Authors' reply to getting more for their dollar: Kaiser v the NHS

BMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7353.1583 (Published 29 June 2002) Cite this as: BMJ 2002;324:1583
  1. Richard G A Feachem, director,
  2. Neelam Sekhri, chief executive officer,
  3. Karen White, programme development officer
  1. Institute for Global Health, University of California, San Francisco and Berkeley, CA 94105, USA
  2. Healthcare Redesign Group, Alameda, CA 94502, USA
  3. Institute for Global Health, University of California

    EDITOR—Our paper comparing the NHS with Kaiser Permanente has generated lively interest and, on the whole, a constructive debate. 1 2 Discerning commentators have noted that further refinement of the data and the analysis (which we strongly advocate) is unlikely to change the basic conclusions. These are that Kaiser Permanente offers improved performance at roughly the same cost and that, therefore, there are probably lessons to be learnt that would benefit the future performance of the NHS. We have further noted from the extensive debate that has followed the publication of …

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