Obligation and the Changing Nature of Publicly Funded Healthcare

Veitch, Kenneth

doi:10.1093/medlaw/fwy033

Cited by 6 publications

(8 citation statements)

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“…Its main function is to provide a public good, specifically to support and improve people’s health and wellbeing. From its inception in 1948 by Nye Bevan, the NHS’ key characteristic is its moral motivation as expressed in its solidaristic character [ 28 , 30 ]. It is founded on a set of principles and values, which enjoy wide public support [ 31 ], that bind together the communities and people that it serves and the staff that work for it.…”

Section: The Trust Relationship Between the Public And The Nhsmentioning

confidence: 99%

“…The NHS was founded on the principle that care should be delivered on the basis of need rather than on ability to pay. According to Veitch, this forms the basis of the relationship between the British public and the NHS; a public service user and public service provider with a shared understanding of the public good at stake [ 30 ]. In this relationship, the public has a moral and civic duty to fund the health service through taxation and use its resources prudently [ 32 ], while the State is obliged, through its appropriate financing and oversight of the healthcare service, to deliver appropriate care at the point of need.…”

Section: The Trust Relationship Between the Public And The Nhsmentioning

confidence: 99%

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Data-driven research and healthcare: public trust, data governance and the NHS

Kerasidou

2023

BMC Med Ethics

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It is widely acknowledged that trust plays an important role for the acceptability of data sharing practices in research and healthcare, and for the adoption of new health technologies such as AI. Yet there is reported distrust in this domain. Although in the UK, the NHS is one of the most trusted public institutions, public trust does not appear to accompany its data sharing practices for research and innovation, specifically with the private sector, that have been introduced in recent years. In this paper, we examine the question of, what is it about sharing NHS data for research and innovation with for-profit companies that challenges public trust? To address this question, we draw from political theory to provide an account of public trust that helps better understand the relationship between the public and the NHS within a democratic context, as well as, the kind of obligations and expectations that govern this relationship. Then we examine whether the way in which the NHS is managing patient data and its collaboration with the private sector fit under this trust-based relationship. We argue that the datafication of healthcare and the broader ‘health and wealth’ agenda adopted by consecutive UK governments represent a major shift in the institutional character of the NHS, which brings into question the meaning of public good the NHS is expected to provide, challenging public trust. We conclude by suggesting that to address the problem of public trust, a theoretical and empirical examination of the benefits but also the costs associated with this shift needs to take place, as well as an open conversation at public level to determine what values should be promoted by a public institution like the NHS.

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Section: The Trust Relationship Between the Public And The Nhsmentioning

confidence: 99%

Section: The Trust Relationship Between the Public And The Nhsmentioning

confidence: 99%

Data-driven research and healthcare: public trust, data governance and the NHS

Kerasidou

2023

BMC Med Ethics

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“…Thus, the vast majority of hospitals and public units are financed from public sources. A healthcare provision, which is built on accessibility, solidarity, equity, and quality, is the government's responsibility [43][44][45]. As the literature review shows, the situation of the Polish healthcare sector is unsatisfactory [46,47].…”

Section: Discussionmentioning

confidence: 99%

Debt, Ownership, and Size: The Case of Hospitals in Poland

Miszczyńska

Miszczyński

2021

IJERPH

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The goal of this study is to compare the financial performance of public hospitals according to ownership and size. The study covered public hospitals in Poland and covered two hospitals types depending on their founding authority, i.e., hospitals established and financed by the Marshal’s Office (Marshal hospitals) or the City Hall (poviat-commune hospitals). The study was based on an analysis of the hospitals’ financial situation (using debt and solvency ratios) and its relationship to the founding body and size. The verification of hypotheses was carried out using the Mann–Whitney U test. The results led to the conclusion that the vast majority of public hospitals are indebted, and their ownership structure does not affect their financial condition. The study did not confirm a significant relationship between size or ownership and the financial status of the hospital. The article aims to fill the research gap regarding the debt analysis between different types of public hospitals. It also presents a new research direction aimed at finding the factors that determine the difficult financial situation of public hospitals in Poland.

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“…Thus, the vast majority of hospitals and public units, are financed from public sources of funding. This is related to the responsibility of the government and to the fact that, healthcare is built on accessibility, solidarity, equity, and quality of healthcare provision [36][37][38]. As the literature studies show, the situation of Polish healthcare sector is unsatisfactory [39,40].…”

Section: Discussionmentioning

confidence: 99%

Does the Ownership Affect the Financial Performance of the Hospital? The Example of Poland

Miszczyńska¹,

Miszczyński²

2020

Preprint

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Hospital indebtedness is a complex and very diverse phenomenon. Thus, the goal of this study is the comparison of the financial performance of public hospitals in accordance with their ownership and size. The results of the research lead to the conclusion that the vast majority of public hospitals are indebted, and their ownership structure does not affect their financial condition. What is more, the statistical analysis depicted that large Marshall hospitals are less indebted than poviat-commune ones. In the group of medium-size hospitals, the situation was the opposite. Moreover, the study did not confirm the significant relationship between the size or ownership and the financial status of the hospital. The analysis conducted in the article is aimed at filling in the gap in studies comparing the indebtedness between different types of public hospitals.

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Obligation and the Changing Nature of Publicly Funded Healthcare

Abstract: Obligation and the changing nature of publicly funded healthcare Article (Accepted Version) http://sro.sussex.ac.uk Veitch, Kenneth (2019) Obligation and the changing nature of publicly funded healthcare. Medical Law Review, 27 (2). pp. 267-294.

Cited by 6 publications

References 0 publications

Data-driven research and healthcare: public trust, data governance and the NHS

Data-driven research and healthcare: public trust, data governance and the NHS

Debt, Ownership, and Size: The Case of Hospitals in Poland

Does the Ownership Affect the Financial Performance of the Hospital? The Example of Poland

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