Commissioning perhaps shouldn't follow the American way

BMJ 2005; 331 doi: https://doi.org/10.1136/bmj.331.7530.1473-b (Published 15 December 2005) Cite this as: BMJ 2005;331:1473
  1. John Hughes, clinical director (jrhughes@nildram.co.uk)
  1. South East Hants Primary Care Trust Cluster, Waterlooville, Hampshire PO7 7GP

    EDITOR—Donaldson and Ruta make a compelling case for the adaptation, rather than replication, of US health systems in England.1 That general practices should increase in size to manage populations of 25 000-30 000 makes organisational and economic sense, and those practices that achieve this will, no doubt, be the survivors in the world of contestability ushered …

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