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Choice and competition in publicly funded health care

Published online by Cambridge University Press:  01 October 2009

JULIAN LE GRAND*
Affiliation:
Richard Titmuss Professor of Social Policy, Department of Social Policy, London School of Economics, London, UK
*
*Correspondence to: Julian Le Grand, Department of Social Policy, London School of Economics, Houghton Street, London WC2A 2AE, UK. Email: j.legrand@lse.ac.uk

Abstract:

There are four basic models of health service delivery: those that rely on trust, on command and control, on voice, and on choice and competition. All have their merits and demerits; but there are both theoretical and empirical arguments for preferring choice and competition in many situations. However, the relevant policies do have to be properly designed.

Type
Debate
Copyright
Copyright © Cambridge University Press 2009

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