Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente Commentary: Funding is not the only factor Commentary: Same price, better care Commentary: Competition made them do it
BMJPublished 19 January 2002Open access
Richard Feachem
Citations428
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Kaiser achieved better performance at roughly the same cost as the NHS because of integration throughout the system, efficient management of hospital use, the benefits of competition, and greater investment in information technology.
Abstract
The widely held beliefs that the NHS is efficient and that poor performance in certain areas is largely explained by under investment are not supported by this analysis. Kaiser achieved better performance at roughly the same cost as the NHS because of integration throughout the system, efficient management of hospital use, the benefits of competition, and greater investment in information technology.
Keywords
Economics, Econometrics and FinanceHealth Professions
National Academies Press eBooksTo Err Is Human
14,096 Citations2000Institute of Medicine
A process for the preparation of prostaglandins which are known pharmaceutically active compounds and then R alpha , R omega -cyclopentenoids is described.
To Err Is Human : Building A Safer Health System
2,849 Citations2000Kohn, Linda T., Corrigan, Janet +1 more
BMJThe NHS plan
954 Citations2000J. H. Dixon
The single most important part of the NHS plan is the cash injection to boost capacity, which to anyone who has worked in frontline care, is manna (leaving aside for the moment questions of how and when).
Health AffairsDoes Managed Care Lead To Better Or Worse Quality Of Care?
454 Citations1997Robert H. Miller, Harold S. Luft
Evidence on managed care plan performance from recently published peer-reviewed studies showed an equal number of significantly better and worse HMO results, compared with non-HMO plans, but in several instances, Medicare HMO enrollees with chronic conditions showed worse quality of care.
Journal of Health EconomicsCross-national price differences for pharmaceuticals: how large, and why?
287 Citations2000Patricia M. Danzon, Li‐Wei Chao
Bilateral drug price and quantity indexes, based on comprehensive data for seven countries, refute the conventional wisdom that US drug prices are much higher than elsewhere, for Laspeyres (US-weighted) indexes.
Health AffairsAmericans’ Views On Health Policy: A Fifty-Year Historical Perspective
152 Citations2001Robert J. Blendon, John M. Benson
It is found that most Americans remain satisfied with their current medical arrangements, but do not trust the federal government to do what is right, and do not favor a single-payer type of national health plan.
Health AffairsComparing Health System Performance In OECD Countries
149 Citations2001Gerard F. Anderson, Peter S. Hussey
The performance of the health care systems in twenty-nine industrialized countries in 1998 is presented and the United States is compared with the other industrialized countries for selected indicators in 1960, 1980, and 1998.
American Heart JournalAcute myocardial infarction in women: Contribution of treatment variables to adverse outcome
120 Citations2000Khalid Barakat, Paul Wilkinson +3 more
The data suggest that the failure to treat women as vigorously as men made a significant contribution to their worse outcome, and the influence of treatment variables on the differential risks for women and men disappeared at 12 months.
New England Journal of MedicineManaged Care in Transition
84 Citations2001R. Adams Dudley, Harold S. Luft
Managed care now dominates health care in the United States, and only 8 percent of persons with employer-sponsored health insurance coverage had traditional indemnity insurance in 1999.
Health AffairsIn Pursuit Of An Improving National Health Service
69 Citations2000Alain C. Enthoven
It is doubtful whether a culture of innovation, efficiency, and good customer service is possible in a public-sector monopoly whose services are in excess demand and whose units do not get more resources for caring for more patients.
PubMedManaged care: the US experience.
48 Citations2000Neelam Sekhri
Although the backlash by consumers and providers makes the future of managed care in the USA uncertain, the evidence shows that it has had a positive effect on stemming the rate of growth of health care spending, without a negative effect on quality.
Health AffairsReevaluation Of Capitation Contracting In New York And California
29 Citations2001James C. Robinson, Lawrence P. Casalino
In both California, where global and shared risk capitation have been common, and New York, where they have not, there is movement to reduce the scope of prepayment and a rethinking of the delegated contractual relationship by physician organizations and health plans.
Health AffairsQuality Of Care For Coronary Heart Disease In Two Countries
13 Citations2001John Z. Ayanian, Tom Quinn
Recent strategies for improving quality of care for coronary heart disease in each country are reviewed, including clinical guidelines; national standards; performance reports; benchmarking, feedback, and professional leadership; and market-oriented approaches.