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US-style health organisations are likely in Britain

BMJ 1997; 314 doi: https://doi.org/10.1136/bmj.314.7077.323n (Published 01 February 1997) Cite this as: BMJ 1997;314:323
  1. Jackie Cresswell
  1. London

    A report from top health service analysts predicts the development of US-style health maintenance organisations in Britain's NHS.

    The report's authors, from the Health Services Management Centre at the University of Birmingham and the Centre for Health Planning and Management at Keele University, who studied developments in primary care, state that this is the likely outcome of the NHS reforms and the primary care white paper.

    Beyond Fundholding illustrates that embryonic health maintenance organisations already exist in the form of total purchasing projects and multifunds and argues that with the emergence of these organisation …

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