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Healthcare in TransitionUnderstanding Key Ideas and Tensions in Contemporary Health Policy$
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Alan Cribb

Print publication date: 2017

Print ISBN-13: 9781447323211

Published to Policy Press Scholarship Online: May 2018

DOI: 10.1332/policypress/9781447323211.001.0001

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Shaping the future

Shaping the future

Chapter:
(p.153) Seven Shaping the future
Source:
Healthcare in Transition
Author(s):

Alan Cribb

Publisher:
Policy Press
DOI:10.1332/policypress/9781447323211.003.0007

This concluding chapter asks how health policy needs to change character in the light of the transitions and tensions reviewed in the book. The emphasis in health policy has to move more decisively from a delivery model to a deliberative model of healthcare; or, in other words, from an assumed model of ‘top-down’ service provision towards a more diffused and democratic model. Moreover, the philosophical transition explored in the book should, in part, be seen as a transition towards philosophy, because philosophical questions are now manifestly at the centre of healthcare debate and activity. The chapter then presents some substantive conclusions about the key balancing acts that need to be struck in shaping the future of healthcare, including the balance between the responsibilities of policy makers and professionals, on the one hand, and the collective responsibility of patients and publics, on the other.

Keywords:   health policy, deliberative model, healthcare, democratic model, philosophy, healthcare debate, delivery model, top-down service provision

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