This is a passionate analysis of the historical development, current state and potential future shape of the National Health Service by distinguished doctor and author, Julian Tudor Hart.Drawing on many years of clinical experience, Tudor Hart sets out to explore how the NHS might be reconstituted as a humane service for all (rather than a profitable one for the few) and a civilising influence on society as a whole.His starting point is an attack on the creeping commercialisation of the health service - the privatisation of a growing number of spheres and the application of market economics to procurement, delivery and management. Combining clinical, political and economic arguments, he then proposes his own economic analysis of the NHS, 'derived not from classical theory but from experience of the real health care economy'. The author's aim is to provide 'a big picture' for students, academics, health professionals and NHS users that will inspire them to challenge received wisdoms about how the NHS should develop in the 21st century.
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Julian Tudor Hart, Swansea Medical School, University of Wales, University of GlamorganReview:
Health care shaped by market forces and 'commodification' does not deliver services efficiently, let alone equitably. For those who support the principal of universal, equitable access to cost-effective health care, Julian Tudor Hart's radical vision of what is needed will come as a breath of inspiring fresh air. Sir Iain Chalmers, Editor, James Lind Library, UK
This is an important publication for North American readers - both Canadian and US. 'The political economy of health care' prompts us to look at the historical and political origins of different national health systems.... a very valuable resource for those who want to develop health as a universal public good. Dr Bob Frankford, retired GP, former elected member of the Ontario Provincial Legislature and Parliamentary Assistant to the Minister of Health
Lucid, informative and persuasive. The contrast between reductionist-fragmented and more dialectical-holistic approaches is brilliant. I hope that this book influences a new generation. Dr Helena Sheehan, School of Communications, Dublin City University, Ireland
To miss this book would be to miss the acquaintance of a remarkable man. Insight and commitment fill every page. ... Tudor Hart reasons with passion, but reason he most certainly does. The Lancet
At last, a coherent alternative to the healthcare agenda promoted by all political parties! This is a short but hugely challenging book. ... if you care about healthcare, read it!. Gut 2006, BMJ Group
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Book Description The Policy Press. Hardcover. Book Condition: Fine. 1861348096. Bookseller Inventory # SKU1003954
Book Description Policy Press. Hardcover. Book Condition: Good. Light shelving wear with minimal damage to cover and bindings. Pages show minor use. Bookseller Inventory # G1861348096I3N00