Schisms in the church: National Health Service systems and institutional divergence in England and Wales.

@article{Hughes2008SchismsIT,
  title={Schisms in the church: National Health Service systems and institutional divergence in England and Wales.},
  author={David Hughes and Peter Vincent-Jones},
  journal={Journal of health and social behavior},
  year={2008},
  volume={49 4},
  pages={400-16}
}
Since devolution, the four countries of the United Kingdom have pursued strikingly different National Health Service (NHS) reforms. While England created a supply-side market more radical than the previous internal market system, Wales moved to a softer version of the purchaser/provider split emphasizing localism. This article deploys institutional theory to analyze the forces shaping change, and describes the hybrid forms of economic organization emerging, including the economic regulation… CONTINUE READING