This article analyzes health care reforms in the United Kingdom following the introduction of New Public Management (NPM) theory–inspired reforms. NPM has taken root deeply in the United Kingdom. This article looks at its impact on health care markets on the performance of health care organizations and on patients. It further seeks to address whether NPM prevents wastage and opportunism in health care. And finally, this article seeks to confirm whether rationality and accountability are greater under NPM or not. This article concludes that NPM reforms have failed to deliver on their own goals. There have been significant undesirable side effects and misfits between policy announcements and NPM implementation. Still, NPM adoption in health care has contributed to changing the Anglo-Saxon model of capitalism.
AlbertM.HavilandP. (1993). Capitalism vs. capitalism. New York, NY: Four Walls Eight Windows.
2.
AmableB. (2003). The diversity of modern capitalism. New York, NY: Oxford University Press.
3.
BatleyR. (1996). Public and private relationships and performance in service provision. Urban Studies, 33, 723-751.
4.
BennettC.FerlieE.(1996). Contracting in theory and in practice: Some evidence from the NHS. Public Administration, 74, 49-66.
5.
BorinsS. (1994, August28). Government in transition: A new paradigm in public administration. Paper presented at the Conference of the Commonwealth Association for Public Administration and Management, Charlottetown, Prince Edward Islands.
6.
BorinsS. (2000). New public management: North American style. In McLaughlinK.OsborneS. P.FerlieE. (Eds.), The new public management: Current trends and future prospects (pp. 181-194). London, England: Routledge.
7.
BowensM.(1998). The quest for responsibility: Accountability and citizenship in complex organizations. Cambridge, UK: Cambridge University Press.
8.
BoyneG. A. (1997, September11). Public choice theory and public management: A critique of the evidence of service contracting in U.S. local government. Paper presented at the Second International Research Symposium on Public Services Management, Aston University, Birmingham.
9.
BrunerJ. (1996). The culture of education. Cambridge, MA: Harvard University Press.
10.
BuchananJ. M. (1975). The limits of liberty: Between anarchy and leviathan. Chicago, IL: University of Chicago Press.
11.
BuchananJ. M. (1986). Liberty, market and state-Political economy in the 1980s. Brighton, UK: Harvester Press.
12.
CampagnacE.WinchG. G. (1997). The social regulation of technical expertise: The corporations and professions in France and Great Britain. In WhitleyR.KristensenP. H. (Eds.), Governance at work: The social regulation of economic relations (pp. 86-104). Oxford, UK: Oxford University Press.
13.
CarlsonM. J.BlusteinJ. (2003). Access to care among vulnerable populations enrolled in commercial HMOs. Journal of Health Care for the Poor and Underserved, 14, 372-385.
14.
CaseyT. (2007, August30-September2). Is Britain a liberal economy? British capitalism in comparative perspective. Paper presented at the American Political Science Association Conference, Chicago, IL.
15.
CassenR. (1994). Structural adjustment in Africa. In van der GeestW. (Ed.), Negotiating structural adjustment in Africa (pp. 7-13). New York, NY: UNDP/James Currey/Heineman.
16.
Centre for Development Research. (1995). Structural adjustment in Africa: A survey of experience (Report prepared for the Ministry of Foreign Affairs). Copenhagen, Denmark: Author.
17.
ChandlerA. D.Jr.(1990). Scale and scope: The dynamics of industrial capitalism. Cambridge, MA: Belknap Press.
18.
ClarkeJ.NewmanJ. (1997). The managerial state: Power, politics and ideology in the remaking of social welfare. London, England: Sage.
19.
ColemanJ. S. (1974). Power and structure of society. New York, NY: Norton.
20.
CribbA. (2008). Organizational reform and health-care good. Journal of Medicine and Philosophy, 33, 221-240.
DahlstromC.LapuenteV. (2010). Explaining cross-country differences in performance-related pay in the public sector. Journal of Public Administration Research and Theory, 20, 577-600.
23.
DavidsonA. (2004). Stormy weather for Labour’s NHS reforms. Journal of the Canadian Medical Association, 170, 187-188.
24.
DixonA.StoreyJ.RoseteA. A. (2010). Accountability of foundation trusts in the English NHS: Views of directors and governors. Journal of Health Service Research Policy, 15, 82-89.
25.
DonaldsonT. (1982). Corporations and morality. Englewood Cliffs, NJ: Prentice Hall.
26.
DownsA. (1968). Oekonomische Theorie der Demokratie [An economic theory of democracy]. Tuebingen, Germany: Harper & Brothers. (Original work published 1957)
27.
DownsA. (1994). Inside bureaucracy. Prospect Heights, IL: Waveland Press. (Original work published 1966)
28.
DudleyR. A.JohansenK. L.BrandR.RennieD. J.MilsteinA. (2000). Selective referral to high volume hospitals: Estimating potentially avoidable deaths. Journal of the American Medical Association, 283, 1159-1166.
29.
DunleavyP.HoodC. (1994). From old public administration to new management. Public Money & Management, 14, 9-16.
30.
DunnW. N.MillerD. Y. (2007). A critique of the new public management and the neo-Weberian state: Advancing a critical theory of administrative reform. Public Organization Review, 7, 345-358.
31.
European Healthcare Fraud & Corruption Network. (2010). Improving European healthcare system by reducing losses to healthcare fraud and corruption (EHFCN Annual Report 2009/2010). Available from http://www.ehfcn.org/
32.
EvansR. G. (1974). Supplier-induced demand: Some empirical evidence and implications. In PerlmanMark (Ed.), The economics of health and medical care (pp. 162-173). London, England: Macmillan.
33.
FerlieE.PettigrewA.AshburnerL.FitzgeraldL. (1996). The new public management in action. Oxford, UK: Oxford University Press.
34.
FinneyH.LesieurH. R. (1982). A contingency theory of organizational crime. In BacharachS. B. (Ed.), Research in the sociology of organizations (pp. 255-299). Greenwich, CT: JAI Press.
35.
FotakiM. (2010). Patient choice and equity in the British National Health Service: Towards developing an alternative framework. Sociology of Health & Illness, 32, 898-913.
36.
GarabiolP. (2006, September). L’assurance-maladie en Europe. Etude comparée [National health insurance in Europe. A comparative study]. Paris, France: Fondation Robert Schuman.
37.
HackerA.DreifusC. (2010). Higher education? How colleges are wasting our money and failing our kids—And what we can do about it. New York, NY: St. Martin’s Griffin.
38.
HarrisC. M.ScrivenerG. (1996). Fundholders’ prescribing costs: The first five years. British Medical Journal, 313, 1531-1534.
39.
HarrisonS. (1988). The closed shop and the National Health Service: A case study in public sector labour relations. Journal of Social Policy, 17, 61-81.
40.
HaywardS.FeeE. (1992). More in sorrow than in anger: The British nurses’ strike of 1988. International Journal of Health Services, 22, 397-415.
41.
HoodC. (1983). The tools of government. London, England: Macmillan.
42.
HoodC. (1991). A public management for all seasons?Public Administration, 69, 3-19.
43.
HoodC. (1995). The NPM in the 1980s: Variations on a theme. Accounting, Organisation & Society, 20, 93-110.
44.
HoodC. (1996). Control over bureaucracy. Journal of Public Policy, 15, 207-230.
45.
HuberE.StephensJ.D. (2001). Development and crisis of the welfare state. Parties and policies in global markets. Chicago, IL: University of Chicago Press.
46.
Join-LambertO.LefresneF. (2004). Le National Health Service: Une institution pérenne en pleine transformation [The National Health Service: A perennial institution in full transformation]. Chronique Internationale de l’IRES, 91, 80-91.
47.
JoumardI.AndréC.NicqC. (2010). Health Care Systems: Efficiency and Institutions. OECD Economics Department Working Papers 769, OECD Publishing.
48.
KickertW. J. M.VerhaakF. O. M. (1995). Autonomizing executive tasks in Dutch central government. International Review of Administrative Sciences, 61, 531-548.
49.
LaceyR. (1997). Internal markets in the public sector: The case of the British National Health Service. Public Administration and Development, 17, 141-159.
50.
LapsleyI.(2008). The NPM agenda: Back to the future. Financial Accountability & Management, 24, 77-93.
51.
LarbiG. A. (1998). Institutional constraints and capacity issues in decentralising management in public services: The case of health in Ghana. Journal of International Development, 10, 377-386.
52.
LarbiG. A. (1999). The new public management approach and crisis states (UNRISD Discussion Paper No. 112). Geneva, Switzerland: United Nations Research Institute for Social Development (UNRISD).
53.
Le GrandJ. (1993). Quasi-markets and social policy. Studies in decentralization and quasi-markets. Bristol, UK: University of Bristol, School for Advanced Urban Studies.
54.
Le GrandJ. (2003). Motivation, agency, and public policy. Of knights and knaves, pawns and queens. Oxford, UK: Oxford University Press.
55.
LevyJ. (2005). Redeploying the state: Liberalization and social policy in France. In StreeckW.ThelenK. (Eds.), Beyond continuity. Institutional change in advanced political economies (pp. 103-127). Oxford, UK: Oxford University Press.
56.
MarmorT. R.OkmaK. G. H. (1998). Cautionary lessons from the West: What (not) to learn from other countries’ experiences in the financing and delivery of health care. In FloraP.. (Eds.), The state of social welfare, 1997: International studies on social insurance and retirement, employment, family policy and health care (pp. 327-350). Aldershot, UK: Ashgate.
57.
MarshallM. N.ShekelleP. G.LeathermanS.BrookR. H. (2000). The public release of performance data: What do we expect to gain? A review of the evidence. Journal of the American Medical Association, 283, 1884-1886.
58.
MeiksinsW. E. (2003). Empire of capital. London, England: Verso Publisher.
59.
MillerF. H. (1996). Symposium: On physician decision-making and managed care: Capitation and physician autonomy: Master of the universe or just another prisoner’s dilemma? What can Britain’s national health service experience teach us?Health Matrix: Journal of Law-Medicine, 6, 1.
60.
MillerR. H.LuftH. S. (1997). Does managed care lead to better or worse quality of care?Health Affairs, 16, 7-25.
61.
MilwardB. H.ProvanK. G. (2000). Governing the hollow state. Journal of Public Administration Research and Theory, 10, 359-379.
62.
MooreM.StewartS.HoddockA. (1994). Institution building as a development assistance method: A review of literature and ideas (Report to the Swedish International Development Authority). Stockholm, Sweden: Swedish International Development Authority.
63.
MousquèsJ.ParisV. (2002). Le fonctionnement des hôpitaux dans six pays étrangers [The functioning of hospitals in six foreign countries] (Irdes Report No. 1423). Paris, France: CREDES.
64.
National Audit Office. (2010). Tackling inequalities in life expectancy in areas with the worst health and deprivation (HC: 186, 2010-2011). Author.
65.
NiskanenW. A. (1971). Bureaucracy and representative government. Chicago, IL: Aldine-Atherton.
66.
OliverA. (2009). The single-payer option: A reconsideration. Journal of Health Politics, Policy and Law, 34, 509-530.
67.
Organisation for Economic Co-Operation and Development. (1995). Governance in transition: Public management reforms in OECD countries. Paris, France: Author.
68.
OsborneD.GaeblerT. (1992). Reinventing government: How the entrepreneurial spirit is transforming the public sector. Reading, MA: Addison-Wesley.
69.
PaddonM. (1993). Competitive tendering and contracting-out in the UK local government. Administrative and managerial reform in government: A commonwealth portfolio of current good practice. Proceedings of a Pan Commonwealth Working Group Meeting (Kuala Lumpur, Malaysia, 19-22 April, pp. 115-161). London, England: Commonwealth Secretariat.
70.
Parliamentary and Health Service Ombudsman. (2011). Care and compassion. Report of the Health Service Ombudsman on ten investigations into NHS care of older people. London, England: Stationery Office.
71.
ParsonsW. (1995). Public policy: An introduction to the theory and practice of policy analysis. Aldershot, UK: Edward Elgar.
72.
PattelT. (2007). Climatic changes in the oncology market. Product Management Today, pp. 12-13.
73.
PetersB. G.PierreJ. (1998). Governance without government? Rethinking public administration. Journal of Public Administration Research and Theory, 8, 223-243.
74.
PollittC. (1993). Managerialism and the public services: The Anglo-American experience (2nd ed.). Oxford, UK: Blackwell.
75.
PrattJ. W.ZeckhauserR. J. (Eds.). (1984). Principals and agents: The structure of business. Boston, MA: Harvard Business School Press.
76.
ProvanK. G.MilwardH. B. (1995). A preliminary theory of interorganizational network effectiveness: A comparative study of four community mental health systems. Administrative Science Quarterly, 40, 1-33.
77.
RichardsM. (2007). EUROCARE-4 studies bring new data on cancer survival. Lancet Oncology, 8, 752-753.
78.
RichmondC. (1996). NHS waiting list have been a boon for private medicine in the UK. Canadian Medical Association Journal, 154, 378-381.
79.
SaltmanR. B.BusseR. (2002). Balancing regulation and entrepreneurialism in Europe’s health sector: Theory and practice. In SaltmanR. B.BusseR.MossialosE. (Eds.), Regulating entrepreneurial behaviour in European health care systems (p. 41). Buckingham, UK: Open University Press.
80.
SargeantA.KaehlerJ. (1998). Factors of patient satisfaction with medical services: The case of GP practices in the U.K. Health Marketing Quarterly, 16, 55-77.
81.
SimonH. A. (1976). Administrative behavior: A study of decision-making in administrative organization (3rd ed.). New York, NY: Free Press.
82.
SimonH. A.SmithburgD. W.ThompsonV. A. (1962). Public administration (7th ed.). New York, NY: Alfred Knopf.
83.
SimonetD. (2005). Where does the US experience of managed care currently stand?International Journal of Health Planning and Management, 20, 137-157.
84.
SimonetD. (2007). Managed care in the USA: Origins, HMO strategies, and the marketing of health services. Journal of Public Affairs, 7, 357-371.
85.
SneathK. (1993). Competitive tendering in the UK National Health Service. Administrative and managerial reform in government: A commonwealth portfolio of current good practice. Proceedings of a Pan Commonwealth Working Group Meeting (Kuala Lumpur, Malaysia, 19-22 April, pp. 163-178). Commonwealth Secretariat. London, England.
86.
StokerG. (1996, November). Governance as theory: Five propositions. Paper presented at the conference Enjeux et débats sur la gouvernance, Université de Lausanne, Switzerland.
87.
StreeckW.ThelenK. (2005). Institutional change in advanced political economies. Oxford, UK: Oxford University Press.
88.
ThompsonC.HayhurstC.BoyleA. (2010). How have changes to out-of-hours primary care services since 2004 affected emergency department attendances at a UK district general hospital? A longitudinal study. Emergency Medicine Journal, 27, 22-25. doi:10.1136/emj.2008.068817
89.
VaughanD. (1983). Controlling unlawful organizational behavior: Social structure and corporate misconduct. Chicago, IL: The University of Chicago Press.
90.
Vincent-JonesP.MullenC. (2009). New labour’ PPI reforms patient and public involvement in health care governance?Modern Law Review, 72, 247-271.
91.
von HayekF. A. (1969). Freiburger Studien—Gesammelte Aufsaetze von F.A. von Hayek. Tuebingen, Germany: Mohr.
92.
von HayekF. A. (1991). Die Verfassung der Freiheit, 3. edition [The Constitution of Liberty]. Tübingen, Germany: University of Chicago Press. (Original work published 1960)
93.
WareJ. E.Jr.BaylissM. S.RogersW. H.KosinskiM.TarlovA. R. (1996). Differences in 4-year health outcomes for elderly and poor, chronically ill patients treated in HMO and fee-for-service systems. Results from the Medical Outcomes Study. Journal of the American Medical Association, 276, 1039-1047.
94.
WatsonD. (2003). The development of total quality management in the personal social service: Realities, limitations and opportunities within the modernising agenda?Local Government Studies, 29, 33-50.
95.
WhitleyR. (1999). Divergent capitalisms. Oxford, UK: Oxford University Press.
96.
WhynesD. K.BainesD. L.TolleyK. H. (1997). GP fundholding and the costs of prescribing: Further results. Journal of Public Health Medicine, 19, 18-22.
97.
WilkingN.JonsonB. (2005). Pan-European comparison regarding patient access to cancer drugs. Stockholm, Sweden: Karolinska Institutet.
98.
WilliamsonO. E. (1975). Markets and hierarchies: Analysis and antitrust implications. New York, NY: Free Press.
