Full Description
Originally published in 1977, this book explored some of the major problems besetting the Health Service during the second half of the twentieth century. Now, as then, they offer both historical perspective on contemporary difficulties and invite debate about the future development of health services. The main themes are the medical care system and its organisational structures; the managers and the providers of the system, their tasks and responses; the resources available whether financial, human or material; and finally the consumers and their influence upon the overall direction of the system.
Contents
1. Promises, Patients and Politics: The Conflicts of the NHS 2. Medical Autonomy: Challenge and Response 3. Access and Efficiency in Medical Care: A Consideration of Accident and Emergency Services 4. Patients: Receivers or Participants? 5. Power, Patients and Pluralism 6. Participation or Control? The Workers' Involvement in Management 7. Health Administration and the Jaundice of Reorganisation 8. Making Reorganisation Work: Challenges and Dilemmas in the Development of Community Medicine 9. Planning, Uncertainty and Judgement: The Case of Population 10. Public Expenditures, Planning and Local Democracy.
