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Whatever suits you: unpicking personalization for the NHS.
1Centre for Public Policy Research, King's College London, London, UK. alan.cribb@kcl.ac.uk
Journal of Evaluation in Clinical Practice
|April 7, 2010
Summary
Personalization in healthcare policies often combines diverse elements, creating ambiguity. This analysis of the UK National Health Service (NHS) reveals critical philosophical and political questions for personalized healthcare and the welfare state.
Area of Science:
- Health Policy Analysis
- Welfare State Studies
- Philosophy of Public Services
Background:
- Policy initiatives increasingly advocate for personalized or 'tailored' services.
- The appeal of personalization often stems from its ambiguous integration of various concepts.
- The UK National Health Service (NHS) provides a relevant case study for examining personalization discourses.
Purpose of the Study:
- To analyze the 'fudge' or ambiguity in policy discourses surrounding personalization.
- To examine the conflation of health services tailored to medical needs versus patient wants.
- To highlight philosophical and political questions crucial for coherent personalization policy.
Main Methods:
- Qualitative analysis of policy discourses on personalization in the UK NHS.
- Focus on identifying and deconstructing the ambiguity between 'needs' and 'wants' in service tailoring.
- Philosophical and political examination of the implications for the welfare state.
Main Results:
- Policy personalization achieves 'work' through deliberate vagueness, particularly conflating medical needs with patient wants.
- Significant philosophical and political challenges impede the development of coherent personalization policies.
- The potential implications of personalization for the welfare state are substantial and underexplored.
Conclusions:
- Philosophical analysis is essential for guiding the redirection of services implied by personalization.
- Advancing personalization requires analyzing the relationship between needs and wants for human flourishing.
- An explicit reconsideration of the welfare state's purpose is necessary for effective personalization strategies.
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