Morality and Markets in the NHS
Since its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2014-12-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/pdf_2921_bf419e7bacdf439fade685014bda81f7.html |
| _version_ | 1818353960815165440 |
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| author | Barnabas J Gilbert Emma Clarke Laurence Leaver |
| author_facet | Barnabas J Gilbert Emma Clarke Laurence Leaver |
| author_sort | Barnabas J Gilbert |
| collection | DOAJ |
| description | Since its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS has become a much loved, if much critiqued, national treasure. It is against this backdrop that the role of this state-funded health service has been brought into moral question. Certainly, the challenges facing healthcare policy-makers are numerous and complex, but in the wake of the Health and Social Care Act (2012), no issue is more divisive than that of market-based reform. Here we explore the turbulent history of the NHS, from its foundation to the birth of the healthcare marketplace. We explore arguments for and against the healthcare market and resolve that, amid an evolving economic and moral framework, the NHS must ensure that its original tenets of equity and autonomy remain at its core. We propose a values-explicit, systems-based approach to renew focus on both the processes and the outcomes of care. |
| first_indexed | 2024-12-13T19:17:50Z |
| format | Article |
| id | doaj.art-0e76286b8418460c815e58a1614a78e9 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-12-13T19:17:50Z |
| publishDate | 2014-12-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-0e76286b8418460c815e58a1614a78e92022-12-21T23:34:15ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392014-12-013737137610.15171/ijhpm.2014.123Morality and Markets in the NHSBarnabas J Gilbert0Emma Clarke1Laurence Leaver2Harvard University, Cambridge, MA, USAGreen Templeton College, University of Oxford, Oxford, UKGreen Templeton College, University of Oxford, Oxford, UKSince its establishment in 1948, the history of the National Health Service (NHS) has been characterized by organisational turbulence and system reform. At the same time, progress in science, medicine and technology throughout the western world have revolutionized the delivery of healthcare. The NHS has become a much loved, if much critiqued, national treasure. It is against this backdrop that the role of this state-funded health service has been brought into moral question. Certainly, the challenges facing healthcare policy-makers are numerous and complex, but in the wake of the Health and Social Care Act (2012), no issue is more divisive than that of market-based reform. Here we explore the turbulent history of the NHS, from its foundation to the birth of the healthcare marketplace. We explore arguments for and against the healthcare market and resolve that, amid an evolving economic and moral framework, the NHS must ensure that its original tenets of equity and autonomy remain at its core. We propose a values-explicit, systems-based approach to renew focus on both the processes and the outcomes of care.http://www.ijhpm.com/pdf_2921_bf419e7bacdf439fade685014bda81f7.htmlNational Health Service (NHS)MarketplaceMorality |
| spellingShingle | Barnabas J Gilbert Emma Clarke Laurence Leaver Morality and Markets in the NHS International Journal of Health Policy and Management National Health Service (NHS) Marketplace Morality |
| title | Morality and Markets in the NHS |
| title_full | Morality and Markets in the NHS |
| title_fullStr | Morality and Markets in the NHS |
| title_full_unstemmed | Morality and Markets in the NHS |
| title_short | Morality and Markets in the NHS |
| title_sort | morality and markets in the nhs |
| topic | National Health Service (NHS) Marketplace Morality |
| url | http://www.ijhpm.com/pdf_2921_bf419e7bacdf439fade685014bda81f7.html |
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