Change in the British National-Health-Service - Policy Paradox and the Rationning Issue

Salter, B. (1994) Change in the British National-Health-Service - Policy Paradox and the Rationning Issue. International Journal of Health Services, 24 (1). pp. 45-72. ISSN 0020-7314. (The full text of this publication is not available from this repository)

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Abstract

The National Health Service of the United Kingdom is trapped in a policy paradox. On the one hand, the 1990 reforms encourage the devolution of power to local purchaser and provider units through the operation of the ''internal market.'' On the other, mechanisms of control and accountability are being revamped to produce a centrally managed system bound together by corporate contracts. The political frictions generated by this paradox are exacerbated by the problem of rationing health care in the face of apparently unlimited demand. This article examines the political problems faced by a single Health Authority as it sought to implement the changes required of it by the conflicting policies.

Item Type: Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)
Depositing User: P. Ogbuji
Date Deposited: 19 Jun 2009 08:05
Last Modified: 19 Jun 2009 08:05
Resource URI: http://kar.kent.ac.uk/id/eprint/20020 (The current URI for this page, for reference purposes)
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