Table 1

Contrasting modes of commissioning

    Case-mix commissioning

    Surrogate planning


Managerial Performance

Case-mix modelling + audit + subscriber marketing.

Service planning for geographical population.

Negotiated order

Consensus, multi-stakeholder model + episode-based.

Principal-agent + micro-commissioning

Discursive control

Emic solidarity + juridical rights + case-mix data.

Emic political authority + EBM

Financial incentives

Fixed tariffs.

Pay for performance (defined prospectively) + ad hoc + fixed tariffs.

Provider competition

None: referral 'framing' at most.

Competition or bilateral monopoly.

Juridical

Comprehensive regulation + administrative law.

Unwritten constitution + common law.


Sheaff et al. BMC Health Services Research 2013 13(Suppl 1):S8   doi:10.1186/1472-6963-13-S1-S8

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