How do purchasers’ control mechanisms affect healthcare outcomes? Cancer care services in the English National Health Service: Public Money & Management

Suvituulia Taponen, Saba Hinrichs-Krapels, Katri Kauppi

Research output: Contribution to journalArticleScientificpeer-review

Abstract

The purchaser–provider co-operation model is a way of increasing efficiency and quality in healthcare services. Risks associated with this model, including goal misalignment and information asymmetry, are managed through control mechanisms. Based on data from 12 clinical commissioning groups (purchasers of cancer care) in the English National Health Service, this paper describes the control mechanisms used to facilitate purchaser–provider co-operation and identifies good practices in using different control mechanisms. Effective control mechanisms were found to include stakeholder involvement (social control); co-operation and partnerships with providers (process control); and monitoring and service outcome measures for provider (outcome control). The paper fills an important gap in the literature—little scholarly attention has to date been paid about how purchaser and provider relationships are managed ex post and how performance is affected.
Original languageEnglish
Number of pages10
JournalPublic Money and Management
DOIs
Publication statusE-pub ahead of print - 22 Jan 2021
MoE publication typeA1 Journal article-refereed

Keywords

  • Agency theory
  • commissioning
  • contract management
  • control mechanisms
  • healthcare
  • NHS
  • public procurement
  • purchaser–provider

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