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Patient choice and medicine in health care

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  • Mike Dent

Abstract

The moves to greater patient choice within the UK, to the extent they have actually occurred, have begun to redefine the relations between the patient, professional and state. Rather than the doctors being the voice of the patients it is now the state administration's claim to have begun to provide patients with their own voice(s) and choices. Whereas traditionally the physician would claim to speak for the patient in order to demand more clinical resources now it is the management who demands, on behalf of patients, greater efficiency and effectiveness from the medical and health care staff. Cynically one might suggest that the policy is as much about disciplining the professionals as it is in providing real choice. The new public management (NPM) rhetoric has familiarized us to the notion of empowerment and the importation of consumerism and the ‘market’ to the public sector, a process that has begun to undermine our pre-existing assumptions of the autonomy of the professionalized elements of expert labour, including medicine, and the impact of NPM has meant their growing ‘responsibilization’ (Hanlon 1998; Fournier 1999, 2000). At least, that is a possibility.

Suggested Citation

  • Mike Dent, 2006. "Patient choice and medicine in health care," Public Management Review, Taylor & Francis Journals, vol. 8(3), pages 449-462, September.
    • Handle: RePEc:taf:pubmgr:v:8:y:2006:i:3:p:449-462
    DOI: 10.1080/14719030600853360
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    Cited by:

    1. Emrah Konuralp & Sermin Bicer, 2021. "Putting the Neoliberal Transformation of Turkish Healthcare System and Its Problems into a Historical Perspective," Review of Radical Political Economics, Union for Radical Political Economics, vol. 53(4), pages 654-674, December.
    2. Mazanderani, Fadhila & Kirkpatrick, Susan F. & Ziebland, Sue & Locock, Louise & Powell, John, 2021. "Caring for care: Online feedback in the context of public healthcare services," Social Science & Medicine, Elsevier, vol. 285(C).
    3. Triantafillou, Peter, 2014. "Against all odds? Understanding the emergence of accreditation of the Danish hospitals," Social Science & Medicine, Elsevier, vol. 101(C), pages 78-85.
    4. Nugus, Peter & Greenfield, David & Travaglia, Joanne & Braithwaite, Jeffrey, 2012. "The politics of action research: “If you don't like the way things are going, get off the bus”," Social Science & Medicine, Elsevier, vol. 75(11), pages 1946-1953.

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