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A Review of the Evidence of Third Sector Performance and Its Relevance for a Universal Comprehensive Health System

Published online by Cambridge University Press:  03 September 2010

Elke Heins ,
David Price ,
Allyson M. Pollock ,
Emma Miller ,
John Mohan  and
Jean Shaoul
Elke Heins
Affiliation:
School of Social and Political Studies, University of Edinburgh E-mail: [email protected]
David Price
Affiliation:
Centre for International Public Health Policy, University of Edinburgh
Allyson M. Pollock
Affiliation:
Centre for International Public Health Policy, University of Edinburgh
Emma Miller
Affiliation:
Glasgow School of Social Work, University of Strathclyde
John Mohan
Affiliation:
School of Social Sciences, University of Southampton
Jean Shaoul
Affiliation:
Manchester Business School, University of Manchester
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Abstract

UK policy promotes third sector organisations as providers of NHS funded health and social care. We examine the evidence for this policy through a systematic literature review. Our results highlight several problems of studies comparing non-profits with other provider forms, questioning their usefulness for drawing lessons outside the place of study. Most studies deem contextual factors and the regulatory framework in which providers operate as much more important than ownership form. We conclude that the literature does not support the policy of a larger role for the third sector in healthcare, let alone a switch to a market-based system.

Type
Articles
Information
Social Policy and Society , Volume 9 , Issue 4 , October 2010 , pp. 515 - 526
Copyright
Copyright © Cambridge University Press 2010

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References

Alchian, A. A. and Demsetz, H. (1973), ‘The property right paradigm’, Journal of Economic History, 33, 1, 16–27.CrossRefGoogle Scholar
Arrow, K. (1963), ‘Uncertainty and the welfare economics of medical care’, The American Economic Journal, 53, 5, 941–73.Google Scholar
Becker, E. R. and Potter, S. J. (2002), ‘Organisational rationality, performance, and social responsibility: Results from the hospital industry’, Journal of Health Care Finance, 29, 1, 23–48.Google ScholarPubMed
Bennett, J., Iossa, E. and Legrenzi, G. (2003), ‘The role of commercial non-profit organisations in the provision of public services’, Oxford Review of Economic Policy, 19, 2, 335–47.CrossRefGoogle Scholar
Berta, W., Laporte, A. and Valdmanis, V. (2005), ‘Observations on institutional long-term care in Ontario: 1996–2002’, Canadian Journal on Aging, 24, 71–84.CrossRefGoogle ScholarPubMed
Castle, N. G. (2005), ‘Facility charter and quality of care for board and care residents’, Journal of Health and Social Policy, 20, 1, 23–42.CrossRefGoogle Scholar
Chalkley, M. and Malcomson, J. M. (1998), ‘Contracting for health services when patient demand does not reflect quality’, Journal of Health Economics, 19, 1–19.CrossRefGoogle Scholar
Currie, G., Donaldson, C. and Lu, M. S. (2003), ‘What does Canada profit from the for-profit debate on health care?’, Canadian Public Policy-Analyse de Politiques, 29, 227–51.CrossRefGoogle Scholar
Dellana, S. A. and Glascoff, D. W. (2001), ‘The impact of health plan profit status on consumer satisfaction with health care’, Journal of Nonprofit and Public Sector Marketing, 9, 3, 1–19.CrossRefGoogle Scholar
Demsetz, H. (1967), ‘Toward a theory of property rights’, The American Economic Review, 57, 2, 347–59.Google Scholar
Department of Health (2006), Our Health, Our Care, Our Say: A New Direction for Community Services, Cm 6737, London: HMSO.Google Scholar
Department of Health (2008), ‘The Social Enterprise Investment Fund’, available at www.dh.gov.uk/en/Policyandguidance/Organisationpolicy/Commissioning/Socialenterprise/DH_073426, last modified date 12 May 2008; accessed on 25 May 2008.Google Scholar
Devereaux, P. J., Choi, P. T. L., Lacchetti, C., Weaver, B., Schünemann, H. J., Haines, T. et al. (2002), ‘A systematic review and meta-analysis of studies comparing mortality rates of private for-profit and private not-for-profit hospitals’, Canadian Medical Association Journal, 166, 1399–406.Google ScholarPubMed
Green, A., Showstack, J., Rennie, D. and Goldman, L. (2005), ‘The relationship of insurance status, hospital ownership, and teaching status with interhospital transfers in California in 2000’, Academic Medicine, 80, 8, 774–9.CrossRefGoogle ScholarPubMed
Hansmann, H. B. (1980), ‘The role of nonprofit enterprise’, Yale Law Journal, 89, 835–901.CrossRefGoogle Scholar
Hansmann, H. B., Kessler, D. and McChellan, M. (2002), ‘Ownership form and trapped capital in the hospital industry’, NBER Working Paper No. 8989, 1–39.CrossRefGoogle Scholar
Harrington, C., Woolhandler, S., Mullan, J., Carillo, H. and Himmelstein, D. U. (2001), ‘Does investor ownership of nursing homes compromise the quality of care?’, American Journal of Public Health, 91, 1452–5.CrossRefGoogle ScholarPubMed
Haugh, H. and Kitson, M. (2007), ‘The Third Way and the third sector: New Labour's economic policy and the social economy’, Cambridge Journal of Economics, 31, 6, 973–94.CrossRefGoogle Scholar
HM Treasury (2002), The Role of the Voluntary and Community Sector in Service Delivery: A Cross Cutting Review, London: HM Treasury.Google Scholar
HM Treasury (2004), ‘Exploring the role of the third sector in public service delivery and reform: a discussion document’, available at www.hm-treasury.gov.uk/media/3/E/vcs_thirdsector210205.pdf, accessed 19 June 2007.Google Scholar
HM Treasury (2006), Improving Financial Relationships with the Third Sector: Guidance to Funders and Purchasers, London: HM Treasury.Google Scholar
Horwitz, J. R. (2003), ‘Why we need the independent sector: the behavior, law, and ethics of nonprofit hospitals’, UCLA Law Review, 50, 6, 1345–411.Google Scholar
Horwitz, J. R. (2005), ‘Making profits and providing care: comparing nonprofit, for-profit, and government hospitals’, Health Affairs, 24, 3, 790–801.CrossRefGoogle ScholarPubMed
Mohan, J. (1984), ‘Geographical aspects of private hospital developments in Britain’, Area, 16, 191–9.Google Scholar
Mohan, J. (1985), ‘Independent acute medical care in Britain: its organisation, location and prospects’, International Journal of Urban and Regional Research, 9, 475–93.CrossRefGoogle Scholar
Mohan, J. (2002), Planning, Markets and Hospitals, London: Routledge.CrossRefGoogle Scholar
Monitor (2008), ‘Foundation Trust sector continues to grow’, press release from 1 May 2008, available at www.monitor-nhsft.gov.uk/news.php?id=1125, accessed on 11 July 2008.Google Scholar
Mossialos, E. and Le Grand, J. (1999), ‘Cost containment in the European Union: an overview’, in Mossialos, E. and Le Grand, J. (eds.), Health Care and Cost Containment in the European Union, Aldershot: Ashgate, pp. 1–154.Google Scholar
New York Academy of Medicine, Division of Health and Science Policy (1999), ‘The empirical literature comparing for-profit and nonprofit hospitals, managed care organisations and nursing homes: updating the Institute of Medicine Study’, The Academy of Medicine, New York.Google Scholar
NHS (2000), The NHS Plan: A Plan for Investment, A Plan for Reform, Cm 4181–I, London: NHS.Google Scholar
NHS (2006), ‘Consultation on core principles for everyone providing care to NHS patients’, available at www.dh.gov.uk/en/Consultations/Closedconsultations/DH_064732, accessed 4 April 2007.Google Scholar
NHS Primary Care Contracting (2006), Primary Medical Services Contracts: A Guide for Potential Contractors, London: NHS Primary Care Contracting.Google Scholar
Rathgeb Smith, S. and Lipsky, M. (1993), Nonprofits for Hire: The Welfare State in the Age of Contracting, Cambridge, MA: Harvard University Press.CrossRefGoogle Scholar
Saltman, R., Busse, R. and Mossialos, E. (eds.) (2002), Regulating Entrepreneurial Behaviour in European Health Care Systems, Buckingham: Open University Press.Google Scholar
Sikorska-Simmons, E. (2005), ‘Facility ownership and resident satisfaction with assisted living’, Journal of Housing for the Elderly, 19, 1, 23–40.CrossRefGoogle Scholar
Third Sector Commissioning Task Force (2006), ‘No excuses: embrace partnership now – step towards change!’, Report of the Third Sector Commissioning Task Force, Department of Health, London.Google Scholar
US Census Bureau (2007), Income, Poverty and Health Insurance Coverage in the United States: 2006, Washington, DC: US Government Printing Office.Google Scholar
Watson, M. and Hay, C. (2003), ‘The discourse of globalisation and the logic of no alternative: rendering the contingent necessary in the political economy of new labour’, Policy and Politics, 31, 3, 289–305.CrossRefGoogle Scholar
Williamson, O. (1985), The Economic Institutions of Capitalism, New York: Free Press.Google Scholar