How managed a market? Modes of commissioning in England and Germany
dc.contributor.author | Sheaff, Rod | |
dc.contributor.author | Chambers, N | |
dc.contributor.author | Charles, N | |
dc.contributor.author | Exworthy, M | |
dc.contributor.author | Mahon, A | |
dc.contributor.author | Byng, Richard | |
dc.contributor.author | Mannion, R | |
dc.date.accessioned | 2017-04-02T13:55:41Z | |
dc.date.available | 2017-04-02T13:55:41Z | |
dc.date.issued | 2013-05-15 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.other | S8 | |
dc.identifier.uri | http://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.extent | 1-10 | |
dc.format.medium | Print-Electronic | |
dc.language | English | |
dc.language.iso | English | |
dc.publisher | BioMed Central | |
dc.subject | Germany | |
dc.subject | Health Care Reform | |
dc.subject | Health Care Sector | |
dc.subject | Health Policy | |
dc.subject | Humans | |
dc.subject | National Health Programs | |
dc.subject | United Kingdom | |
dc.title | How managed a market? Modes of commissioning in England and Germany | |
dc.type | journal-article | |
dc.type | Article | |
plymouth.author-url | http://www.plymouth.ac.uk/staff/wrsheaff | |
plymouth.issue | Supp1 1:58 | |
plymouth.volume | 13 | |
plymouth.publisher-url | http://www.biomedcentral.com/1472-6963/13/S1/S8 | |
plymouth.publication-status | Published | |
plymouth.journal | BMC Health Services Research | |
dc.identifier.doi | 10.1186/1472-6963-13-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.place | UK | |
dc.identifier.eissn | 1472-6963 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1186/1472-6963-13-S1-S8 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.type | Journal Article/Review |