Journal of Medicine and Philosophy 20 (6):669-688 (1995)
AbstractThis paper falls into three parts. In the first part I will briefly review the current process of reform that the United Kingdom National Health Service is undergoing. Two fundamental motivations for reform, the desire for increased efficiency and for an increased responsiveness to patients' needs and preferences will be discussed in greater detail. The second part attempts to provide a perspective on the moral debate concerning health care reform by introducing the distinction between ‘civil association’ and ‘enterprise association’ as proposed by the political philosopher Michael Oakeshott. In the final part, this distinction will be used to analyze the moral and political constitution of the National Health Service, in order to establish the relevance and scope of concerns with efficiency and patient and public accountability. A framework within which the current reforms can be assessed is thereby outlined. Keywords: access to health care, civil association, enterprise association, freedom of choice, health care reform, United Kingdom National Health Service CiteULike Connotea Del.icio.us What's this?
Similar books and articles
The articulation of values and principles involved in health care reform.Norman Daniels - 1994 - Journal of Medicine and Philosophy 19 (5):425-433.
Does the private finance initiative promote innovation in health care? The case of the british national health service.Pythagoras Petratos - 2005 - Journal of Medicine and Philosophy 30 (6):627 – 642.
Just caring: Oregon, health care rationing, and informed democratic deliberation.Leonard M. Fleck - 1994 - Journal of Medicine and Philosophy 19 (4):367-388.
PPACA and Public Health: Creating a Framework to Focus on Prevention and Wellness and Improve the Public's Health.Gwendolyn Roberts Majette - 2011 - Journal of Law, Medicine and Ethics 39 (3):366-379.
Appropriating Aristotle.Corey Abel - 2005 - In Corey Abel Timothy Fuller (ed.), The Intellectual Legacy of Michael Oakeshott.
Ethicists and health care reform: An indecent proposal?Laurence J. O'Connell - 1994 - Journal of Medicine and Philosophy 19 (5):419-424.
Proceedings of the Xiiith Annual Conference of the Ethiopian Public Health Association: Theme, Ethics in Health Service Delivery, Sub-Theme: The Role of the Health Service in Poverty Alleviation: October 17-19/2002, Gondar College of Medical Sciences, Godar, Ethiopia. [REVIEW]Amsalu Feleke - 2002 - Ethiopian Public Health Association.
Dying in 559 beds: Efficiency, 'best Buys', and the ethics of standardization in national health care.Margaret P. Battin - 1992 - Journal of Medicine and Philosophy 17 (1):59-77.
The British National Health Service: A Tarnished MoralVision? [REVIEW]Len Doyal & Lesley Doyal - 1999 - Health Care Analysis 7 (4):363-376.
Health care reform and abortion: A catholic moral perspective.James T. McHugh - 1994 - Journal of Medicine and Philosophy 19 (5):491-500.
Added to PP
Historical graph of downloads