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United Kingdom (Scotland): health system review

Steele, David and Cylus, Jonathan ORCID: 0000-0001-8269-1578 (2012) United Kingdom (Scotland): health system review. Health Systems in Transition, 14 (9). pp. 1-150. ISSN 1817-6119

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Over the last decade, Scotland’s health system has increasingly diverged from the health system in England. Scotland has pursued an approach stressing integration and partnership among all parts of its NHS as opposed to an English approach in part driven by market forces. Comparatively fewer organizational and structural changes, in addition to consistent policy objectives, have provided a strong launching pad for achieving improvement. Substantial increases in funding have led to significant growth in the clinical workforce and numerous performance targets have been set to improve population health, the quality and outcomes of health care, and the efficiency of the health system. As a result, Scotland has made well-documented progress in terms of population health and the quality and effectiveness of care. However, a number of challenges remain. More progress is needed to close the gap in health status between Scotland and other developed countries, and to address persistent inequalities in health within Scotland. As in many other countries, increased fiscal pressures may make it difficult to maintain current levels of health care quantity and quality in future.

Item Type: Article
Official URL:
Additional Information: © 2012 World Health Organization, on behalf of the European Observatory on Health Systems and Policies
Divisions: Lifecourse, Ageing & Population Health
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HG Finance
R Medicine > RA Public aspects of medicine
Date Deposited: 11 Apr 2013 15:57
Last Modified: 11 Jun 2024 18:12

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