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Health Care

Julian Le Grand

in Motivation, Agency, and Public Policy: Of Knights and Knaves, Pawns and Queens

Published in print:
2003
Published Online:
April 2004
ISBN:
9780199266999
eISBN:
9780191600869
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/0199266999.003.0007
Subject:
Economics and Finance, Public and Welfare

Examines the development of robust incentive structures in health care, using two examples from British health care: the holding of budgets for hospital care by organisations of primary‐care ... More


Commissioning primary care services: concepts and practice

Imelda McDermott, Kath Checkland, Anna Coleman, Lynsey Warwick-Giles, Stephen Peckham, Donna Bramwell, Valerie Moran, and Oz Gore

in Commissioning Healthcare in England: Evidence, Policy and Practice

Published in print:
2020
Published Online:
September 2020
ISBN:
9781447346111
eISBN:
9781447346319
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781447346111.003.0005
Subject:
Public Health and Epidemiology, Public Health

Chapter 5 reports research on the more recent policy of allowing CCGs to commission primary care services. In 2014 CCGs were invited to volunteer to take on responsibility for commissioning services ... More


How the Government Created the Medical Profession

Robert I. Field

in Mother of Invention: How the Government Created "Free-Market" Health Care

Published in print:
2013
Published Online:
January 2014
ISBN:
9780199746750
eISBN:
9780199354528
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780199746750.003.0005
Subject:
Public Health and Epidemiology, Public Health

American physicians have not always enjoyed the high incomes and social standing they do today. The American Medical Association worked with state governments in the late nineteenth and early ... More


Doctors in the driving seat? Reforms in NHS primary care and commissioning

Elke Heins

in Social Policy Review 25: Analysis and debate in social policy, 2013

Published in print:
2013
Published Online:
January 2014
ISBN:
9781447312741
eISBN:
9781447312857
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781447312741.003.0003
Subject:
Social Work, Social Policy

In Chapter Three, Elke Heins examines NHS reforms in relation to primary care and commissioning, principally through the government's Health and Social Care Act 2012. Taking effect in April 2013, the ... More


A Principled Approach to Essential Health-Care Delivery System Reforms

Gunnar Almgren

in Health Care as a Right of Citizenship: The Continuing Evolution of Reform

Published in print:
2017
Published Online:
January 2019
ISBN:
9780231170130
eISBN:
9780231543316
Item type:
chapter
Publisher:
Columbia University Press
DOI:
10.7312/columbia/9780231170130.003.0006
Subject:
Political Science, Public Policy

The basic premise of this chapter is that we have at our disposal a wealth of evidence-based knowledge of critical health care delivery strategies that would, if implemented on a large scale, yield ... More


Going to the Doctor

Muriel R. Gillick M.D.

in Old and Sick in America: The Journey through the Health Care System

Published in print:
2017
Published Online:
May 2018
ISBN:
9781469635248
eISBN:
9781469635255
Item type:
chapter
Publisher:
University of North Carolina Press
DOI:
10.5149/northcarolina/9781469635248.003.0001
Subject:
Palliative Care, Palliative Medicine and Older People

This chapter describes paradigmatic office visits for an older patient. These visits are short, driven by the concern with physicians to perform well on quality indicators and on the demands of ... More


The Secondary Effects of Primary Health Care

Tine Hanrieder

in International Organization in Time: Fragmentation and Reform

Published in print:
2015
Published Online:
October 2015
ISBN:
9780198705833
eISBN:
9780191775246
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780198705833.003.0004
Subject:
Political Science, International Relations and Politics

This chapter examines how the Primary Health Care (PHC) reform initiated by director-general Halfdan Mahler (1973–1988) yielded increasing returns to regional power. While the reform’s policy goals ... More


Clinically led commissioning: past, present and future?

Kath Checkland, Anna Coleman, Imelda McDermott, and Stephen Peckham

in Dismantling the NHS?: Evaluating the Impact of Health Reforms

Published in print:
2016
Published Online:
May 2017
ISBN:
9781447330226
eISBN:
9781447330271
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781447330226.003.0008
Subject:
Political Science, UK Politics

One of the key elements of the Health and Social Care Act 2010 (HSCA 2012) was the transfer of responsibility for commissioning healthcare services from managerially led Primary Care Trusts (PCTs) to ... More


State, Community, and Primary Health Care: Empowering or Disempowering Discourses?

Ritu Priya

in Equity and Access: Health Care Studies in India

Published in print:
2018
Published Online:
July 2019
ISBN:
9780199482160
eISBN:
9780199097746
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/oso/9780199482160.003.0002
Subject:
Sociology, Health, Illness, and Medicine, Social Stratification, Inequality, and Mobility

The chapter reconstructs a narrative of health services development in post-Independence India by examining relationships of the state, community, and Primary Health Care approach through existing ... More


The making of a cornerstone

Julian M. Simpson

in Migrant Architects of the NHS: South Asian doctors and the reinvention of British general practice (1940s-1980s)

Published in print:
2018
Published Online:
September 2019
ISBN:
9781784991302
eISBN:
9781526135841
Item type:
chapter
Publisher:
Manchester University Press
DOI:
10.7228/manchester/9781784991302.003.0002
Subject:
History, History of Science, Technology, and Medicine

Chapter 1 describes the evolution of British general practice between the 1940s and the 1980s, a period during which it took on a role as the ‘cornerstone’ of the NHS. In the years that immediately ... More


Rural dementia research in Canada

Debra Morgan, Julie Kosteniuk, Megan E. O’Connell, Norma Stewart, and Andrew Kirk

in Remote and Rural Dementia Care: Policy, Research and Practice

Published in print:
2020
Published Online:
January 2021
ISBN:
9781447344957
eISBN:
9781447345350
Item type:
chapter
Publisher:
Policy Press
DOI:
10.1332/policypress/9781447344957.003.0005
Subject:
Social Work, Health and Mental Health

Although rural Canada makes up 95% of the country’s land mass, Canada is becoming increasingly urbanized as cities grow and the rural proportion has declined and aged. These changes have ... More


Transformation of the Nonphysician Health Professions

Joanne Spetz, James F. Cawley, and Jon Schommer

in The Healthcare Professional Workforce: Understanding Human Capital in a Changing Industry

Published in print:
2016
Published Online:
September 2016
ISBN:
9780190215651
eISBN:
9780190215682
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780190215651.003.0004
Subject:
Public Health and Epidemiology, Public Health

Policymakers and healthcare leaders have highlighted the potential for nurse practitioners, physician assistants, and pharmacists to play a larger role in meeting healthcare needs. Each of these ... More


Allocating Health Care Resources in the UK: Putting Principles into Practice

Mark Sheehan and Tony Hope

in Medicine and Social Justice: Essays on the Distribution of Health Care

Published in print:
2012
Published Online:
May 2015
ISBN:
9780199744206
eISBN:
9780190267551
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:osobl/9780199744206.003.0018
Subject:
Philosophy, Moral Philosophy

This chapter examines the ethical principles behind just allocation of health care resources in the UK, with particular emphasis on the National Health Service (NHS). These ethical considerations ... More


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