Patients and consumers
Successive governments of the UK have strongly supported two policies: an NHS free at the point of delivery, and the encouragement of consumer choice. It was natural for governments to think that amalgamating the policies would increase patient satisfaction, improve efficiency and save money. There...
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Royal College of Physicians of Edinburgh
2017-09-01
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Online Access: | https://www.rcpe.ac.uk/sites/default/files/jrcpe_47_3_downie.pdf |
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doaj-5d481fa15e8e4f90916677f415fb61032020-11-24T22:40:08ZengRoyal College of Physicians of EdinburghThe Journal of the Royal College of Physicians of Edinburgh1478-27152042-81892017-09-0147326126510.4997/JRCPE.2017.311Patients and consumersR DownieSuccessive governments of the UK have strongly supported two policies: an NHS free at the point of delivery, and the encouragement of consumer choice. It was natural for governments to think that amalgamating the policies would increase patient satisfaction, improve efficiency and save money. There are many reasons why this has not been well-received by patients and doctors and has not saved money, but the underlying problem is that there is a conceptual misfit between healthcare as public policy and as individual responsibility. Patients in the NHS cannot become consumers and doctors cannot become suppliers of goods and services.https://www.rcpe.ac.uk/sites/default/files/jrcpe_47_3_downie.pdfbest interestschoiceconsentconsumerismequitymedical responsibility |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
R Downie |
spellingShingle |
R Downie Patients and consumers The Journal of the Royal College of Physicians of Edinburgh best interests choice consent consumerism equity medical responsibility |
author_facet |
R Downie |
author_sort |
R Downie |
title |
Patients and consumers |
title_short |
Patients and consumers |
title_full |
Patients and consumers |
title_fullStr |
Patients and consumers |
title_full_unstemmed |
Patients and consumers |
title_sort |
patients and consumers |
publisher |
Royal College of Physicians of Edinburgh |
series |
The Journal of the Royal College of Physicians of Edinburgh |
issn |
1478-2715 2042-8189 |
publishDate |
2017-09-01 |
description |
Successive governments of the UK have strongly supported two policies: an NHS free at the point of delivery, and the encouragement of consumer choice. It was natural for governments to think that amalgamating the policies would increase patient satisfaction, improve efficiency and save money. There are many reasons why this has not been well-received by patients and doctors and has not saved money, but the underlying problem is that there is a conceptual misfit between healthcare as public policy and as individual responsibility. Patients in the NHS cannot become consumers and doctors cannot become suppliers of goods and services. |
topic |
best interests choice consent consumerism equity medical responsibility |
url |
https://www.rcpe.ac.uk/sites/default/files/jrcpe_47_3_downie.pdf |
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AT rdownie patientsandconsumers |
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1725705777671307264 |