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Patients and consumers.

R Downie1

  • 1R Downie, Department of Philosophy, University of Glasgow, 69 Oakfield Avenue, Glasgow G12 8QQ, UK.

The Journal of the Royal College of Physicians of Edinburgh
|February 22, 2018
PubMed
Summary
This summary is machine-generated.

The UK's National Health Service (NHS) free at point of delivery and consumer choice policies conflict. This conceptual mismatch hinders patient satisfaction and cost savings in public healthcare.

Keywords:
best interestschoiceconsentconsumerismequitymedical responsibility

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Area of Science:

  • Health Policy
  • Public Administration
  • Healthcare Management

Background:

  • UK governments have promoted a National Health Service (NHS) free at the point of delivery.
  • Simultaneously, policies encouraged greater consumer choice within healthcare.
  • The integration of these two policies was intended to boost patient satisfaction, efficiency, and reduce costs.

Purpose of the Study:

  • To analyze the conceptual compatibility of a free-at-point-of-delivery healthcare system with consumer choice models.
  • To investigate the reasons behind the poor reception of these amalgamated policies by patients and medical professionals.
  • To evaluate the financial impact of integrating public healthcare policy with individual consumer responsibility.

Main Methods:

  • Conceptual analysis of healthcare as public policy versus individual responsibility.
  • Review of policy documents and government initiatives in the UK healthcare sector.
  • Qualitative assessment of patient and doctor reception to market-based reforms in the NHS.

Main Results:

  • A fundamental conceptual misfit exists between healthcare as a public service and as an individual consumer responsibility.
  • Patients in the NHS cannot effectively function as consumers, nor can doctors act as suppliers in this model.
  • The amalgamation of policies has not led to increased patient satisfaction, improved efficiency, or cost savings.

Conclusions:

  • The principles of a publicly funded, free-at-point-of-delivery healthcare system are incompatible with a consumer choice framework.
  • Reforms attempting to introduce consumerism into the NHS face inherent conceptual challenges.
  • Addressing the underlying conceptual mismatch is crucial for future healthcare policy in the UK.