Restructuring the Medical Profession
This book provides a comprehensive analysis of British health policy over the past twenty-five years. Drawing on data from case studies, it provides empirical evidence of the impact of recent health policies upon the National Health Service (in general) and the medical profession (in particular).
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Chapter 02 REFORMING PROFESSIONAL RELATIONS
Chapter 03 THE POLITICS OF THE MEDICAL PROFESSION
Chapter 04 NEW PUBLIC MANAGEMENT ENTERS PRIMARY CARE
Chapter 05 HEALTH CARE QUALITY
Chapter 06 TRANSFORMING INTRAPROFESSIONAL RELATIONS?
Chapter 07 INTRAPROFESSIONAL FUTURES
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Alford’s argued autonomy Baeza branches of medicine challenge chapter Ciii clinical governance clinicians commissioning consultants and GPs contracting process corporate rationalizers creation Department of Health discharge summaries dominance elite theory evidence Freidson fund fundholding GPs fundholding practices government’s GP fundholding scheme GP informants GP practices GP–hospital consultant relationship GPs and consultants GPs and hospital GPs felt greater Harrison health authority manager HEALTH CARE POLITICS health care system health policy Healthcare Commission hospital consultants hospital doctors hospital services hospital trust illustrate impact important improve influence informants felt internal market interviews intraprofessional relations introduction issue managerial medical audit medical profession medical profession’s multifund GPs multifund’s quality standards National Health Service outpatient outreach clinics patients PCTs perceived pital consultants potential practitioners primary care structures profes professional dominance professional monopolizers providers purchasing recognized responsible second case study secondary sector structural interests suggest surgery there’s
Page x - SERIES EDITOR'S INTRODUCTION Health services in many developed countries have come under critical scrutiny in recent years. In part this is because of increasing expenditure, much of it funded from public sources, and the pressure this has put on governments seeking to control public spending. Also important has been the perception that resources allocated to health services are not always deployed in an optimal fashion. Thus at a time when the scope for increasing expenditure is extremely limited,...
Page xi - These issues have been chosen because they are both of current interest and of enduring importance. The series is intended to be accessible to students and informed lay readers as well as to specialists working in this field. The aim is to go beyond a textbook approach to health policy analysis and to encourage authors to move debate about their issues forward. In this sense, each book presents a summary of current research and thinking, and an exploration of future policy directions. Professor Chris...