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Clinical and economic consequences of patients as producers
1University of Glasgow, Department of General Practice.
Abstract:
NHS market 'reforms' and the world-wide drift toward managed competition in health services rest on a fundamental misunderstanding of the nature of health production through medical and nursing care. Optimally efficient health production depends on a general shift of patients from their traditional role as passive or adversarial consumers, to become producers of healthy jointly with their health professionals, in an essentially co-operative rather than competitive public service.
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