Community Care in a Multi-Racial Society: incorporating the user view

Atkin, Karl

doi:10.1332/030557391782454197

Cited by 7 publications

(3 citation statements)

References 8 publications

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“…We now see the rise of primary care groups, the consolidation of practice nursing, the ever increasing role of primary care in dealing with problems previously dealt with by hospital inpatients, the development of personal medical service-including the rise of the salaried GP-and the development of walk-in NHS centres. This constant evolution explains why primary healthcare does not simply respond to the experience and situation of individual service users but represents the context in which user views are interpreted and acted upon (Atkin, 1991). Primary healthcare has already undergone a process of de nition before it is offered to the patient and is not the product of objective, value-free judgements (see Harrison & Pollit, 1994).…”

Section: The Individual and Collective Action In A 'Postcollectivist'mentioning

confidence: 99%

The individual and primary care: service user, reflexive choice maker and collective actor

Tovey¹,

Atkin²,

Milewa³

2001

Critical Public Health

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Many health policy interventions re ect implicit assumptions of cause and effect, contestable values and partial rationales-particularly in healthcare systems based on notions of entitlement and obligation. The objective-oriented nature of policies and the potential cacophony of narratives that underpin such interventions are not, though, explicable solely in terms of the achievement of particular ends envisaged by different policy actors. These ends re ect, often opaquely, notions of responsibilities, rights and ideas of social justice-issues central to perennial debates around 'welfare citizenship'. But, just as notions of entitlement, rights and obligations are open to challenge and change, so too are discourses around the meaning and implications of far more fundamental phenomena: the individual and individualism. In this paper we focus on the evolution of primary healthcare in the UK in order to demonstrate that changing ideas of the 'individual' and individualism are central to the implicit and explicit narratives and parameters that underpin the formulation of health policy. The individual and individualism are seen as malleable phenomena that can act as the focus for renegotiations of the relationship between systems of healthcare and the patient-citizen at a personal and collective level. Contestable and contested notions of the individual are thus, at one level, fundamental to the meanings and thus the ultimate nature and outcome of health policy interventions.

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Section: The Individual and Collective Action In A 'Postcollectivist'mentioning

confidence: 99%

The individual and primary care: service user, reflexive choice maker and collective actor

Tovey¹,

Atkin²,

Milewa³

2001

Critical Public Health

Self Cite

View full text Add to dashboard Cite

show abstract

“…This constant evolution explains why primary healthcare does not simply respond to the experience and situation of individual service users but represents the context in which user views are interpreted and acted upon (Atkin, 1991). Primary care is very different from what it was 10 years ago.…”

Section: The Individual and Collective Action In A 'Postcollectivist'mentioning

confidence: 99%

The individual and primary care: Service user, reflexive choice maker and collective actor

Tovey¹,

Atkin²,

Milewa³

2001

Critical Public Health

Self Cite

View full text Add to dashboard Cite

AB S T R A C T Many health policy interventions re ect implicit assumptions of cause and effect, contestable values and partial rationales-particularly in healthcare systems based on notions of entitlement and obligation. The objective-oriented nature of policies and the potential cacophony of narratives that underpin such interventions are not, though, explicable solely in terms of the achievement of particular ends envisaged by different policy actors. These ends re ect, often opaquely, notions of responsibilities, rights and ideas of social justice-issues central to perennial debates around 'welfare citizenship'. But, just as notions of entitlement, rights and obligations are open to challenge and change, so too are discourses around the meaning and implications of far more fundamental phenomena: the individual and individualism. In this paper we focus on the evolution of primary healthcare in the UK in order to demonstrate that changing ideas of the 'individual' and individualism are central to the implicit and explicit narratives and parameters that underpin the formulation of health policy. The individual and individualism are seen as malleable phenomena that can act as the focus for renegotiations of the relationship between systems of healthcare and the patient-citizen at a personal and collective level. Contestable and contested notions of the individual are thus, at one level, fundamental to the meanings and thus the ultimate nature and outcome of health policy interventions.

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“…This process will crucially have to incorporate the experiences and views of people from minority ethnic groups. 3 Many initiatives fail because they attempt to control quality without either a clear sense of what the service is there to achieve for people, an understanding of the valuedriven nature of quality assurance in the health and social care field, or proper linking between the academic literature and actual service development. 4 Linked to these points, most organisations have constructed indicators based on inputs and outputs but seldom outcomes.…”

mentioning

confidence: 99%