Dundee Discussion Papers in Economics 216: Choice of contracts in the British National Health Service: an empirical study

Martin Chalkley; Duncan McVicar

Dundee Discussion Papers in Economics 216: Choice of contracts in the British National Health Service: an empirical study

Martin Chalkley
, Duncan McVicar

Research output: Working paper/Preprint › Discussion paper

397 Downloads (Pure)

Abstract

Following major reforms of the British National Health Service (NHS) in 1990, the roles of purchasing and providing health services were separated, with the relationship between purchasers and providers governed by contracts. Using a mixed multinomial logit analysis, we show how this policy shift led to a selection of contracts that is consistent with the predictions of a simple model, based on contract theory, in which the characteristics of the health services being purchased and of the contracting parties influence the choice of contract form. The paper thus provides evidence in support of the practical relevance of theory in understanding health care market reform.

Original language	English
Publisher	University of Dundee
Publication status	Published - 2008

Publication series

Name	Dundee Discussion Papers in Economics
Publisher	University of Dundee
No.	216
ISSN (Print)	1473-236X

Keywords

Health services
British NHS
Physician agency
Financial incentives

Access to Document

DDPE_216.pdf

Choice of contracts in the British National Health Service: an empirical study
Chalkley, M. & McVicar, D., Sept 2008, In: Journal of Health Economics. 27, 5, p. 1155-1167
Research output: Contribution to journal › Article › peer-review
14 Link opens in a new tab Citations (Scopus)

Cite this

@techreport{b074bf36b9514b838ba2d9d6a0009cf3,

title = "Dundee Discussion Papers in Economics 216: Choice of contracts in the British National Health Service: an empirical study",

abstract = "Following major reforms of the British National Health Service (NHS) in 1990, the roles of purchasing and providing health services were separated, with the relationship between purchasers and providers governed by contracts. Using a mixed multinomial logit analysis, we show how this policy shift led to a selection of contracts that is consistent with the predictions of a simple model, based on contract theory, in which the characteristics of the health services being purchased and of the contracting parties influence the choice of contract form. The paper thus provides evidence in support of the practical relevance of theory in understanding health care market reform.",

keywords = "Health services, British NHS, Physician agency, Financial incentives",

author = "Martin Chalkley and Duncan McVicar",

note = "This paper was also published by Elsevier in Journal of Health Economics, Vol. 27 (5), pp. 1155-1167 dc.description.sponsorship: ESRC L114251005 R000236723 ",

year = "2008",

language = "English",

series = "Dundee Discussion Papers in Economics",

publisher = "University of Dundee",

number = "216",

type = "WorkingPaper",

institution = "University of Dundee",

}

TY - UNPB

T1 - Dundee Discussion Papers in Economics 216

T2 - Choice of contracts in the British National Health Service: an empirical study

AU - Chalkley, Martin

AU - McVicar, Duncan

N1 - This paper was also published by Elsevier in Journal of Health Economics, Vol. 27 (5), pp. 1155-1167 dc.description.sponsorship: ESRC L114251005 R000236723

PY - 2008

Y1 - 2008

N2 - Following major reforms of the British National Health Service (NHS) in 1990, the roles of purchasing and providing health services were separated, with the relationship between purchasers and providers governed by contracts. Using a mixed multinomial logit analysis, we show how this policy shift led to a selection of contracts that is consistent with the predictions of a simple model, based on contract theory, in which the characteristics of the health services being purchased and of the contracting parties influence the choice of contract form. The paper thus provides evidence in support of the practical relevance of theory in understanding health care market reform.

AB - Following major reforms of the British National Health Service (NHS) in 1990, the roles of purchasing and providing health services were separated, with the relationship between purchasers and providers governed by contracts. Using a mixed multinomial logit analysis, we show how this policy shift led to a selection of contracts that is consistent with the predictions of a simple model, based on contract theory, in which the characteristics of the health services being purchased and of the contracting parties influence the choice of contract form. The paper thus provides evidence in support of the practical relevance of theory in understanding health care market reform.

KW - Health services

KW - British NHS

KW - Physician agency

KW - Financial incentives

M3 - Discussion paper

T3 - Dundee Discussion Papers in Economics

BT - Dundee Discussion Papers in Economics 216

PB - University of Dundee

ER -

Dundee Discussion Papers in Economics 216: Choice of contracts in the British National Health Service: an empirical study

Abstract

Publication series

Keywords

Access to Document

Fingerprint

Research output

Choice of contracts in the British National Health Service: an empirical study

Cite this