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Scientific‐Bureaucratic Medicine And Uk Health Policy1

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  • Stephen Harrison
  • Bruce Wood

Abstract

One prominent method for controlling health costs is to find measures for the management of demand. Various options exist for this; and many of them have been tried during the fifty years of the UK's National Health Service. Current policy now focuses on what may be called “scientific‐bureaucratic medicine.” This policy is based on the assumptions that valid medical knowledge is derived from accumulated research evidence and that such knowledge should be implemented through clinical guidelines which are enforced to some extent. This UK development has parallels with the US Agency for Health Care Policy and Research whose experience, therefore, raises some policy issues for the UK.

Suggested Citation

  • Stephen Harrison & Bruce Wood, 2000. "Scientific‐Bureaucratic Medicine And Uk Health Policy1," Review of Policy Research, Policy Studies Organization, vol. 17(4), pages 25-42, December.
    • Handle: RePEc:bla:revpol:v:17:y:2000:i:4:p:25-42
    DOI: 10.1111/j.1541-1338.2000.tb00955.x
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    Cited by:

    1. Gordon, Elisa Jill, 2006. "The political contexts of evidence-based medicine: Policymaking for daily hemodialysis," Social Science & Medicine, Elsevier, vol. 62(11), pages 2707-2719, June.
    2. Fudge, Nina & Swinglehurst, Deborah, 2022. "Keeping in balance on the multimorbidity tightrope: A narrative analysis of older patients’ experiences of living with and managing multimorbidity," Social Science & Medicine, Elsevier, vol. 292(C).

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