Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse
How does the market affect and redefine healthcare? The marketisation of Western healthcare systems has now proceeded well into its fourth decade. But the nature and meaning of the phenomenon has become increasingly opaque amidst changing discourses, policies and institutional structures. Moreover,...
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| Formato: | Online |
| Idioma: | inglês |
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Taylor & Francis
2021
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| Acesso em linha: | ONIX_20210202_9781351736855_chpt_30 |
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| _version_ | 1869531263426101248 |
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| author | Feiler, Therese |
| author_browse | Feiler, Therese |
| author_facet | Feiler, Therese |
| author_sort | Feiler, Therese |
| collection | Directory of Open Access Books |
| description | How does the market affect and redefine healthcare? The marketisation of Western healthcare systems has now proceeded well into its fourth decade. But the nature and meaning of the phenomenon has become increasingly opaque amidst changing discourses, policies and institutional structures. Moreover, ethics has become focussed on dealing with individual, clinical decisions and neglectful of the political economy which shapes healthcare. This interdisciplinary volume approaches marketisation by exploring the debates underlying the contemporary situation and by introducing reconstructive and reparative discourses. The first part explores contrary interpretations of ‘marketisation’ on a systemic level, with a view to organisational-ethical formation and the role of healthcare ethics. The second part presents the marketisation of healthcare at the level of policy-making, discusses the ethical ramifications of specific marketisation measures and considers the possibility of reconciling market forces with a covenantal understanding of healthcare. The final part examines healthcare workers’ and ethicists’ personal moral standing in a marketised healthcare system, with a view to preserving and enriching virtue, empathy and compassion. Chapter 4 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://s3-us-west-2.amazonaws.com/tandfbis/rt-files/docs/Open+Access+Chapters/9781138735736_oachapter4.pdf Chapter 7 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://s3-us-west-2.amazonaws.com/tandfbis/rt-files/docs/Open+Access+Chapters/9781138735736_oachapter7.pdf |
| format | Online |
| id | doab-20.500.12854ir-27763 |
| institution | Directory of Open Access Books |
| language | eng |
| publishDate | 2021 |
| publishDateRange | 2021 |
| publishDateSort | 2021 |
| publisher | Taylor & Francis |
| publisherStr | Taylor & Francis |
| record_format | ojs |
| spelling | doab-20.500.12854ir-277632025-07-21T15:58:07Z Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse Feiler, Therese Adrian Walsh Anant Jani Andrew Papanikitas Angeliki Kerasidou David Misselbrook Jonathan Herring Joshua Hordern Lucy Frith Miran Epstein Pythagoras Petratos Ruth Horn thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy How does the market affect and redefine healthcare? The marketisation of Western healthcare systems has now proceeded well into its fourth decade. But the nature and meaning of the phenomenon has become increasingly opaque amidst changing discourses, policies and institutional structures. Moreover, ethics has become focussed on dealing with individual, clinical decisions and neglectful of the political economy which shapes healthcare. This interdisciplinary volume approaches marketisation by exploring the debates underlying the contemporary situation and by introducing reconstructive and reparative discourses. The first part explores contrary interpretations of ‘marketisation’ on a systemic level, with a view to organisational-ethical formation and the role of healthcare ethics. The second part presents the marketisation of healthcare at the level of policy-making, discusses the ethical ramifications of specific marketisation measures and considers the possibility of reconciling market forces with a covenantal understanding of healthcare. The final part examines healthcare workers’ and ethicists’ personal moral standing in a marketised healthcare system, with a view to preserving and enriching virtue, empathy and compassion. Chapter 4 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://s3-us-west-2.amazonaws.com/tandfbis/rt-files/docs/Open+Access+Chapters/9781138735736_oachapter4.pdf Chapter 7 of this book is freely available as a downloadable Open Access PDF under a Creative Commons Attribution-Non Commercial-No Derivatives 3.0 license. https://s3-us-west-2.amazonaws.com/tandfbis/rt-files/docs/Open+Access+Chapters/9781138735736_oachapter7.pdf 2021-02-10T13:17:32Z 2021-02-10T13:17:32Z 2021-02-02T15:01:58Z 2018 chapter ONIX_20210202_9781351736855_chpt_30 https://library.oapen.org/handle/20.500.12657/46478 https://directory.doabooks.org/handle/20.500.12854/27763 eng Routledge Key Themes in Health and Society open access image/jpeg image/jpeg image/jpeg image/jpeg Attribution-NonCommercial-NoDerivatives 4.0 International Attribution-NonCommercial-NoDerivatives 4.0 International Attribution-NonCommercial-NoDerivatives 4.0 International Attribution-NonCommercial-NoDerivatives 4.0 International https://library.oapen.org/bitstream/20.500.12657/46478/1/9781351736855-ch04.pdf https://library.oapen.org/bitstream/20.500.12657/46478/1/9781351736855-ch04.pdf https://library.oapen.org/bitstream/20.500.12657/46478/1/9781351736855-ch04.pdf https://library.oapen.org/bitstream/20.500.12657/46478/1/9781351736855-ch04.pdf Taylor & Francis Routledge fa69b019-f4ee-4979-8d42-c6b6c476b5f0 Marketisation, Ethics and Healthcare Marketisation, Ethics and Healthcare Wellcome Routledge 17 open access |
| spellingShingle | Adrian Walsh Anant Jani Andrew Papanikitas Angeliki Kerasidou David Misselbrook Jonathan Herring Joshua Hordern Lucy Frith Miran Epstein Pythagoras Petratos Ruth Horn thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy Feiler, Therese Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse |
| title | Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse |
| title_full | Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse |
| title_fullStr | Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse |
| title_full_unstemmed | Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse |
| title_short | Chapter 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse |
| title_sort | chapter 4 encoding truths diagnosis related groups and the fragility of the marketisation discourse |
| topic | Adrian Walsh Anant Jani Andrew Papanikitas Angeliki Kerasidou David Misselbrook Jonathan Herring Joshua Hordern Lucy Frith Miran Epstein Pythagoras Petratos Ruth Horn thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy |
| topic_facet | Adrian Walsh Anant Jani Andrew Papanikitas Angeliki Kerasidou David Misselbrook Jonathan Herring Joshua Hordern Lucy Frith Miran Epstein Pythagoras Petratos Ruth Horn thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy thema EDItEUR::M Medicine and Nursing::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics and professional conduct thema EDItEUR::Q Philosophy and Religion::QR Religion and beliefs::QRA Religion: general::QRAM Religious issues and debates::QRAM1 Religious ethics thema EDItEUR::Q Philosophy and Religion::QD Philosophy::QDT Topics in philosophy::QDTQ Ethics and moral philosophy |
| url | ONIX_20210202_9781351736855_chpt_30 |
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