Glennerster H, Le Grand J
Welfare State Programme Suntory-Toyota International Centre for Economics and Related Disciplines London School of Economics, England.
Int J Health Serv. 1995;25(2):203-18. doi: 10.2190/GGF3-JQ88-Y5AA-A35D.
In the late 1980s, governments in many western economies began to introduce competition between public agencies providing health, education, and other forms of social welfare. Government became a contracting agency separating funding from provision. The United Kingdom went farthest in legislation passed between 1988 and 1990. The authors review some possible explanations for this fundamental change. The article draws on public choice theory and broader political science approaches and reviews the evidence on the impact of the changes. The gains from these changes may be small, and the result may be only the build up of pressure for more spending in the longer term.
20世纪80年代末，许多西方经济体的政府开始在提供医疗、教育和其他社会福利形式的公共机构之间引入竞争。政府成为了一个将资金与服务提供分离的签约机构。英国在1988年至1990年间通过的立法中走得最远。作者们审视了这一根本性变化的一些可能解释。本文借鉴了公共选择理论和更广泛的政治学方法，并审视了有关这些变化影响的证据。这些变化带来的收益可能很小，结果可能只是在长期内积累了更多支出的压力。
