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Reforming healthcare : What's the evidence? /
Reforming healthcare: What's the evidence? is the first major critical overview of the research published on healthcare reform in England from 1990 onwards by a team of leading UK health policy academics.
| Clasificación: | Libro Electrónico |
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| Autor principal: | |
| Otros Autores: | , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Bristol :
Policy Press,
2014.
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- REFORMING HEALTHCARE; Contents; List of tables; Acknowledgements; 1. Introduction; Reviewing research on healthcare reform; Realist review; Reviewing health reorganisation, 1990-2013; Structure of the book; 2. The NHS in 1990; Introduction; Background; Reorganising healthcare in the 1980s; Other changes during the 1980s; Impact of changes during the 1980s on nurses and patients; The road to Working for patients and the first internal market; Importance of the internal market; The 'shared version' of health politics and organisation; Conclusion; 3. Reorganising the NHS, 1990-2010.
- Purchaser-provider split and the internal marketPotential problems with the programme theory; What happened as a result of the internal market reorganisation?; The 'shared version' after the internal market reorganisation; Health policy under New Labour, 1997-2010; Performance management; Institutional changes; Patient choice and the creation of a mixed economy of care; Patient and public involvement in the NHS; Conclusion; 4. 'Central control' reorganisation in the NHS in the 2000s; The context of health policy in the 2000s; Central control reorganisation; The logic of central control.
- Outcomes of the reformsPerformance management in the 2000s; Central control in hospitals: summarising the evidence and adapting the programme theory; What explains the difference in success between the use of central control programmes in hospitals and general practice?; Towards a programme theory that can improve central control programmes; Improving leadership and teamworking; Conclusion; 5. Local dynamic reform in the NHS since 2000; Introduction; Patient choice and competition; Research on patient choice and competition; Patient choice and the Quality and Outcomes Framework.
- Assessing the programme theory of choice and competitionComparing the internal market of the 1990s with the mixed economy of care in the 2000s; Patient and public involvement and participation in the NHS; What does the research on patient and public involvement tell us?; Lessons from public and patient involvement programmes in the 2000s; Revisiting the programme theory for patient and public involvement; Comparing local dynamic mechanisms in the 2000s; 6. The prospects for NHS reorganisation post-2010; Introduction; The NHS in the last years of the Labour government.
- The 2010 coalition governmentWhere does this leave us?; The Cooper debate; Dispelling myths about performance management; Patient and public involvement; The Francis Report, performance management and patient and public involvement; The private finance initiative; Comparing healthcare reorganisation in England, Scotland, Wales and Northern Ireland; Conclusion; Reflecting back on NHS reorganisation: revisiting the 'shared version' in 2013; 7. Conclusion; Introduction; Evidence and policy; Realist approach to healthcare evidence.