title: Primary care trusts. States of flux.
abstract: Primary care trusts are similar to US health maintenance organisations in that they act as both commissioners and providers of services. There are already innovative primary care organisations in the NHS and the private sector that can be classed as embryonic PCTs. Experience of these organisations, assessed in relation to HMOs, can inform the development of PCTs.
authors.affiliation: Health Services Management Centre, Birmingham University.
authors.forename: M
authors.initials: M
authors.lastname: Devlin
authors.forename: J
authors.initials: J
authors.lastname: Smith
mesh_terms: D019090:Case Management; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D006279:Health Maintenance Organizations / Q000458:organization & administration; D006779:Hospitals, Public / Q000458:organization & administration; D017146:Models, Organizational; D019982:Organizational Case Studies; D009936:Organizational Innovation; D010865:Pilot Projects; D011320:Primary Health Care / Q000458:organization & administration*; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom