Health and health care in Britain:
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Basingstoke [u.a.]
Macmillan
1998
|
| Ausgabe: | 2. ed., rev. and updated |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIII, 370 S. graph. Darst. |
| ISBN: | 0333694767 |
Internformat
MARC
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| 264 | 1 | |a Basingstoke [u.a.] |b Macmillan |c 1998 | |
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Datensatz im Suchindex
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|---|---|
| adam_text | List of Tables, Figures and Exhibits viii
Preface to the Second Edition x
List of Abbreviations xii
1 Health and Illness 1
Defining health 1
Health trends and variations 3
Social structure and health 16
Conclusion 24
2 Medicine and the Medical Profession 26
Medicine 26
The medical profession 39
Conclusion 52
3 Critical Perspectives on Health Care 53
The economic critique 53
Technological pessimists 64
Marxist and other socialist perspectives 70
The feminist critique 75
Iatrogenesis: Illich s thesis 79
Conclusion 85
4 The Evolution of the British Health Care System 86
The health care system before the NHS 86
The creation of a National Health Service 91
The experience of the NHS: 1948 79 96
Thatcherism and health care 102
5 The British Health Care System Today 105
Health care systems 105
The British health care system 107
Funding the health care system 127
v
vi Contents
6 The Management of Health Care 132
The 1982 reorganisation 132
The Griffiths Inquiry: towards a new model of management 133
The management of health authorities and trusts 135
Management and the professions 142
Central local relations 152
Conclusion 158
7 Resourcing Health Care 160
Privatisation 160
Public expenditure on health care 175
Efficiency, audit and rationing 180
Conclusion 186
8 Commissioning and Providing Health Care 188
NHS: crisis and review 188
Working for Patients 191
The impact of the internal market 195
The evolution of the internal market 203
Reversing the reforms? 208
Conclusion 209
9 Primary Health Care 210
What is primary health care? 210
The problems of primary care 211
Primary health care in the 1980s 213
The implementation of Promoting Better Health 215
Further developments 220
Towards a primary care led NHS? 224
10 Care in the Community 228
Community care policies 228
Community care policies from the 1980s 230
Griffiths community care reforms 236
The impact of the Griffiths reforms 237
Conclusion 246
11 Health Care Users 248
Watchdogs and complaints procedures 248
The Patient s Charter 254
Participation by patients and the general public 264
Conclusion 269
Contents vii
12 The Health of the Nation 270
The fall and rise of the public health approach 270
Public health under the Conservatives 277
Towards a public health strategy? 282
The health strategy for England 286
Conclusion 295
13 Conclusion 2%
The challenges 296
The ideas and the reforms 296
A health care system for the 21st century? 299
The future 307
Further Reading 315
Bibliography 318
Index 359
¦ Table
7.1 Public and private sectors in health care 168
¦ Figures
1.1 The main causes of death in selected age groups, males
(England), 1995 7
1.2 Respondents reporting long standing illness (Great Britain),
1994 8
1.3 The increase in the elderly population (UK), percentage of
total population over 65 years old 9
1.4 The increase in the elderly population (UK), percentage of
total population over 80 years old 9
1.5 Per capita health and social care costs by age group
(England), 1989/90 10
1.6 Standardised mortality ratios (SMRs) of social classes,
males 15 64, England and Wales, 1976 89 18
4.1 The original National Health Service structure (England
and Wales), 1948 74 95
5.1 Health care systems 106
5.2 The Department of Health and the NHS Executive 114
5.3 The structure of the National Health Service 116
5.4 Proportion of health care privately funded (selected OECD
countries), 1995 128
5.5 Spending on inpatient care as a percentage of total health
care spending, 1970 90 129
6.1 Backgrounds of health authority and trust members,
chairpersons and non executives (England) 138
6.2 The NHS planning process (1998 9) 156
7.1 Cross national comparisons of health expenditure (selected
OECD countries), 1995 179
8.1 The internal market 191
viii
List of Tables, Figures and Exhibits ix
9.1 Hospital beds: average number available daily (all
specialties, 1978 94), England 223
10.1 Places in residential homes, by sector (UK) 233
¦ Exhibits
1.1 Standardised mortality ratios 17
2.1 Diabetes mellitus 28
2.2 Myalgic encephalomyelitis 33
2.3 Alternative medicine 36
2.4 Medical education and training 40
3.1 Types of efficiency 54
3.2 Evidence based medicine 56
3.3 QALYs (Quality Adjusted Life Years) 60
3.4 The Oregon experiment 62
3.5 New medical technologies 66
3.6 Equity in health care 76
3.7 Nurses and midwives: challenges to medicine? 80
5.1 The health care systems of France and the USA 108
7.1 Private finance and the NHS 170
7.2 Financial mismanagement in the NHS 183
8.1 Contracts for health care 193
8.2 Commissioning health services 207
9.1 Acute hospital reviews in London and other cities 226
10.1 The continuing care debate 242
10.2 Policy initiatives for mental illness 244
11.1 Patients Charters 256
11.2 Models of consumer power 264
12.1 World Health Organisation: Health for All by the Year
2000 284
12.2 The Health of the Nation: main targets and risk factor
targets 288
13.1 The Blair government s health policies 312
|
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| edition | 2. ed., rev. and updated |
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| illustrated | Illustrated |
| indexdate | 2024-07-09T18:52:15Z |
| institution | BVB |
| isbn | 0333694767 |
| language | English |
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| physical | XIII, 370 S. graph. Darst. |
| publishDate | 1998 |
| publishDateSearch | 1998 |
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| publisher | Macmillan |
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| spelling | Baggott, Rob Verfasser aut Health and health care in Britain Rob Baggott 2. ed., rev. and updated Basingstoke [u.a.] Macmillan 1998 XIII, 370 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Politique sanitaire - Grande-Bretagne ram Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Großbritannien (DE-588)4022153-2 gnd rswk-swf Großbritannien (DE-588)4022153-2 g Gesundheitswesen (DE-588)4020775-4 s DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009436781&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Baggott, Rob Health and health care in Britain Politique sanitaire - Grande-Bretagne ram Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4020775-4 (DE-588)4022153-2 |
| title | Health and health care in Britain |
| title_auth | Health and health care in Britain |
| title_exact_search | Health and health care in Britain |
| title_full | Health and health care in Britain Rob Baggott |
| title_fullStr | Health and health care in Britain Rob Baggott |
| title_full_unstemmed | Health and health care in Britain Rob Baggott |
| title_short | Health and health care in Britain |
| title_sort | health and health care in britain |
| topic | Politique sanitaire - Grande-Bretagne ram Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Politique sanitaire - Grande-Bretagne Gesundheitswesen Großbritannien |
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