeasurable or at least, unmeasured, elements of patient care. These are the elements which we have discussed in this book and which many people feel will suffer in the cut and thrust of the internal market.
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