A history of the intermediate tier in the English NHS: Centre, region, periphery

IF 2.6 2区社会学 Q2 DEVELOPMENT STUDIES

Social Policy & Administration Pub Date : 2024-03-18 DOI:10.1111/spol.13019

Michael Lambert

引用次数: 0

Abstract

Centre‐periphery relations have constituted a paradox for the English National Health Service (NHS) since its creation in 1948. Is it a top‐down national service organised locally, or a bottom‐up arrangement of local health systems managed nationally? North West England provides a regional case study which traces the changing organisational, relational and spatial dimensions of the intermediate tier. These reposition centre‐periphery tensions. In foregrounding, situating and conceptualising region in these terms, I offer new insight into existing narratives and centre‐periphery relations in the NHS.

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英国国家医疗服务体系中间层的历史：中心、地区、边缘

自 1948 年英国国民医疗服务体系（NHS）创立以来，中心与边缘的关系就一直是一个悖论。它是一个由地方组织的自上而下的国家服务，还是一个由地方卫生系统管理的自下而上的安排？英格兰西北部提供了一个地区案例研究，追溯了中间层不断变化的组织、关系和空间维度。这些重新定位了中心与边缘之间的紧张关系。通过从这些角度对地区进行展望、定位和概念化，我对国家医疗服务体系的现有叙事和中心-边缘关系提出了新的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Social Policy & Administration Multiple-

CiteScore

6.50

自引率

6.20%

发文量

期刊介绍： Social Policy & Administration is the longest established journal in its field. Whilst remaining faithful to its tradition in academic excellence, the journal also seeks to engender debate about topical and controversial issues. Typical numbers contain papers clustered around a theme. The journal is international in scope. Quality contributions are received from scholars world-wide and cover social policy issues not only in Europe but in the USA, Canada, Australia and Asia Pacific.