Abstract

The 1990 re-structuring of public sector health care in the United Kingdom offered new opportunities and incentives to primary care physicians, in particular, the capacity for holding autonomous budgets (fundholding). Based on the concept of enterprise, the paper analyses the results of a large-scale national survey, with a view to illuminating economic attitudes and motivations amongst such physicians. It is discovered that physicians characterised as being more entrepreneurial were more likely to have opted for fundholding and to have initiated innovations in service development, although all types of physicians appeared to have responded predictably to simple financial incentives.

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