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Exploring 70 Years of the British National Health Service through Anniversary Documents

机译:通过周年文件探索英国国家卫生服务局成立70周年

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摘要

The British National Health Service (NHS) celebrates its 70th birthday on July 5, 2018. This article examines this anniversary through the lens of previous anniversaries. It examines seven documents close to each anniversary over a period of some 60 years, drawing on interpretive content analysis, based on the narrative dimensions of context (structure and finance); success or achievements; problems; and solutions or recommendations. It finds that the anniversary documents tend to show change rather than consistency. For example, the Guillebaud Report tended to dismiss the problem of ageing populations, for it to reappear in 1979 and 1989, to fade in 2009, and reappear once more in 2017. Despite being downplayed or ignored in some years, the problems identified by most of the documents such as demography and technology are unlikely to disappear. Some solutions such as market-based reform have flowed and ebbed over the years, and the ‘solution’ of structural reorganisation in one year has become the ‘problem’ in a future year. While predicting the future is always hazardous, it can be said with some confidence that future anniversaries are likely to see discussion of similar themes.
机译:英国国家卫生局(NHS)于2018年7月5日庆祝其70岁生日。本文通过以往的周年纪念日来探讨这一周年纪念日。它根据上下文的叙事维度(结构和财务),根据解释性内容分析,审查了大约60年来每个周年纪念日附近的七份文件;成功或成就;问题;以及解决方案或建议。它发现周年纪念文件倾向于显示变化,而不是一致性。例如,《吉尔波特报告》倾向于忽略人口老龄化的问题,因为该问题在1979年和1989年再次出现,在2009年逐渐消失,在2017年再次出现。尽管在某些年份被轻描淡写或忽略了,但大多数人发现的问题人口统计学和技术等文件不会消失。多年来,诸如基于市场的改革之类的解决方案已经流行和消退,一年内结构重组的“解决方案”已成为未来一年的“问题”。尽管预测未来总是很危险的,但可以肯定地说,未来的周年纪念日可能会看到关于类似主题的讨论。

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