title: Clinical and economic consequences of patients as producers.
abstract: NHS market 'reforms' and the world-wide drift toward managed competition in health services rest on a fundamental misunderstanding of the nature of health production through medical and nursing care. Optimally efficient health production depends on a general shift of patients from their traditional role as passive or adversarial consumers, to become producers of healthy jointly with their health professionals, in an essentially co-operative rather than competitive public service.
authors.affiliation: University of Glasgow, Department of General Practice.
authors.forename: J T
authors.initials: JT
authors.lastname: Hart
mesh_terms: D003363:Cost Control / Q000639:trends; D005544:Forecasting; D018166:Health Care Reform / Q000191:economics*; D006801:Humans; D018854:Managed Competition / Q000191:economics*; D010358:Patient Participation / Q000191:economics*; D013222:State Medicine / Q000191:economics*; D006113:United Kingdom