Conflicts in the National Health Service PDF
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ROUTLEDGE LIBRARY EDITIONS: HEALTH, DISEASE & SOCIETY Volume 2 CONFLICTS IN THE NATIONAL HEALTH SERVICE CONFLICTS IN THE NATIONAL HEALTH SERVICE Edited by KEITH BARNARD and KENNETH LEE First published in 1977 by Croom Helm Ltd. This edition first published in 2022 by Routledge 4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 605 Third Avenue, New York, NY 10158 Routledge is an imprint of the Taylor & Francis Group, an informa business © 1977 Keith Barnard and Kenneth Lee All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library ISBN: 978-0-367-52469-2 (Set) ISBN: 978-1-032-25229-2 (Volume 2) (hbk) ISBN: 978-1-032-25237-7 (Volume 2) (pbk) ISBN: 978-1-003-28222-8 (Volume 2) (ebk) DOI: 10.4324/9781003282228 Publisher’s Note The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original copies may be apparent. Disclaimer The publisher has made every effort to trace copyright holders and would welcome correspondence from those they have been unable to trace. Conflicts in the National Health Service Edited by KEITH BARNARD and KENNETH LEE CROOM HELM PRODIST London New York © 1977 Keith Barnard and Kenneth Lee Qoom Helm Ltd, 2-10 St John's Road, London SW11 ISBNO-85664-420-X First published in the United States by PRODI ST a division of Neale Watson Academic Publications, Inc. 156 Fifth Avenue, New York 10010 Library of Congress Cataloging in Publication Data Main entry under title: Conflicts in the national health service. 1. Great Britain - National Health Service. 2. Health services administration - Great Britain. I. Barnard, Keith. II. Lee, M. A. RA412.5.G7C87 1977 362.1'0941 76-57740 ISBN 0-88202-114-1 Printed in Great Britain by Redwood Burn Ltd, Trowbridge and Esher CONTENTS Preface 11 1. Promises, Patients and Politics: The Conflicts of the NHS Keith A. Barnard 13 2. Medical Autonomy: Challenge and Response Mary Ann Elston 26 3. Access and Efficiency in Medical Care: A Consideration of Accident and Emergency Services Arthur Gunawardena and Kenneth Lee 52 4. Patients: Receivers or Participants? Malcolm L. Johnson 72 5. Power, Patients and Pluralism Chris J. Ham 99 6. Participation or Control? The Workers' Involvement in Management Stuart J. Dimmock 121 7. Health Administration and the Jaundice of Reorganisation J. Crossley Sunderland 145 8. Making Reorganisation Work: Challenges and Dilemmas in the Development of Community Medicine David Towell 167 9. Planning, Uncertainty and Judgement: The Case of Population Andrew F. Long 189 10. Public Expenditure, Planning and Local Democracy Kenneth Lee 210 Bibliography 232 Index 248 TABLES AND FIGURES Table 1: Out-patients: Accident and Emergency Departments and Total Numbers (England) 58 Table 2: Changes in the Age Structure, 1973-2011, Great Britain 202 Figure 1: Division of Task between Two Superiors 155 Figure 2: Dual Influence 155 FigureS: Outposting 156 CONTRIBUTORS Keith A. Barnard Deputy Director and Lecturer in Health Planning, Nuffield Centre for Health Services Studies, The University of Leeds Stuart J. Dimmock Lecturer in Industrial Relations, Nuffield Centre for Health Services Studies, The University of Leeds Mary Ann Elston Research Fellow, Nuffield Centre for Health Services Studies, The University of Leeds Arthur Gunawardena Part-time Lecturer in Health Economics, Nuffield Centre for Health Services Studies, The University of Leeds Chris J. Ham Research Assistant, Nuffield Centre for Health Services Studies, The University of Leeds Malcolm L. Johnson Lecturer in Sociology, Nuffield Centre for Health Services Studies, The University of Leeds Kenneth Lee Lecturer in Health Economics, Nuffield Centre for Health Services Studies, The University of Leeds Andrew F. Long Lecturer in Quantitative Aspects of Management, Nuffield Centre for Health Services Studies, The University of Leeds /. Crossley Sunderland Visiting Lecturer in Health Service Management, Nuffield Centre for Health Services Studies, The University of Leeds David Towel! Lecturer in Organisation Theory, Nuffield Centre for Health Services Studies, The University of Leeds
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