000			01216pab a2200157 454500
008			180718b2001 xxu||||| |||| 00| 0 eng d
100			_aKay, Adrian
245			_aBeyond policy community - the case of the GP fundholding scheme
260			_c2001
300			_ap.561-77
520			_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
650			_aHealth services - Great Britain
650			_aHealth services
773			_aPublic Administration
909			_a50404
999			_c50404 _d50404