Abstract
Over the recent past there has been a fundamental reassessment of the role of the public sector and the level of public expenditure in all the industrialised countries. To some extent this reassessment has been associated with — indeed has been a result of — the continued growth of public expenditure during the post-war period. Policy concerns are increasingly directed at the evaluation of the costs and benefits associated with the Welfare State. As importantly, however, this reassessment has occurred because the growth has been accompanied by a significant change in composition, largely away from expenditure on goods and services towards transfer payments. This change in composition has also reflected a move away from the provision of traditional public goods (e.g. defence) towards those associated with the growth of the Welfare State, which has provided benefits on an individualistic basis and where redistributive concerns are dominant.
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References
Arrow, K. (1963). Uncertainty and the welfare economics of medical care. American Economic Review, 53, 941–73
Berki, S. (1983). The design of case-based hospital payment systems. Medical Care, 21, 1–13
Department of Health and Social Security (1983). Performance Indicators: National Summary for 1981. DHSS, London
Evans, R. G. (1981). Incomplete vertical integration; the distinctive structure of the health care industry. In van der Gaag, J. and Perlman, M. (Eds.), Health, Economics and Health Economics. North-Holland, Amsterdam
Evans, R. G. (1984). Strained Mercy: The Economics of the Canadian Health Care System. Butterworths, Toronto
Hall, M. and Whinston, C. (1959). The ambiguous notion of efficiency. Economic Journal, 69, 71–88
Harris, J. (1977). The internal organisation of the hospital; some economic implications. The Bell Journal of Economics, 8, 467–82
HMSO (1979). Royal Commission on the National Health Service, cmnd. 7615. HMSO, London
McGuire, A., Henderson, J. and Mooney, G. (1988). The Economics of Health Care: An Introductory Text. Routledge and Kegan Paul, London
Mugford, M. et al. (1988a). Factors affecting the outcome of maternity care. I. The relationship between staffing and perinatal birth at the hospital of birth. Journal of Epidemiology and Community Health, 42, 157–69
Mugford, M. et al. (1988b). Factors affecting the outcome of maternity care. II. Neonatal outcomes and resources beyond the hospital birth. Journal of Epidemiology and Community Health, 42, 170–6
Weisbrod, B. (1978). Comment on M. Pauly. In Greenberg, W. (Ed.), Competition in the Health Care Sector. Proceedings of a conference sponsored by the Bureau of Economics, Federal Trade Commission. Aspen Systems, Germanstown
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McGuire, A. (1990). Measuring Performance in the Health Care Sector: the Whys and the Hows. In: Andersen, T.F., Mooney, G. (eds) The Challenges of Medical Practice Variations. Economic Issues in Health Care. Palgrave, London. https://doi.org/10.1007/978-1-349-20781-7_6
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DOI: https://doi.org/10.1007/978-1-349-20781-7_6
Publisher Name: Palgrave, London
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