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Published on Sep 21, 2019in Health Care Analysis1.04
Emma Cave6
Estimated H-index: 6
Professional control in the selection of treatment options for patients is changing. In light of social and legal developments emphasising patient choice and autonomy, and restricting medical paternalism and judicial deference, this article examines how far patients and families can demand NHS treatment in England and Wales. It considers situations where the patient is an adult with capacity, an adult lacking capacity and a child. In all three cases, there is judicial support for professional au...
Published on Jun 5, 2019in Health Care Analysis1.04
John Owens7
Estimated H-index: 7
('KCL': King's College London),
Guddi Vijaya Rani Singh1
Estimated H-index: 1
('KCL': King's College London),
Alan Cribb23
Estimated H-index: 23
('KCL': King's College London)
In this paper we argue that austerity creates working conditions that can undermine professionalism in healthcare. We characterise austerity in terms of overlapping economic, social and ethical dimensions and explain how these can pose significant challenges for healthcare professionals. Amongst other things, austerity is detrimental to healthcare practice because it creates shortages of material and staff resources, negatively affects relationships and institutional cultures, and creates increa...
Published on Jul 17, 2019in Health Care Analysis1.04
Angeliki Kerasidou9
Estimated H-index: 9
(University of Oxford),
Alan Cribb23
Estimated H-index: 23
(National Center for Public Policy Research)
Published on Jun 27, 2019in Health Care Analysis1.04
Caitjan Gainty ('KCL': King's College London)
It is an axiom of contemporary conversations about austerity and health care that the relationship between the two is essentially direct. Cutting funds damages health care systems and hurts the health of individuals who rely on them. Though this premise has provoked necessary discussion about global politics, the global economy and their impact on individual well-being, it is nonetheless intrinsically problematic. Assigning health and health care as objects of austerity not only obscures the com...
Published on May 31, 2019in Health Care Analysis1.04
Angeliki Kerasidou9
Estimated H-index: 9
(University of Oxford)
Efficiency is an important value for all publicly funded healthcare systems. Limited resources need to be used prudently and wisely in order to ensure best possible outcomes and waste avoidance. Since 2010, the drive for efficiency, in the UK, has acquired a new impetus, as the country embarked on an ‘age of austerity’ purportedly to balance its books and reduce national deficit. Although the NHS did not suffer any direct budget cuts, the austerity policies imposed on the welfare system, includi...
Published on Jun 3, 2019in Health Care Analysis1.04
Arianne Shahvisi3
Estimated H-index: 3
(BSMS: Brighton and Sussex Medical School)
During the “age of austerity” the UK government has progressively limited free health services for “overseas visitors” on the grounds of fairness and frugality. This is despite the fact that the cost of the additional bureaucracy required by the new system and the public health consequences are expected to exceed the sums saved. In this article I explore the interaction between the discourses of austerity and xenophobia as they relate to migrants’ access to healthcare. By examining the available...
Published on Jul 17, 2019in Health Care Analysis1.04
Georgina Morley2
Estimated H-index: 2
(UoB: University of Bristol),
Jonathan Ives18
Estimated H-index: 18
(UoB: University of Bristol),
Caroline Bradbury-Jones19
Estimated H-index: 19
(University of Birmingham)
Published on Aug 31, 2019in Health Care Analysis1.04
Isabel Fletcher3
Estimated H-index: 3
,
Stanislav Birko3
Estimated H-index: 3
+ 5 AuthorsAnnie Sorbie2
Estimated H-index: 2
European and international regulation of human health research is typified by a morass of interconnecting laws, diverse and divergent ethical frameworks, and national and transnational standards. There is also a tendency for legislators to regulate in silos—that is, in discrete fields of scientific activity without due regard to the need to make new knowledge as generalisable as possible. There are myriad challenges for the stakeholders—researchers and regulators alike—who attempt to navigate th...
Published on Jul 23, 2019in Health Care Analysis1.04
Alicia Hall2
Estimated H-index: 2
(MSU: Mississippi State University)
Proposals for health care cost containment emphasize high-value care as a way to control spending without compromising quality. When used in this context, ‘value’ refers to outcomes in relation to cost. To determine where health spending yields the most value, it is necessary to compare the benefits provided by different treatments. While many studies focus narrowly on health gains in assessing value, the notion of benefit is sometimes broadened to include overall quality of life. This paper exp...
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