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How can we ensure high-quality public services such as health care and education? Governments spend huge amounts of public money on public services such as health, education, and social care, and yet the services that are actually delivered are often low quality, inefficiently run, unresponsive to their users, and inequitable in their distribution. In this book, Julian Le Grand argues that the best solution is to offer choice to users and to encourage competition among providers. Le Grand has just completed a period as policy advisor working within the British government at the highest levels, and from this he has gained evidence to support his earlier theoretical work and has experienced the political reality of putting public policy theory into practice. He examines four ways of delivering public services: trust; targets and performance management; "voice"; and choice and competition. He argues that, although all of these have their merits, in most situations policies that rely on extending choice and competition among providers have the most potential for delivering high-quality, efficient, responsive, and equitable services. But it is important that the relevant policies be appropriately designed, and this book provides a detailed discussion of the principal features that these policies should have in the context of health care and education. It concludes with a discussion of the politics of choice.

Education --- Health services administration --- Human services --- Medical care --- Municipal services --- Privatization --- School choice --- School management and organization --- Administration scolaire --- Écoles --- Éducation --- Privatisation --- Santé, Services de --- Service social --- Services municipaux --- Soins médicaux --- Marktwirtschaft. --- Öffentliche Dienstleistung. --- Wirtschaftsordnung. --- Concurrentie. --- Openbare dienstverlening. --- Economic aspects --- Aspect économique --- Choix --- Finances. --- Administration --- Finances --- Social service --- Finance. --- Educational administration --- Inspection of schools --- School administration --- School inspection --- School operation policies --- School organization --- Schools --- Choice of school --- Parents' choice of school --- School, Choice of --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Municipal services within corporate limits --- Public services --- Benevolent institutions --- Philanthropy --- Relief stations (for the poor) --- Social service agencies --- Social welfare --- Social work --- Inspection --- Management and organization --- Selection --- -Municipal services --- -Human services --- -Health services administration --- -School choice --- -School management and organization --- -361.941 --- Health care management --- Health services management --- Services, Human --- -Inspection --- -GB / United Kingdom - Verenigd Koninkrijk - Royaume Uni --- Sante, Services de --- Soins medicaux --- Municipal government --- Public utilities --- Educational planning --- Management --- Aspect economique --- Public health --- Administrative agencies --- Services publics --- Administration publique --- Valuation --- Marketing --- Reorganization --- Evaluation --- Réorganisation --- Administration, Educational --- Operation policies, School --- Policies, School operation --- Organization --- 361.941 --- 321.2 --- 350.0 --- 351.2 --- 351.3 --- GB / United Kingdom - Verenigd Koninkrijk - Royaume Uni --- US / United States of America - USA - Verenigde Staten - Etats Unis --- Economisch beleid van de overheid --- Organisatie van het openbaar bestuur: algemeenheden --- Openbare gezondheid. Milieubescherming. Milieuvervuiling --- Openbaar bestuur: onderwijs --- Children --- Education, Primitive --- Education of children --- Human resource development --- Instruction --- Pedagogy --- Schooling --- Students --- Youth --- Civilization --- Learning and scholarship --- Mental discipline --- Teaching --- Training --- Denationalization --- Contracting out --- Corporatization --- Government ownership