Document Detail

Equity in community care.
MedLine Citation:
PMID:  8019286     Owner:  NLM     Status:  MEDLINE    
The implementation of the NHS and Community Care Act 1990 made local authority social services departments responsible for the organisation and funding of support and care in the community. This development took effect at the same time as a blurring of the boundaries between health and social care. One consequence is that the relevance of equity (a guiding principle of the 1946 National Health Service Act, but relatively lacking from the 1948 National Assistance Act, the foundation of many social services) has come to be more keenly appreciated within personal social services. Equity questions arise in community care over the distribution of public resources between different client groups, income groups, generations, and localities. Moreover, no mechanisms exist to monitor the trends that emerge from different ways that people get access to care. Yet there is a risk that substantial divisive consequences may occur, particularly between generations.
L Challis; M Henwood
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  BMJ (Clinical research ed.)     Volume:  308     ISSN:  0959-8138     ISO Abbreviation:  BMJ     Publication Date:  1994 Jun 
Date Detail:
Created Date:  1994-08-04     Completed Date:  1994-08-04     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  8900488     Medline TA:  BMJ     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1496-9     Citation Subset:  AIM; IM    
School of Social Sciences, University of Bath.
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MeSH Terms
Capital Financing
Community Health Services / economics,  standards*,  supply & distribution
Great Britain
Health Care Rationing / economics,  standards*
Health Policy
Health Services Accessibility
Social Justice
Social Work
State Medicine / organization & administration,  standards*

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