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The government of health care and the politics of patient empowerment: New Labour and the NHS reform agenda in England

机译:卫生保健政府和患者赋权政治:新工党和英国的NHs改革议程

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摘要

This article considers the issue of patient empowerment in the context of New Labour's proposed reforms to the National Health Service (NHS) in England. Through an exploration of some of the key measures in the government's white paper High Quality Care for All, the article argues for a conceptualization of patient empowerment as a political technique of governing. Patient empowerment, it is contended, can no longer be understood solely as a quantitative phenomenon to be balanced within the doctor-patient relationship. Rather, its deployment by the government as a way of governing health and health care more broadly demands that we consider what political functions-including, importantly, it is argued here, managing the problem of the increasing cost of illness and health care-patient empowerment may be involved in performing. In order to assist in this enquiry, the article draws on some of Michel Foucault's work on the art of governing. It is suggested that his understanding of the neoliberal mode of governing best captures the proposed changes to the NHS and the role patient empowerment plays in their implementation.
机译:本文考虑了新工党提议对英格兰国家卫生服务局(NHS)进行改革的背景下的患者赋权问题。通过对政府白皮书《全民优质护理》中的一些关键措施的探讨,文章主张将赋予患者权利的概念化为一种政治治理技术。有人主张,赋予患者权力不再仅仅被理解为一种在医患关系中平衡的定量现象。相反,政府将其部署为治理健康和医疗保健的一种方式更广泛地要求我们考虑哪些政治职能,包括重要的是在这里论证,以管理疾病和医疗保健赋予患者的费用不断增加的问题可能参与表演。为了帮助进行此查询,本文借鉴了米歇尔·福柯关于治理艺术的一些著作。建议他对新自由主义执政模式的理解最好地反映了国民保健服务的拟议变化以及患者授权在实施中的作用。

著录项

  • 作者

    Veitch, Kenneth;

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  • 年度 2010
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  • 原文格式 PDF
  • 正文语种 en
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