医学未来学:国家卫生服务和必然结论的政治

IF 3.6 1区 社会学 Q1 GEOGRAPHY
Antipode Pub Date : 2025-01-13 DOI:10.1111/anti.13130
Clare Herrick
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引用次数: 0

摘要

英国国民医疗服务体系的历史就是一部危机史:人员短缺;资金投入不足;而基础设施的缺乏,由于缺乏确保该服务未来所需的长期资金解决方案而变得更糟。“危急状态”(Darzi 2024:131;目前对国民保健制度的检讨(https://www.gov.uk/government/publications/independent-investigation-of-the-nhs-in-england)使得对保健服务的未来进行反思是必要和不可避免的。然而,国民保健服务的特点是“惯性形式”(Powell 1966:73;《政治与医学的新视角》),尽管公众的不满达到了创纪录的水平,但它始终削弱了进行必要改革的论据。以劳动力规划为例,我研究了如何努力想象NHS的未来和未来采取三种形式:计划;束缚于(过去)的;和抵制。在这一点上,我提出了为什么NHS作为一个机构需要成为激进地理议程的核心,以及为什么地理学家应该参与其未来。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medical Futurology: The National Health Service and the Politics of Inevitable Conclusions

The history of Britain's National Health Service is a history of crises: staffing shortages; insufficient capital investment; and a lack of infrastructure rendered worse by the absence of the long-term funding settlements needed to ensure the service's future. The “critical condition” (Darzi 2024:131; https://www.gov.uk/government/publications/independent-investigation-of-the-nhs-in-england) of the NHS in the present makes reflection on the future of the health service essential and unavoidable. However, the NHS is characterised by “forms of inertia” (Powell 1966:73; A New Look at Politics and Medicine) that, even as public dissatisfaction hits record levels, consistently undermines arguments for necessary change. Drawing on the example of workforce planning, I examine how efforts to imagine the future of and a future for the NHS have taken three forms: planned; tethered (to the past); and resisted. In this, I draw out why the NHS as an institution needs to be more central to radical geographical agendas and why geographers should be engaged in its future.

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来源期刊
Antipode
Antipode GEOGRAPHY-
CiteScore
9.50
自引率
10.00%
发文量
111
期刊介绍: Antipode has published dissenting scholarship that explores and utilizes key geographical ideas like space, scale, place, borders and landscape. It aims to challenge dominant and orthodox views of the world through debate, scholarship and politically-committed research, creating new spaces and envisioning new futures. Antipode welcomes the infusion of new ideas and the shaking up of old positions, without being committed to just one view of radical analysis or politics.
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