ISSN 0256-5004 (Print)

AIMS Journal, 2014, Vol 26. No 3

Allyson Pollock in her article, Primary Care – From Fundholding to Health Maintenance Organisation?¹ describes HMOs in this way:

In the United States, Health Maintenance Organisations (HMOs) have become large for-profit multibillion dollar businesses. Some of them are owned by doctors, who in turn employ and salary or contract with other doctors. HMOs have three features:

First, they combine the insurance function with the provider function.

Second, they do not provide universal coverage: as provider organisations they are free to pick, choose and select the patients they will cover on the basis of risk. Because of this they neither serve local geographic areas, nor do they have any direct accountability to local communities.

Third, they are not restricted in size and are free to compete for patients and populations and buy-out competing services. In many deprived inner city areas, this has led to the buy-out and closure of local services because they are unprofitable and public hospitals are left to serve the most vulnerable groups without the benefit of pooling risk. In many cities, these public hospitals are also threatened and being closed, leaving virtually no safety net for the poor and the forty million unemployed.


1. Pollock AM (1998) Primary Care – From Fundholding to Health Maintenance Organisation? NHS Doctor and Commissioning GP p6-7 available at

Latest Content


« »

Obituary of Mary Cronk, 1932-2018

AIMS Journal, 2019, Vol 30, No 4 Mary Cronk’s family announced that Mary had passed away on the morning of 21st December 2018. She was known nationally, and international…

Read more

Book Review: When Survivors Give Bi…

ISBN 978-1-594040221 Complete list of book reviews on the AIMS website AIMS Journal, 2019, Vol 30, No 4 Reviewed for AIMS by Kicki Hansard Published in 2004 ISBN 978-1594…

Read more

Book Review: Traumatic Childbirth b…

Complete list of book reviews on the AIMS website AIMS Journal, 2019, Vol 30, No 4 Reviewed by Mari Greenfield First edition, published 2013 ISBN 978-0415678100 272 pages…

Read more


« »

Women's Rights in Healthcare 2019

Speakers will discuss topics including: Post partum psychosis Maternal birth injury Menopause Transgender rights The health and wellbeing of ethnic minority women Female…

Read more

Trauma in Childbearing Conference

Speakers include: Sheena Byrom Jenny Patterson Laura Wood Shona McCann Geraldine Butcher Mary Ross Davie Michelle Wright Sue Hampson Birth Trauma Scotland Emma Currer Nur…

Read more

LCGB 2019 Conference

Lactation Consultants of Great Britain's 2019 Conference. More details from their Facebook event:

Read more

Latest Campaigns

« »

AIMS Response to MBRRACE-UK Report…

Download PDF MBRRACE-UK: Saving Lives, Improving Mothers’ Care MBRRACE-UK: Perinatal Mortality Surveillance report for births in 2016…

Read more

Implementing Better Births: Continu…

Download PDF Commissioners and providers across England, guided by their MVPs, are working across the country to implement sustainable Continuity of Carer models of care,…

Read more

Beverley Beech summarises the HIW's…

Focussing on the failings of the LSA in the case of Clare Fisher: The Healthcare Inspectorate Wales’ report (2013) Summarised by Beverley Beech In 2013, Healthcare Inspec…

Read more