Abstract
The effects of the 1989 White Paper, Working for Patients (DoH, 1989), on the private health care sector in Britain are likely to be marginal and distorting in terms of efficiency and equity. The purposes of this chapter are to examine the structure of the markets for private health insurance and private hospital care, to describe the White Paper proposals which will affect these private markets and to analyse how these proposals are likely to affect the finance and provision of private health care in the 1990s. Throughout, our concern will be with the private market for cold elective acute care (that is, nonemergency care, much of it surgical repair).
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References
Cullis, J. and Jones, P. (1985). National Health Service Waiting Lists. Journal of Health Economics, 4, 119–135
Department of Health (DoH) (1989). Working for Patients, Cm. 555, HMSO, London
Freeland, M.S., Hunt, S.S. and Luft, H.S. (1988). Selective contract for hospital care based on volume, quality and price: prospects, problems and unanswered questions. Journal of Health, Politics, Policy and law, 12, 3, 409–426
Fitzhugh, W.A., (1989). The Fitzhugh Directory of Independent Hospitals and Provident Associations, Financial Information, Health Care Information Services, London
General Household Survey (1986). OPCS, London
Gillam, D. (1985). Referrals to Consultants—the NHS versus private practice. Journal of the Royal College of General Practitioners, 35, 15–18
HM Treasury (1989). The Government’s Expenditure Plans,1989–90 to 1991–92, Cm. 614, Chapter 14 ( The Department of Health), HMSO, London
Hughes, R.G., Hunt, S.S. and Luft, H.S. (1987). Effects of surgeon volume and hospital volume on quality of care in Hospitals. Medical Care, 25, 6, 489
Independent Hospitals Association (1989). Survey of Acute Hospitals in the Independent Sector, IHA, London, p. 2
Laing, William (ed.) (1988). Laings Review of Private Healthcare 1987. Laing and Buisson Publications Ltd, London
Laing, William (ed.) (1989). Laings Review of Private Healthcare 1988/89. Laing and Buisson Publications Ltd, London
Maynard, A. (1982). The private health care sector in Britain. In McLachlan, G. and Maynard, A. (eds.), The Public/Private Mix for Health, Nuffield Provincial Hospitals Trust
Maynard, A. (1989). Whither private health care. In Implications of the New Thinking on the National Health Service, Crusader Insurance plc and the Foundation for Business Responsibilities, London
Neipp, J. and Zeckhauser, R. (1986). Persistence in the Choice of Health Plans. In Scheffler, R. and Rossiter, L. (eds.), Advances in Health Economics and Health Services Research Vol. 6, 47–72. JAI Press Greenwich, C.T. and London
Nicholl, J.P., Beeby, N. and Williams, B. (1989a). Comparison of the activity of short stay independent hospitals in England and Wales, 1981 and 1986. British Medical Journal, 298, 239–42
Nicholl, J.P., Beeby, N. and Williams, B. (1989b). Role of the private sector in elective surgery in England and Wales, 1986. British Medical Journal, 298, 243–7
Pauly, M. (1986). Taxation, Health Insurance and Market Failure in the Medical Economy. Journal of Economic Literature, 24, 629–675
Pauly, M. (1988). Market power, monopsony and health insurance markets. Journal of Health Economics, 7, 111–128
Propper, C. and Eastwood, A. (1989). The Reasons for Non-Corporate Health Insurance Purchase in the UK. Discussion Paper 52, Centre for Health Economics, University of York
Propper, C. and Maynard, A.K. (1989). The Market for Private Health Insurance and the Demand for Private Health Insurance in the UK. Discussion Paper 53, Centre for Health Economics, University of York
Randall, J. (1988). Service Provision Reviewed. Health Service Journal, Vol 98, 5084 (21 Jan), p. 94
Robinson, J.C. and Luft, H. S. (1985). The impact of hospital market structure on patient volume, average length of stay and the cost of care. Journal of Health Economics, 4, 333–356
Stockwell, M. (1988). The Role of Private Health Care as an Employee Benefit. Paper given at the Financial Times Conference on Private Health Care, London, 29–30 November 1988, Speakers Papers
Williams, B.T., Nicholl, J.P., Thomas, K.J. and Knowelden, J. (1985). For Debate: differences in duration of stay for surgery in the NHS and private sector in England and Wales. British Medical Journal, 290, 978–980
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Propper, C., Maynard, A. (1990). Whither the Private Health Care Sector?. In: Culyer, A.J., Maynard, A., Posnett, J. (eds) Competition in Health Care. Economic Issues in Health Care. Palgrave, London. https://doi.org/10.1007/978-1-349-21052-7_3
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DOI: https://doi.org/10.1007/978-1-349-21052-7_3
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