Meeting the health system challenges

David J. Hunter

in The health debate

Published by Policy Press

Published in print September 2008 | ISBN: 9781861349293
Published online March 2012 | e-ISBN: 9781447303855 | DOI:
Meeting the health system challenges

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This chapter provides a broad overview of how health systems in a variety of contexts are responding to the broadly similar challenges they face through a combination of managerialism and markets. It examines why changes that are heralded as pioneering and path-breaking often fail to live up to expectations and are then criticised for having been ‘oversold’. It discusses the predominant approach of NHS reform which focuses on centralised targets, together with a growing commercialisation of health services.

Keywords: health systems; managerialism; markets; NHS; centralised markets; commercialisation

Chapter.  9350 words. 

Subjects: Public Health and Epidemiology

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