首页> 外文期刊>Sociology of health & illness >Market reforms in English primary medical care: medicine, habitus and the public sphere.
【24h】

Market reforms in English primary medical care: medicine, habitus and the public sphere.

机译:英国初级医疗保健的市场改革:医学,习性和公共领域。

获取原文
获取原文并翻译 | 示例
           

摘要

Drawing on interviews with English primary care doctors (GPs), this paper examines GP responses to reforms intended to introduce a market in primary health care. GPs' reactions are conceptualised in terms of a GP habitus, which takes for granted the superiority of 'public' providers (i.e. GP partnerships) in the provision of care. GPs are actively involved in the defence of the public sphere, which is neither a neo-liberal minimalist market state, nor a wholly altruistic state, responding to consumers' wants. The public sphere they defend is one in which boundaries are drawn about entitlements and GPs are actively engaged in defining and policing these boundaries. The GP habitus can be seen as shaping responses in ways which serve GP interests. In the context of struggles involving various social actors (e.g. private providers, third-party payers, patients) with different stakes in the field of general medical practice; this public service orientation may enable GPs to reap cultural capital. At the same time, the habitus constrains action in a way which limits resistance to reforms threatening GPs' interests, with GPs responding by coping, rather than downing tools or engaging in active confrontation.
机译:本文基于对英国初级保健医生(GPs)的采访,考察了GP对旨在引入初级保健市场的改革的反应。 GP的反应是根据GP习惯来概念化的,这被认为是“公共”提供者(即GP合伙企业)在提供护理方面的优势。 GP积极参与公共领域的防御,它既不是新自由主义的极简主义市场国家,也不是完全利他主义的国家,能够回应消费者的需求。他们捍卫的公共领域是对权利进行划分的界限,而全科医生则积极参与定义和维护这些界限。 GP习惯可被视为以服务于GP利益的方式塑造回应。在涉及在一般医疗实践领域有不同利益的各种社会行为者(例如私人提供者,第三方付款人,患者)的斗争中;这种公共服务导向可以使全科医生获得文化资本。同时,惯性以一种限制行动的方式来限制行动,这种抵抗限制了威胁全科医生利益的改革,全科医生通过应对来应对,而不是压制工具或进行积极对抗。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号