FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1524805074> ?p ?o ?g. }

• W1524805074 endingPage "650" @default.
• W1524805074 startingPage "649" @default.
• W1524805074 abstract "Tudor Hart, J. The Political Economy of Health Care Bristol : The Policy Press , £14.99 (pbk) xvi+320 pp . ISBN 1 86134 808 8 Julian Tudor Hart is well known to many working in the fields of health care and health care policy, most notably for his Inverse Care Law (Lancet 297(7696) 405-12, 1971) which states that ‘The availability of good medical care tends to vary inversely with the need for it in the population served. This inverse care law operates more completely where medical care is most exposed to market forces, and less so where such exposure is reduced. The market distribution of medical care is a primitive and historically outdated social form, and any return to it would further exaggerate the maldistribution of medical resources’. His new book aims to deliver his philosophy to a wide-ranging audience from policy makers, through health care deliverers, to NHS users. The topic of the book, the future of the NHS, is clearly of immense importance, and the author explores this by using an interesting and thoughtful combination of clinical, economic, sociological and political perspectives, with a historical context. He starts by exploring the economic aspects of the service and the application/impact of increasing commercialisation. Drawing on sociological principles and his clinical experience as a general practitioner in a Welsh mining community, Tudor Hart then discusses what it is that the NHS actually ‘creates’ and how this is done, before delving into the history of the organisation and how this has played out over the years, particularly focussing on the politics of this development. Finally, he combines these viewpoints in order to paint his picture of the possible futures of the health service, what is needed to achieve these, and the consequences for society as a whole. The variety of methods used to investigate this topic will probably give the book the wide appeal that the author anticipates. A good example of this is the way he analyses the relationship between patients and health care staff and sets this in an economic context, arguing that patients should be co-producers of health, not consumers, and that normal market principles can therefore not be applied to this interaction without changing the face of health care. While most readers will not be surprised by his conclusion, the basis of the argument in good models of clinical care (which are increasingly seen as optimal but still not universally practiced) is enticing and propels Tudor Hart towards his ideal vision of the NHS. This health partnership model is quite different from the current mantra of a patient led NHS, something derided by former Labour health secretary Frank Dobson as the equivalent of a passenger led jumbo jet. One of the most interesting aspects of the book is the way in which Tudor Hart demonstrates his vision of the NHS as being of central importance to the development of our society. In carving out this future view, he takes into account that change will happen, acknowledges both the strengths and weaknesses of those who have been instrumental in the development of the NHS, and offers a way forward. He makes the case for the origins of the NHS being in the socialized health care clubs set up by groups of workers such as the Welsh miners he worked among for so many years. From this he draws his main political argument that the NHS could be the driver of a new society, principally because it operates through solidarity and common risk pooling, and because it pushes our compassion beyond the norm of family boundaries. It is acknowledged in the preface of the book that readers will need to ‘. . . decide for themselves how far its conclusions are justified . . .’, and following a first chapter which is very much evidence based and well referenced, the book seems to become gradually more subjective. However, use of practical examples and a wide range of helpful references strengthen the arguments which are presented (which are often, though not always, balanced). Many important issues relating to health care delivery and policy are raised, and while some of these will be familiar to academics and professionals who have an interest in these subjects, other arguments, and the way in which these are linked, may be less well known (for example, the author's consideration of the ‘social by-products’ of the NHS). The broad approach and notes sections at the end of each chapter should also attract those who have an interest in health policy and want to learn more. This is an important book which offers an optimistic view of the NHS as much more than just a health care organisation, but as a socially cohesive force. The risks of losing the NHS and all it provides should motivate all who wish to fight against the current, consumer driven direction we are travelling in." @default.
• W1524805074 created "2016-06-24" @default.
• W1524805074 creator A5057200391 @default.
• W1524805074 creator A5088531624 @default.
• W1524805074 date "2008-04-18" @default.
• W1524805074 modified "2023-09-25" @default.
• W1524805074 title "The Political Economy of Health Care - by Tudor Hart, J." @default.
• W1524805074 doi "https://doi.org/10.1111/j.1467-9566.2008.1085_3.x" @default.
• W1524805074 hasPublicationYear "2008" @default.
• W1524805074 type Work @default.
• W1524805074 sameAs 1524805074 @default.
• W1524805074 citedByCount "0" @default.
• W1524805074 crossrefType "journal-article" @default.
• W1524805074 hasAuthorship W1524805074A5057200391 @default.
• W1524805074 hasAuthorship W1524805074A5088531624 @default.
• W1524805074 hasBestOaLocation W15248050741 @default.
• W1524805074 hasConcept C144024400 @default.
• W1524805074 hasConcept C149923435 @default.
• W1524805074 hasConcept C160735492 @default.
• W1524805074 hasConcept C166957645 @default.
• W1524805074 hasConcept C17744445 @default.
• W1524805074 hasConcept C199539241 @default.
• W1524805074 hasConcept C2779343474 @default.
• W1524805074 hasConcept C2780769345 @default.
• W1524805074 hasConcept C2908647359 @default.
• W1524805074 hasConcept C3116431 @default.
• W1524805074 hasConcept C94625758 @default.
• W1524805074 hasConcept C95457728 @default.
• W1524805074 hasConceptScore W1524805074C144024400 @default.
• W1524805074 hasConceptScore W1524805074C149923435 @default.
• W1524805074 hasConceptScore W1524805074C160735492 @default.
• W1524805074 hasConceptScore W1524805074C166957645 @default.
• W1524805074 hasConceptScore W1524805074C17744445 @default.
• W1524805074 hasConceptScore W1524805074C199539241 @default.
• W1524805074 hasConceptScore W1524805074C2779343474 @default.
• W1524805074 hasConceptScore W1524805074C2780769345 @default.
• W1524805074 hasConceptScore W1524805074C2908647359 @default.
• W1524805074 hasConceptScore W1524805074C3116431 @default.
• W1524805074 hasConceptScore W1524805074C94625758 @default.
• W1524805074 hasConceptScore W1524805074C95457728 @default.
• W1524805074 hasIssue "4" @default.
• W1524805074 hasLocation W15248050741 @default.
• W1524805074 hasOpenAccess W1524805074 @default.
• W1524805074 hasPrimaryLocation W15248050741 @default.
• W1524805074 hasRelatedWork W1504720834 @default.
• W1524805074 hasRelatedWork W1584694304 @default.
• W1524805074 hasRelatedWork W2051932275 @default.
• W1524805074 hasRelatedWork W2086998054 @default.
• W1524805074 hasRelatedWork W2114320929 @default.
• W1524805074 hasRelatedWork W2460593232 @default.
• W1524805074 hasRelatedWork W2488954274 @default.
• W1524805074 hasRelatedWork W2748952813 @default.
• W1524805074 hasRelatedWork W621859252 @default.
• W1524805074 hasRelatedWork W2188106079 @default.
• W1524805074 hasVolume "30" @default.
• W1524805074 isParatext "false" @default.
• W1524805074 isRetracted "false" @default.
• W1524805074 magId "1524805074" @default.
• W1524805074 workType "article" @default.