title: Culture versus competition: the reforms of the British National Health Service.
abstract: This paper first examines the usefulness of the internal markets being proposed in NHS reforms. The impact of those reforms on hospitals and general practitioners (GPs) is then assessed. Finally, the long-term implications of replacing medical culture with competition are discussed.
authors.forename: R M
authors.initials: RM
authors.lastname: Scheffler
mesh_terms: D003431:Cross-Cultural Comparison; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D004465:Economic Competition / Q000639:trends; D005602:France; D005860:Germany, West; D006801:Humans; D008389:Marketing of Health Services / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D013222:State Medicine / Q000191:economics / Q000458:organization & administration / Q000639:trends*; D006113:United Kingdom; D014481:United States