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The health debatePolicy & Politics in the Twenty-First Century$
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David J. Hunter

Print publication date: 2008

Print ISBN-13: 9781861349293

Published to Policy Press Scholarship Online: March 2012

DOI: 10.1332/policypress/9781861349293.001.0001

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Meeting the health system challenges

Meeting the health system challenges

Chapter:
(p.23) 2 Meeting the health system challenges
Source:
The health debate
Author(s):

David J. Hunter

Publisher:
Policy Press
DOI:10.1332/policypress/9781861349293.003.0002

This chapter provides a broad overview of how health systems in a variety of contexts are responding to the broadly similar challenges they face through a combination of managerialism and markets. It examines why changes that are heralded as pioneering and path-breaking often fail to live up to expectations and are then criticised for having been ‘oversold’. It discusses the predominant approach of NHS reform which focuses on centralised targets, together with a growing commercialisation of health services.

Keywords:   health systems, managerialism, markets, NHS, centralised markets, commercialisation

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