TY - JOUR
T1 - Towards an understanding of health care purchasing
T2 - The purchasing behaviour of general practice fundholders
AU - Laing, Angus
AU - Cotton, Seonaidh
PY - 1995/1/1
Y1 - 1995/1/1
N2 - In the last few years there haue been considerable changes in the National Health Service. Perhaps the most significant of these has been the introduction of competition into health care, that is the split of the health service into purchasers and providers of care. Central to this development has been the introduction of general practice fundholding, whereby practices are able to purchase health care for their patients directly from competing suppliers. Those practices which have become fundholders have faced considerable challenges in developing their purchasing function. At the same time, provider units in areas where fundholding has become established face an increasingly fragmented purchasing base. Building on existing theoretical work into the nature of organizational purchasing behaviour and current knowledge of the health care market in Britain, this paper attempts to develop an understanding of the dynamics of GP fundholder purchasing behavior.
AB - In the last few years there haue been considerable changes in the National Health Service. Perhaps the most significant of these has been the introduction of competition into health care, that is the split of the health service into purchasers and providers of care. Central to this development has been the introduction of general practice fundholding, whereby practices are able to purchase health care for their patients directly from competing suppliers. Those practices which have become fundholders have faced considerable challenges in developing their purchasing function. At the same time, provider units in areas where fundholding has become established face an increasingly fragmented purchasing base. Building on existing theoretical work into the nature of organizational purchasing behaviour and current knowledge of the health care market in Britain, this paper attempts to develop an understanding of the dynamics of GP fundholder purchasing behavior.
UR - http://www.scopus.com/inward/record.url?scp=0010788722&partnerID=8YFLogxK
U2 - 10.1080/0267257X.1995.9964369
DO - 10.1080/0267257X.1995.9964369
M3 - Article
AN - SCOPUS:0010788722
SN - 0267-257X
VL - 11
SP - 583
EP - 600
JO - Journal of Marketing Management
JF - Journal of Marketing Management
IS - 6
ER -