Introducing purchaser/provider separation in the Catalan Health Administration: A budget analysis
成果类型：
Article
署名作者：
Gallego, R
署名单位：
Autonomous University of Barcelona
刊物名称：
PUBLIC ADMINISTRATION
ISSN/ISSBN：
0033-3298
DOI：
10.1111/1467-9299.00213
发表日期：
2000
页码：
423-442
关键词：
摘要：
This article examines the extent to which the Catalan reform launched in 1990 effectively introduced the purchaser/provider separation within the public health administration. The reform had two formulation sources: a law passed by the Catalan Parliament, which left this principle vague, and a further 'new public management' discourse, which interpreted the law in terms of a clear purchaser/provider separation. This study uses Dunleavy's (1991) analytical model of agency types to compare the impact of the reform on the budget structures of the health administration agencies affected - namely, the Department of Health and Social Security, the Catalan Health Service and the Catalan Health Institute. The data show that while the provider role was clearly defined and implemented, the purchaser role was not. Instead, the role of the health authority embodied the complex blend of functions established by the text of the law, which was also reflected in its budget structure, and which blurred the separation between purchaser and provider.
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