Dismantling the National Health Service in England.
Health and Care Act 2022
National Health Service England
health policy
health services
marketization
privatisation
Journal
International journal of health services : planning, administration, evaluation
ISSN: 1541-4469
Titre abrégé: Int J Health Serv
Pays: United States
ID NLM: 1305035
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
pubmed:
26
7
2022
medline:
9
9
2022
entrez:
25
7
2022
Statut:
ppublish
Résumé
The National Health Service was established in the United Kingdom in 1948 as a universal, comprehensive service free at the point of delivery, which is publicly provided, funded, and accountable. Market incrementalism in England has eroded this system over three decades. The recently enacted Health and Care Act will erode it further. This article first explains briefly how legislation and policy initiatives in 1990, 2003, and 2012 furthered development of the market and private provision of health services, and then describes the main structural changes in the new Act and their implications. England is now moving decisively toward a marketized, two-tier, mixed-funding system with several similarities to the United States.
Identifiants
pubmed: 35876348
doi: 10.1177/00207314221114540
pmc: PMC9449439
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
470-479Références
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