Health policy in Britain : the politics and organisation of the National Health Service

목차 (Table of Contents)

• CONTENTS
• List of Figures and Tables = ⅹ
• Acknowledgements = xii
• Preface to the Fourth Edition = xiii
• Abbreviations = xiv
• Introduction = 1
• 1. The Development of Health Services and Health Policy = 4
• Public health services = 5
• Mothers and young children = 6
• Health insurance = 7
• Hospital services = 8
• The establishment of the National Healthe Sevice = 10
• The structure of the National Health Service = 12
• The NHS between 1948 and 1974 = 13
• The reorganisation of the NHS = 19
• The reorganised National Health Service = 21
• Conclusion = 24
• 2. Health Policy under Thatcher and Major = 27
• Increasing NHS efficiency = 27
• Making the NHS businesslike = 29
• Dealing with the funding crisis = 32
• Working for Patients = 35
• The reform of primary care and community care = 38
• Implementing the reforms = 39
• The impact of the reforms = 45
• Streamlining the structure = 48
• Conclusion = 49
• 3. New Labour and the NHS = 51
• The ingeritance = 51
• The new NHS = 54
• The new structure = 57
• Implementation = 61
• Integrated care = 64
• The comprehensive spending review = 66
• Northern Ireland, Scotland and Wales = 67
• Conclusion = 70
• 4. Contemporary Issues in Health Policy = 72
• The growth of NHS expenditure = 72
• Raising and Spending money in the NHS = 76
• Public health and health improvement = 80
• Health care = 84
• Health and social care = 90
• Priority-setting = 93
• Conclusion = 96
• 5. The Policy-making Process in Central Government = 97
• What is policy? = 97
• The policy process = 99
• Limits of the systems model = 101
• British central government = 102
• Parliament = 104
• The Prime Minister and Cabinet = 106
• Ministers and civil servants = 109
• Relationships between departments = 111
• Outside interests = 114
• Pluralism or corporatism? = 115
• Conclusion = 118
• 6. Making and Changing Health Policy = 120
• The Department of Health = 120
• The policy community = 126
• The sources of policy inputs = 129
• Policy analysis in the Department = 142
• Back to management = 145
• Conclusion = 150
• 7. Implementing Health Policy = 152
• The management of the NHS = 152
• NHS Executive regional offices = 153
• Health authorities = 155
• NHS trusts = 158
• Primary care trusts = 159
• Special health authorities = 160
• The role of the DH = 160
• Professional influences on policy implementation = 166
• Policy-making in NHS bodies = 170
• Conclusion = 174
• 8. Monitoring and Evaluating Health Policy = 176
• The audit explosion = 176
• Health improvement = 184
• Access to health care = 191
• The NHS in the international context = 197
• Conclusion = 202
• 9. Power in Health Services = 203
• Marxist approaches = 203
• Pluralism = 204
• Structuralist approaches = 205
• Concepts of health = 207
• Power, interests and ideology = 209
• Theories and practice = 212
• Conclusion = 216
• Guide to Further Reading = 218
• Bibliography = 221
• Index = 231