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What market-based patient choice can’t do for the NHS

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The theory and evidence of how choice works in health care  Introduction 1. Patient and user choice is at the forefront of the debate about the future direction of the provision of health and other public services in many industrialised countries. Specifically, in publicly funded and provided health care systems, where choice has been, or is perceived to have been historically lacking, increasing it has become a key policy objective. Introducing choice is also often seen as a response to a demand for individualised services on the part of the middle class. In other systems, however, the rising costs of [...]
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