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Beschreibung
How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are often low quality, inefficiently run, unresponsive to their users, and inequitable in their distribution. In this book, Julian Le Grand argues that the best solution is to offer choice to users and to encourage competition among providers. Le Grand has just completed a period as policy advisor working within the British government at the highest levels, and from this he has gained evidence to support his earlier theoretical work and has experienced the political reality of putting public policy theory into practice. He examines four ways of delivering public services: trust; targets and performance management; "voice"; and choice and competition. He argues that, although all of these have their merits, in most situations policies that rely on extending choice and competition among providers have the most potential for delivering high-quality, efficient, responsive, and equitable services. But it is important that the relevant policies be appropriately designed, and this book provides a detailed discussion of the principal features that these policies should have in the context of health care and education. It concludes with a discussion of the politics of choice.
How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are often low quality, inefficiently run, unresponsive to their users, and inequitable in their distribution. In this book, Julian Le Grand argues that the best solution is to offer choice to users and to encourage competition among providers. Le Grand has just completed a period as policy advisor working within the British government at the highest levels, and from this he has gained evidence to support his earlier theoretical work and has experienced the political reality of putting public policy theory into practice. He examines four ways of delivering public services: trust; targets and performance management; "voice"; and choice and competition. He argues that, although all of these have their merits, in most situations policies that rely on extending choice and competition among providers have the most potential for delivering high-quality, efficient, responsive, and equitable services. But it is important that the relevant policies be appropriately designed, and this book provides a detailed discussion of the principal features that these policies should have in the context of health care and education. It concludes with a discussion of the politics of choice.
Über den Autor
Julian Le Grand
Afterwords by Alain Enthoven and Lord David Lipsey
Inhaltsverzeichnis
Acknowledgements ix
INTRODUCTION 1
CHAPTER ONE: Ends and Means 6
CHAPTER TWO: Choice and Competition 38
CHAPTER THREE: School Education 63
CHAPTER FOUR: Health Care 94
CHAPTER FIVE: New Ideas 127
CHAPTER SIX: The Politics of Choice 156
AFTERWORDS: Alain Enthoven: An American Perspective 169
David Lipsey: A Sceptic's Perspective 174
Further Reading 180
Bibliography 183
Details
Erscheinungsjahr: 2007
Genre: Importe, Politikwissenschaften
Rubrik: Wissenschaften
Medium: Taschenbuch
Inhalt: Einband - flex.(Paperback)
ISBN-13: 9780691129365
ISBN-10: 0691129363
Sprache: Englisch
Einband: Kartoniert / Broschiert
Autor: Le Grand, Julian
Hersteller: Princeton University Press
Verantwortliche Person für die EU: Libri GmbH, Europaallee 1, D-36244 Bad Hersfeld, gpsr@libri.de
Maße: 216 x 140 x 12 mm
Von/Mit: Julian Le Grand
Erscheinungsdatum: 19.08.2007
Gewicht: 0,3 kg
Artikel-ID: 102043072

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