Before the election of May 1997, Britain's Conservative government was committed to giving
general practitioners a lead role in health service development. However, a qualitative study …

Although the NHS operates throughout the United Kingdom, it is organised, and services are
planned, differently in each of the four countries: England, Wales, Scotland and Northern …

The 1991 Green and White Paper1 heralded a major shift in both the organisation of health
care and the underlying ideology which governed health policy. Without health sector …

Robert Alford's illuminating analysis of the organisation of health care first appeared almost
30 years ago at a time when many health care systems around the world, including that in …

Abstract In 1993, New Zealand implemented radical health sector reform, separating
purchaser from provider and creating a competitive market. This paper reports on a 1994 …

New Zealand, like most other developed economies, has struggled to establish the best way
of organising and delivering publicly financed health care services. Before the 1990s …

To the outsider looking in, health policy in the UK, dominated as it is by the National Health
Service (NHS), and the reverence in which the NHS is held by many British people, might …

Often Americans, even experienced observers, seem surprised that in the late 1980s the
British government decided to make fundamental changes in the British National Health …

Abstract The British National Health Service (NHS) has seen a proliferation of confusing and
sometimes conflicting labels in recent years. It has been claimed that during the …

The British health care system has been subjected to a barrage of reforms over the last
decade or so. The main purpose of this article is to explore the impact of these reforms …