Title |
A "liberalização" do Serviço Nacional de Saúde da Inglaterra: trajetória e riscos para o direito à saúde
|
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Published in |
Cadernos de Saúde Pública, August 2016
|
DOI | 10.1590/0102-311x00034716 |
Pubmed ID | |
Authors |
Jonathan Filippon, Ligia Giovanella, Mariana Konder, Allyson M. Pollock |
Abstract |
The recent reform of the English National Health Service (NHS) through the Health and Social Care Act of 2012 introduced important changes in the organization, management, and provision of public health services in England. This study aims to analyze the NHS reforms in the historical context of predominance of neoliberal theories since 1980 and to discuss the "liberalization" of the NHS. The study identifies and analyzes three phases: (i) gradual ideological and theoretical substitution (1979-1990) - transition from professional and health logic to management and commercial logic; (ii) bureaucracy and incipient market (1991-2004) - structuring of the bureaucracy focused on administration of the internal market and expansion of pro-market measures; and (iii) opening to the market, fragmentation, and discontinuity of services (2005-2012) - weakening of the territorial health model and consolidation of health as an open market for public and private providers. This gradual but constant liberalization has closed services and restricted access, jeopardizing the system's comprehensiveness, equity, and universal healthcare entitlement in the NHS. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 3 | 27% |
Netherlands | 2 | 18% |
United Kingdom | 1 | 9% |
Unknown | 5 | 45% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 10 | 91% |
Practitioners (doctors, other healthcare professionals) | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 36 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 7 | 19% |
Student > Ph. D. Student | 6 | 17% |
Student > Doctoral Student | 3 | 8% |
Student > Bachelor | 2 | 6% |
Student > Postgraduate | 2 | 6% |
Other | 4 | 11% |
Unknown | 12 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 9 | 25% |
Nursing and Health Professions | 4 | 11% |
Social Sciences | 3 | 8% |
Pharmacology, Toxicology and Pharmaceutical Science | 2 | 6% |
Immunology and Microbiology | 1 | 3% |
Other | 5 | 14% |
Unknown | 12 | 33% |