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oapen-20.500.12657-464782022-05-04T08:48:01Z 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 bic Book Industry Communication::M Medicine::MB Medicine: general issues::MBD Medical profession::MBDC Medical ethics & professional conduct bic Book Industry Communication::H Humanities::HR Religion & beliefs::HRA Religion: general::HRAM Religious issues & debates::HRAM1 Religious ethics bic Book Industry Communication::H Humanities::HP Philosophy::HPQ Ethics & 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 2021-02-02T15:01:58Z 2021-02-02T15:01:58Z 2018 chapter ONIX_20210202_9781351736855_chpt_30 https://library.oapen.org/handle/20.500.12657/46478 eng Routledge Key Themes in Health and Society application/pdf Attribution-NonCommercial-NoDerivatives 4.0 International 9781351736855-ch04.pdf Taylor & Francis Marketisation, Ethics and Healthcare Marketisation, Ethics and Healthcare Routledge 7b3c7b10-5b1e-40b3-860e-c6dd5197f0bb dad1fe33-c0bd-47de-adf3-b728f9f3192e dad1fe33-c0bd-47de-adf3-b728f9f3192e Wellcome Trust Wellcome Routledge 17 105605/Z/14/Z open access
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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
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