Patients and consumers

Downie, R. (2017) Patients and consumers. Journal of the Royal College of Physicians of Edinburgh, 47(3), pp. 261-265. (doi: 10.4997/JRCPE.2017.311) (PMID:29465104)

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Successive governments of the UK have strongly supported two policies: an NHS free at the point of delivery, and the encouragement of consumer choice. It was natural for governments to think that amalgamating the policies would increase patient satisfaction, improve efficiency and save money. There are many reasons why this has not been well-received by patients and doctors and has not saved money, but the underlying problem is that there is a conceptual misfit between healthcare as public policy and as individual responsibility. Patients in the NHS cannot become consumers and doctors cannot become suppliers of goods and services.

Item Type:Articles
Keywords:best interests, choice, consent, consumerism, equity, medical responsibility
Glasgow Author(s) Enlighten ID:Downie, Professor Robert
Authors: Downie, R.
College/School:College of Arts > School of Humanities > Philosophy
Journal Name:Journal of the Royal College of Physicians of Edinburgh
Publisher:Royal College of Physicians of Edinburgh
ISSN (Online):2042-8189
Copyright Holders:Copyright © 2017 Royal College of Physicians of Edinburgh
First Published:First published in Journal of the Royal College of Physicians of Edinburgh 47(3):261-265
Publisher Policy:Reproduced under a Creative Commons License

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