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Chapter
Implementing the New Care Models in the NHS: Reconfiguring the Multilevel Nature of Context to Make It Happen
This chapter derives lessons about reform in the UK’s National Health Service through the development of the Vanguard new care models programme. These new models of care proposed changes that are not concerned...
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Chapter
Clinical Aspects: A Rheumatologist’s Perspective
From a rheumatologist’s perspective, cartilage imaging is most significant in the setting of osteoarthritis. Symptomatic osteoarthritis (OA) causes substantial physical and psychosocial disability [1]. In the ...
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Chapter
‘Speaking Truth to Power’: On the Discomforts of Researching the Contemporary Policy Process
In his classic exploration of the art and craft of policy analysis in the context of public policies, Aaron Wildavsky observes wryly:
speaking truth to power remains the ideal of analysts who hop...
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Chapter
The Practice of Rationing Health Care in the United Kingdom
The rationing of health care is one of those ‘wicked issues’ to which there is no easy solution and possibly none at all. In the British National Health Service (NHS) rationing only entered common currency in ...
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Chapter
Towards Effective Purchasing for Health: meeting the challenge
After an uncertain start following the implementation of the NHS changes in 1991, purchasing is now viewed as the engine for change both in the future configuration of health care services and in the achieveme...
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Chapter
Dietary Guidelines
There are five-fold differences in breast cancer incidence rates around the world [1], and migrants moving from low- to high-incidence countries acquire rates close to those of the new country after one genera...
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Chapter
Power and Culture in the National Health Service
The huge popularity of the NHS as a public institution has been matched, certainly during the last decade, by the enormity of the problems it has posed for the politicians responsible for it. Prime Ministers a...
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Chapter
General Management in the NHS: Assessing the Impact
In this chapter we describe, and present the results of, a major study into post-Griffiths management which we conducted between 1987 and 1989 (mainly in 1988).
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Chapter
Managing the NHS
It is our purpose in this penultimate chapter to bring together, with a view to explaining, the issues raised both by our own research findings (presented in Chapter 3) and those of other researchers (describe...
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Chapter
NHS Management Past
As we noted in the preceding chapter, the central question addressed by this book is why the NHS has been so difficult to reform. Although our final chapter looks at the reforms associated with the white paper, W...
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Chapter
A Review of NHS Management Research, 1985–90
The purpose of this chapter is twofold. First, we wish to validate and extend our own findings by identifying points of agreement with other researchers. Second, where other studies have produced results which...
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Chapter
Going to Market?
It is inevitable that this final, future-oriented chapter should be more speculative than its predecessors. The task is to extend the fabric of our analysis of the recent past so as to clothe the present and n...
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Chapter
Contraception, Family Planning, and HIV
Throughout the world the predominant mode of HIV transmission is heterosexual intercourse. It is to be expected, therefore, that the HIV/AIDS epidemic will have an impact on reproductive behaviors and choices,...