Suchergebnisse

"Health care systems across the world are in a state of permanent revolution as they struggle to cope with multiple pressures arising from changing demography, new technologies and limited resources. Focusing on the British National Health Service (NHS), this book offers a fresh look at how it has coped with such pressures over its 60-year history and considers what the future holds. The book explores the complexity of health policy and health services, offering a critical perspective on their development." "A number of tensions are evident in contemporary health policy and the book is organised around a selection of these, including: the funding of health systems and the changing mix of public and private arrangements; the capture of medicine by management; the imbalance between health and health care; and the growing emphasis on markets and competition in health care systems." "The health debate offers a lively and accessible reassessment of successive reforms of the NHS and their cyclical nature. Two unique features of the book are its breadth and the assembly in one publication of a range of interrelated, and largely unresolved, policy puzzles. It will appeal to all students of health care and health policy and to policy makers and health care professionals."--Jacket

The Haygarth Lectures, named in honour of the pioneering local physician John Haygarth, are sponsored by the Cheshire Primary Care Trusts, the University of Chester and Cheshire County Council. This, the inaugural lecture, offers a critique of government policy in the field of public health from 1997 to the present, concentrating on the effects of the influence of neo-liberal economic thinking on the development of policies and the resulting marketization of services

Health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. Understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. The theory-policy-practice-gap and its four dimensions, as articulated by Chinitz and Rodwin, is acknowledged. It is suggested that insights derived from political science can both enrich our understanding of the gap and suggest what changes are needed to tackle the complex challenges facing health systems.

The death of the English National Health Service (NHS) may be slow in coming but that does not mean that it is not the Conservative-led UK government's desired end state. The government is displaying tactical cunning in achieving its long-term purpose to remould the British state. Powell seeks greater clarity amidst the confusion but the lack of clarity is a principal weapon in the government's assault on the public realm, including the NHS. Moreover, there is ample supporting evidence to caution against Powell's tendency to complacency concerning the ultimate fate of the NHS.

Julian Tudor Hart's latest book hauls New Labour's NHS reforms over the coals and laments the fact that so few doctors have the heart to fight back