| Description |
1 online resource (194 pages) |
| Contents |
REFORMING HEALTHCARE; Contents; List of tables; Acknowledgements; 1. Introduction; Reviewing research on healthcare reform; Realist review; Reviewing health reorganisation, 1990-2013; Structure of the book; 2. The NHS in 1990; Introduction; Background; Reorganising healthcare in the 1980s; Other changes during the 1980s; Impact of changes during the 1980s on nurses and patients; The road to Working for patients and the first internal market; Importance of the internal market; The 'shared version' of health politics and organisation; Conclusion; 3. Reorganising the NHS, 1990-2010 |
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Purchaser-provider split and the internal marketPotential problems with the programme theory; What happened as a result of the internal market reorganisation?; The 'shared version' after the internal market reorganisation; Health policy under New Labour, 1997-2010; Performance management; Institutional changes; Patient choice and the creation of a mixed economy of care; Patient and public involvement in the NHS; Conclusion; 4. 'Central control' reorganisation in the NHS in the 2000s; The context of health policy in the 2000s; Central control reorganisation; The logic of central control |
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Outcomes of the reformsPerformance management in the 2000s; Central control in hospitals: summarising the evidence and adapting the programme theory; What explains the difference in success between the use of central control programmes in hospitals and general practice?; Towards a programme theory that can improve central control programmes; Improving leadership and teamworking; Conclusion; 5. Local dynamic reform in the NHS since 2000; Introduction; Patient choice and competition; Research on patient choice and competition; Patient choice and the Quality and Outcomes Framework |
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Assessing the programme theory of choice and competitionComparing the internal market of the 1990s with the mixed economy of care in the 2000s; Patient and public involvement and participation in the NHS; What does the research on patient and public involvement tell us?; Lessons from public and patient involvement programmes in the 2000s; Revisiting the programme theory for patient and public involvement; Comparing local dynamic mechanisms in the 2000s; 6. The prospects for NHS reorganisation post-2010; Introduction; The NHS in the last years of the Labour government |
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The 2010 coalition governmentWhere does this leave us?; The Cooper debate; Dispelling myths about performance management; Patient and public involvement; The Francis Report, performance management and patient and public involvement; The private finance initiative; Comparing healthcare reorganisation in England, Scotland, Wales and Northern Ireland; Conclusion; Reflecting back on NHS reorganisation: revisiting the 'shared version' in 2013; 7. Conclusion; Introduction; Evidence and policy; Realist approach to healthcare evidence |
| Summary |
Reforming healthcare: What's the evidence? is the first major critical overview of the research published on healthcare reform in England from 1990 onwards by a team of leading UK health policy academics |
| Notes |
Some alternative principles for more successful healthcare reorganisation |
| Bibliography |
Includes bibliographical references and index |
| Notes |
Print version record |
| Subject |
Health care reform.
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Medical care.
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Health Care Reform
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Patient Care
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POLITICAL SCIENCE -- Public Policy -- Social Security.
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POLITICAL SCIENCE -- Public Policy -- Social Services & Welfare.
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MEDICAL -- Health Policy.
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Health care reform
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Medical care
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| SUBJECT |
United Kingdom |
| Form |
Electronic book
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| Author |
Harrington, Barbara E
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Hunter, David J.
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| ISBN |
9781447307129 |
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1447307127 |
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1306893372 |
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9781306893374 |
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9781447307112 |
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1447307119 |
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