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December 1982 (Volume 60)
Quarterly Article
Michael W. Spicer
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The bureaucratic structure of the British National Health Service has an important impact on its performance; problems of efficiency and access cannot be alleviated by better information and analysis alone. A system of private insurance, as in the United States, falls short as a reform to involve modification of the incentives for decision-making. More constructive considerations include rewarding NHS officials for cost-savings and encouraging competition in health care provision.
Author(s): Michael W. Spicer
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Volume 60, Issue 4 (pages 657–672) Published in 1982
