title: [Not Available].
abstract: Outsourcing and privatization of healthcare services are analyzed from Management and Economics perspectives, exploring form the Transaction Costs theory four types of outsourcing: centres, clinical services, diagnostic-therapeutic support services, and ancillary services. Potential effects of externalization are analysed, addressing the advantages and risks, and putting it into the context of the Spanish NHS. Some final remarks are made regarding policy and research agenda.
authors.affiliation: Departamento de Planificación y Economía de la Salud. Escuela Nacional de Sanidad. Instituto de Salud Carlos III. Madrid. España. Electronic address: jrepullo@isciii.es.
authors.forename: José R
authors.initials: JR
authors.lastname: Repullo