Chapter

<i>Accidental logics</i>, Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s

Pauline Allen

in Shaping Health Policy

Published by Policy Press

Published in print October 2011 | ISBN: 9781847427588
Published online May 2012 | e-ISBN: 9781447305576 | DOI: http://dx.doi.org/10.1332/policypress/9781847427588.003.0018
Accidental logics, Carolyn Hughes Tuohy's analysis of the English National Health Service internal market of the 1990s

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This chapter is based upon Carolyn Hughes Tuohy's book, which provides a comparison of the ‘dynamics of change in the healthcare arena in USA, Britain, and Canada’. It only discusses her analysis of the British NHS in the 1990s. Tuohy uses a political science approach to look at the structural issues affecting the NHS internal market introduced by Mrs Thatcher in the 1990s. She notes a lack of change in the balance of the actors in the British NHS, explained by the logic of agency. The chapter draws comparisons between recent and current NHS reforms in terms of the strong influence of the state and its hierarchical structures, despite the attempt to introduce market elements.

Keywords: NHS; hierarchical corporatism; path dependence; Carolyn Hughes Tuohy; Mrs Thatcher

Chapter.  5513 words.  Illustrated.

Subjects: Health, Illness, and Medicine

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