Health Services Research in Great Britain

Bierman, Pearl; Ej, Connors; Flook, Evelyn; Rr, Huntley; McCarthy, Tom; Pj, Sanazaro

doi:10.2307/3349295

Cited by 8 publications

(2 citation statements)

References 42 publications

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“…Em 1968, foi criado nos Estados Unidos o Centro Nacional de Pesquisas em Serviços de Saúde (National Center for Health Services Research) que, extinto em 1989, deu lugar à Agency for Health Care Policy and Research, renomeada em 1999 Agency for Health Research and Quality (AHRQ), ainda hoje referência fundamental na área 10 . Ainda em 1968, foi publicado, na Milbank Memorial Fund Quarterly, um artigo importante na delimitação do campo, relativo à experiência na Grã-Bretanha 11 .…”

Section: Origem E Evolução Conceitual Do Campounclassified

Investigação em serviços de saúde: alguns apontamentos históricos, conceituais e empíricos

2020

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Section: Origem E Evolução Conceitual Do Campounclassified

Investigação em serviços de saúde: alguns apontamentos históricos, conceituais e empíricos

2020

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“…Medical sociologists and operational researchers providing academic training for NHS managers also contributed, and the sub-disciplinary trappings of a journal ( Medical Care ), and scholarly meetings soon arrived. The availability of funding from the MRC and the Ministry of Health meant that in addition to Holland’s group, various other centres became prominent (Bierman et al, 1968). Much effort went into understanding utilization patterns, the better to plan service needs.…”

Section: Sources Methods and Conceptsmentioning

confidence: 99%

Resource Allocation for Equity in the British National Health Service, 1948–89: An Advocacy Coalition Analysis of the RAWP

Gorsky

Millward²

2018

Journal of Health Politics, Policy and Law

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Britain's National Health Service (NHS) is a universal, single-payer health system in which the central state has been instrumental in ensuring equity. This article investigates why from the 1970s a policy to achieve equal access for equal need was implemented. Despite the founding principle that the NHS should "universalize the best," this was a controversial policy goal, implying substantial redistribution from London and the South and threatening established medical, political, and bureaucratic interests. Our conceptual approach draws on the advocacy coalition framework (ACF), which foregrounds the influence of research and ideas in the policy process. We first outline the spatial inequities that the NHS inherited, the work of the Resource Allocation Working Party (RAWP), and its new redistributive formula. We then introduce the ACF approach, analyzing the RAWP's prehistory and formation in advocacy coalition terms, focusing particularly on the rise of health economics. Our explanation emphasizes the consensual commitment to equity, which relegated conflict to more technical questions of application. The "buy-in" of midlevel bureaucrats was central to the RAWP's successful alignment of equity with allocative efficiency. We contrast this with the failure of advocacy for equity of health outcomes: here consensus over core beliefs and technical solutions proved elusive.

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Physician productivity and medical care

Drachman

Cooke

1970

The Journal of Pediatrics

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Health Services Research in Great Britain

Cited by 8 publications

References 42 publications

Investigação em serviços de saúde: alguns apontamentos históricos, conceituais e empíricos

Investigação em serviços de saúde: alguns apontamentos históricos, conceituais e empíricos

Resource Allocation for Equity in the British National Health Service, 1948–89: An Advocacy Coalition Analysis of the RAWP

Physician productivity and medical care

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