Repositioning the Patient: Patient Organizations, Consumerism, and Autonomy in Britain during the 1960s and 1970s

Mold, Alex

doi:10.1353/bhm.2013.0022

Cited by 22 publications

(16 citation statements)

References 37 publications

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“…In the consulting room, in particular, MDs are often criticised for cultivating a patriarchal patient-doctor relationship which traditionally promotes relatively limited participation in decision making over treatment. Consumerism and the push for 'patient choice' in healthcare, most recently, promote, in contrast, more equal forms of interaction and aim at restraining physicians from defining the terms of communication with patients (Mold, 2013). Similarly, physicians may define the terms of engagement and the behaviour they will adopt towards members of other occupations they work closely with.…”

Section: Mds As Incumbents Within Healthcare Provisionmentioning

confidence: 99%

“…MDs in a number of countries have experienced significant pressures leading to partial loss of control over the function of the healthcare sector. These include corporatism, managerialism, insurance companies' increasing role (Domagalski, 2007;Scott, 2008), but also consumerism which is related both to commercialisation (Timmermans and Oh, 2010) and liberation from the traditionally patriarchal patient-doctor relationship (Mold, 2013). In Greece (though research is limited) it can be argued that such pressures are relatively weak (Andri and Kyriakidou, 2014).…”

Section: Healthcare In Greece: Orientation To Exports and Medical Dominmentioning

confidence: 99%

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Barriers to business relations between medical tourism facilitators and medical professionals

Skountridaki

2017

Tourism Management

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This paper examines facets of the developing business relations between two important actors in the supply-chain of transnational healthcare: medical tourism facilitators and medical doctors (MDs) practicing privately and internationalising their services. The empirical focus is Greece, an emerging destination for medical care. Drawing on the sociology of the professions as an analytical framework, rich qualitative data reveals a conflictual aspect in the relation between the two actors, and informs the literature on transnational healthcare of barriers to market development. Particularly, MDs practicing privately often resist what is perceived to be medical tourism facilitators' pressures to control the 'rules of the game' in the submarket which inhibits their collaboration. The paper contributes, thus, to the sociology of the professions by bringing to light a new challenge for MDs engaged in the transnational business arena, represented here by the facilitators; and encourages tourism practitioners to consider MDs' self-understanding, attitudes, and expectations

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Section: Mds As Incumbents Within Healthcare Provisionmentioning

confidence: 99%

Section: Healthcare In Greece: Orientation To Exports and Medical Dominmentioning

confidence: 99%

Barriers to business relations between medical tourism facilitators and medical professionals

Skountridaki

2017

Tourism Management

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“…As noted throughout the book, health education campaigns in the postwar period were frequently targeted at getting individuals to change their behaviour. Whether it was healthy eating, alcohol consumption or cigarette smoking, individuals were encouraged to take responsibility for their health by choosing an appropriate course of action Mold 2017;. Such a view was predicated on a particular kind of self-an autonomous individual capable of self-government in response to expert advice ).…”

Section: Personal Responsibility and Individual Choicementioning

confidence: 99%

“…From the 1960s onwards, there was increasing pressure for greater public representation within healthcare in Britain. Some of this momentum came from patients and the public (Mold 2013). Patient organisations and other voluntary groups demanded a say in their own treatment and the shape and direction of health services.…”

Section: Representationmentioning

confidence: 99%

“…At the same time, the figure of the patient, and particularly the 'patient-consumer' grew in political saliency as first the Thatcher, and then Major governments made substantial changes to the organisation of the NHS. The introduction of the internal market in 1989 and the establishment of the Patient's Charter in 1991, were supposed to give patients greater rights within a more consumer-orientated service (Mold 2012. Although the precise mechanisms for achieving patient and public representation within healthcare changed frequently following the scrapping of the CHCs in 2003, the imperative for such representation did not go away.…”

Section: Representationmentioning

confidence: 99%

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Placing the Public in Public Health in Post-War Britain, 1948–2012

Mold

Clark

Millward

et al. 2019

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use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made. The images or other third party material in this book are included in the book's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the book's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.

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Changing Publicness

Mold¹,

Clark²,

Millward³

et al. 2019

Placing the Public in Public Health in Post-War Britain, 1948–2012

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In this chapter, we reflect not only on the challenges to publicness in public health but also its persistence. The increasing focus on individual behaviour as both a cause of disease and its remedy, posed a danger to collective understandings of the public and its health. Emphasising personal responsibility for health shifted liability from the state to the citizen, from public to private. At the same time, we point to ways in which publicness was retained, remade and even reinforced. 'The public' was increasingly recognised as an important actor in public health policy, practice and research. In the final section of the chapter, we consider developments beyond the dichotomy of 'public' and 'private' that were nonetheless crucial to changing conceptions of the public and public health. Keywords Choice • Risk • Private • Public • Social structure • Environment By now it should be abundantly clear that neither 'the public' nor 'public health' ever had a fixed or entirely coherent set of meanings. Yet, in the postwar period, the 'publicness' of public health seemed to undergo a radical shift. In this chapter, we reflect on both the challenges to publicness in public health but also its persistence. In the first section of the chapter, we concentrate on the increasing focus on individual behaviour as both a

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Repositioning the Patient: Patient Organizations, Consumerism, and Autonomy in Britain during the 1960s and 1970s

Cited by 22 publications

References 37 publications

Barriers to business relations between medical tourism facilitators and medical professionals

Barriers to business relations between medical tourism facilitators and medical professionals

Placing the Public in Public Health in Post-War Britain, 1948–2012

Changing Publicness

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