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Organizational reform and health-care goods: Concerns about marketization in the UKNHS

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)221 - 240
Number of pages20
JournalJournal of Medicine and Philosophy
Issue number3
PublishedJun 2008

King's Authors


This paper uses the recent history of marketization and privatization in the UK National Health Service as a case study through which to explore the relationship between health-care organization and health-care goods. Phases and processes of marketization are briefly reviewed in order to show that, although the scope of both marketization and privatization reforms have, until recently, been very heavily circumscribed (and can only be understood in the context of the rise of managerialism), they have nonetheless had a major impact on the "value field" of UK health services. The second half of the paper draws upon the concerns of the critics of market-style reforms to set out and explore the ways in which organizational reform and the shifts in institutional norms consequent upon it construct health-care goods and argues that the investigation of this organization-goods axis ought to have a central place in health-care ethics

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