Restructuring the medical profession : the intraprofessional relations of GPs and hospital consultants
著者
書誌事項
Restructuring the medical profession : the intraprofessional relations of GPs and hospital consultants
（The state of health series）
Open University Press, 2005
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注記
Includes bibliographical references (p. [165]-178) and index
内容説明・目次
内容説明
What is the relationship between general practitioners (GPs) and hospital consultants in the United Kingdom?
How does government health policy impact upon GPs and hospital consultants?
What influence does the medical profession have upon policy makers in the United Kingdom?
The medical profession occupies a dominant position within the British health care system and as such is able to influence the development and implementation of health policy. The main division within the medical profession lies between general practitioners and hospital consultants. This book provides a comprehensive analysis of British health policy over the past twenty-five years. Drawing on data from case studies, it provides empirical evidence of the impact of recent health policies upon the National Health Service (in general) and the medical profession (in particular). The case studies provide an analysis of the impact of the 1991 NHS reforms, as well as examining the ongoing influence of the post 1999 NHS reforms upon these intraprofessional relations. What emerges is that the relationship between GPs and hospital consultants is transforming from a collegial to a more managerial relationship. This book sheds light on the resulting development of intraprofessional relations between GPs and hospital consultants within the NHS.Restructuring the Medical Profession is key reading for undergraduate and postgraduate students, researchers and professionals in the fields of social policy and health policy. It is also of interest to health service practitioners, health service researchers and health policy makers.
目次
Acknowledgements 1 Restructuring professional relations: Health reform and the medical profession
Introduction - The policy background - The rise of the British medical profession - The creation of the NHS - The development of the medical profession within the NHS - The renaissance of general practice
2 Reforming professional relations
Introduction - New public management - Management enters the NHS - Managing primary care - An internal market for the NHS - GPs as purchasers - The impact of reform - A new NHS? - Back to the future?
3 The politics of the medical profession
Introduction - Defining power - Pluralist approaches - Marxist approaches - Structuralist approaches - Medical dominance - Inside the medical profession - The medical profession under threat? - Health care politics: Using Alford's typology - The new health care politics?
4 New public management enters primary care
Introduction - The case studies - The fundholding scheme and the contracting process - Comment - The end of the fundholding scheme - Comment - Outreach clinics - Summary
5 Health care quality
Introduction - Quality standards - Comment - Defining quality - Comment - The survey stage - Summary
6 Transforming intraprofessional relations?
Introduction - The GP - hospital consultant relationship -Comment - Influencing secondary care - Comment - Collaboration - Comment - The impact of primary care groups - Summary
7 Intraprofessional futures
Introduction - An overview - GPs as regulators? - The legacy of fundholding - Alford revisited
Appendix: Methodology
References
Index
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