| Managing medicine: a response to the 'crisis'. | |
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MedLine Citation:
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PMID: 2024160 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A feature of many developed healthcare systems is the attempt to replace provider-driven services by managerially-driven services which are ostensibly more responsive to consumer preferences. Policy-makers anxious over the 'crisis' of escalating costs in healthcare delivery and over the efficiency of some medical treatments and interventions are turning to managerial solutions as a means of holding professionals--primarily the medical profession--to account for their actions. The paper uses developments in the British NHS as a case study to review and explore the issue of managing medicine. Recent and proposed reforms are designed to strengthen the managerial grip on the service. The paper casts some doubt over the likely outcome of these developments. It argues that the success of attempts to shift the frontier between management and clinical work in favour of management is by no means guaranteed. It also points to a major tension which remains to be resolved, namely, the optimum balance to be struck between a doctor's responsibility to each individual patient on the one hand and his/her responsibility to a whole population on the other. |
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Authors:
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D J Hunter |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Social science & medicine (1982) Volume: 32 ISSN: 0277-9536 ISO Abbreviation: Soc Sci Med Publication Date: 1991 |
Date Detail:
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Created Date: 1991-06-06 Completed Date: 1991-06-06 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8303205 Medline TA: Soc Sci Med Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 441-8 Citation Subset: IM |
Affiliation:
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Nuffield Institute for Health Services Studies, University of Leeds, England. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Delivery of Health Care*
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economics,
legislation & jurisprudence,
organization & administration Great Britain National Health Programs / organization & administration* Professional Practice / economics, legislation & jurisprudence, organization & administration |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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