Chapter

How does it produce?

Julian Tudor Hart

in The political economy of health care

Published by Policy Press

Published in print September 2010 | ISBN: 9781847427830
Published online March 2012 | e-ISBN: 9781447303930 | DOI: http://dx.doi.org/10.1332/policypress/9781847427830.003.0003
How does it produce?

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The NHS care system operates in ways entirely different from commodity-producing industries. Progress in health care depends on developing professionals as sceptical co-producers of health gains rather than salesmen of process, and developing patients as sceptical co-producers rather than consumers searching for bargains and shorter queues. When applied to health care systems, management policies derived from industrial commodity production, and incentive systems of reward and punishment based on that model, are demoralising to staff and patients. Health care requires an entirely different body of economic theory, only the outlines of which are beginning to become clear, to which health economists have as yet contributed little. Beginnings of these already exist in the NHS, but will develop optimally only within a gift economy and culture, separated entirely from the economy and culture of commerce.

Keywords: NHS; health care; health gain; industrial commodity production; health economists; gift economy

Chapter.  20556 words. 

Subjects: Public Health and Epidemiology

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