The claim for patient choice and equity

被引:26
作者
Barr, D. A. [1 ]
Fenton, L. [2 ]
Blane, D. [1 ]
机构
[1] Glasgow Royal Infirm, Glasgow G4 0SF, Lanark, Scotland
[2] Royal Alexandra Hosp, Paisley, Renfrew, Scotland
关键词
D O I
10.1136/jme.2006.019570
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
Recently, commentators close to and within the UK government have claimed that patient choice can increase equity in the context of the National Health Service. This article critically examines the basis for this claim through analysis of recent speeches and publications authored by secretaries of state for health and their policy advisers. It is concluded that this claim has not developed prospectively from an analysis of the causes of healthcare inequity, or even with a consistent normative definition of equity. The limited justification that is "framed in causal explanations" of inequity has suffered from an apparent disregard of the available evidence.
引用
收藏
页码:271 / 274
页数:4
相关论文
共 30 条
[1]  
Acheson D., 1998, Independent inquiry into inequalities in health: report
[2]  
[Anonymous], EQUITY CHOICE CAPACI
[3]  
[Anonymous], 2004, Personal Responsibility and Changing Behaviour: The State of Knowledge and its Implications for Public Policy
[4]  
[Anonymous], REFORMING PUBLIC SER
[5]   Patient choice in the NHS - Having choice may not improve health outcomes [J].
Appleby, J ;
Dixon, J .
BMJ-BRITISH MEDICAL JOURNAL, 2004, 329 (7457) :61-62
[6]   The demand for private health insurance: do waiting lists matter? [J].
Besley, T ;
Hall, J ;
Preston, I .
JOURNAL OF PUBLIC ECONOMICS, 1999, 72 (02) :155-181
[7]  
BOSELY S, 2000, GUARDIAN UNLIMI 0621
[8]   Do patients always prefer quicker treatment?A discrete choice analysis of patients’ stated preferences in the London Patient Choice Project [J].
Peter Burge ;
Nancy Devlin ;
John Appleby ;
Charlene Rohr ;
Jonathan Grant .
Applied Health Economics and Health Policy, 2004, 3 (4) :183-194
[9]  
DENHAM J, 1999, HOUSE COMMONS OFFI 5
[10]  
*DEP HLTH, 2003, BUILD BEST CHOIC RES, P12