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dc.contributor.authorSheaff, Rod
dc.contributor.authorChambers, N
dc.contributor.authorCharles, N
dc.contributor.authorExworthy, M
dc.contributor.authorMahon, A
dc.contributor.authorByng, Richard
dc.contributor.authorMannion, R
dc.date.accessioned2017-04-02T13:55:41Z
dc.date.available2017-04-02T13:55:41Z
dc.date.issued2013-05-15
dc.identifier.issn1472-6963
dc.identifier.issn1472-6963
dc.identifier.otherS8
dc.identifier.urihttp://hdl.handle.net/10026.1/8755
dc.description.abstract

Background: In quasi-markets governance over healthcare providers is mediated by commissioners. Different commissioners apply different combinations of six methods of control (’media of power’) for exercising governance: managerial performance, negotiation, discursive control, incentives, competition and juridical control. This paper compares how English and German healthcare commissioners do so. Methods: Systematic comparison of observational national-level case studies in terms of six media of power, using data from multiple sources. Results: The comparison exposes and contrasts two basic generic modes of commissioning: 1. Surrogate planning (English NHS), in which a negotiated order involving micro-commissioning, provider competition, financial incentives and penalties are the dominant media of commissioner power over providers. 2. Case-mix commissioning (Germany), in which managerial performance, an ‘episode based’ negotiated order and juridical controls appear the dominant media of commissioner power. Conclusions: Governments do not necessarily maximise commissioners’ power over providers by implementing as many media of power as possible because these media interact, some complementing and others inhibiting each other. In particular, patient choice of provider inhibits commissioners’ use of provider competition as a means of control.

dc.format.extent1-10
dc.format.mediumPrint-Electronic
dc.languageEnglish
dc.language.isoEnglish
dc.publisherBioMed Central
dc.subjectGermany
dc.subjectHealth Care Reform
dc.subjectHealth Care Sector
dc.subjectHealth Policy
dc.subjectHumans
dc.subjectNational Health Programs
dc.subjectUnited Kingdom
dc.titleHow managed a market? Modes of commissioning in England and Germany
dc.typejournal-article
dc.typeArticle
plymouth.author-urlhttp://www.plymouth.ac.uk/staff/wrsheaff
plymouth.issueSupp1 1:58
plymouth.volume13
plymouth.publisher-urlhttp://www.biomedcentral.com/1472-6963/13/S1/S8
plymouth.publication-statusPublished
plymouth.journalBMC Health Services Research
dc.identifier.doi10.1186/1472-6963-13-S1-S8
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA20 Social Work and Social Policy
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/FoH - Community and Primary Care
plymouth.organisational-group/Plymouth/Research Groups/Institute of Health and Community
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)
plymouth.organisational-group/Plymouth/Research Groups/Institute of Translational and Stratified Medicine (ITSMED)/CCT&PS
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
plymouth.organisational-group/Plymouth/Users by role/Researchers in ResearchFish submission
dc.publisher.placeUK
dc.identifier.eissn1472-6963
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1186/1472-6963-13-S1-S8
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


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