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A "liberalização" do Serviço Nacional de Saúde da Inglaterra: trajetória e riscos para o direito à saúde

Overview of attention for article published in Cadernos de Saúde Pública, January 2016
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15 tweeters

Citations

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12 Dimensions

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28 Mendeley
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Title
A "liberalização" do Serviço Nacional de Saúde da Inglaterra: trajetória e riscos para o direito à saúde
Published in
Cadernos de Saúde Pública, January 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.

Twitter Demographics

The data shown below were collected from the profiles of 15 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 28 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 28 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 6 21%
Student > Ph. D. Student 5 18%
Student > Doctoral Student 3 11%
Student > Bachelor 2 7%
Student > Postgraduate 2 7%
Other 3 11%
Unknown 7 25%
Readers by discipline Count As %
Medicine and Dentistry 8 29%
Nursing and Health Professions 4 14%
Pharmacology, Toxicology and Pharmaceutical Science 2 7%
Social Sciences 2 7%
Economics, Econometrics and Finance 1 4%
Other 4 14%
Unknown 7 25%