01165pab a2200133 454500008004000000100001600040245006800056260000900124300001300133520080300146650003600949650002000985773002601005180718b2001   xxu||||| |||| 00| 0 eng d  aKay, Adrian  aBeyond policy community - the case of the GP fundholding scheme  c2001  ap.561-77  aThe paper examines the conception, implementation and abolition of the GP fundholding scheme, all within 10 years, for evidence of a changed style of health care policy-making.  A health care policy community, in which the interests of the medical profession were prominent, existed between 1948 and the mid-1980s.  The paper highlights the important factors in the breakdown of the policy community and traces the effect through to the negotiation, implementation and abolition of the GP fundholding scheme.  In particular, the role of evidence in health care policy-making has changed significantly.  A consequence of the collapse of the policy community has been that a `fold psychology' rather than evaluative evidence has guided some aspects of health care policy since the 1990s. - Reproduced  aHealth services - Great Britain  aHealth services  aPublic Administration