The place of charity in a public health service: Inequality and persistence in charitable support for NHS trusts in england.
The place of charity in a public health service: Inequality and persistence in charitable support for NHS trusts in england.
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慈善事业在公共卫生服务中的地位：英格兰 NHS 信托慈善支持的不平等和持续性。
DOI：
10.1016/j.socscimed.2023.115805
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Bowles J
中科院分区：
文献类型：
--
作者：
Bowles J
英国国民保健服务（NHS）的大部分资金来自直接税，但慈善收入对NHS的贡献并不为人所知。迄今为止，对NHS慈善捐赠的少数研究集中在收入和支出的总体水平上。然而，迄今为止，人们对不同类型的NHS信托受益于慈善资金的程度以及信托在获得这些资源方面的不平等持续存在的集体理解有限。本文提出了新的分析NHS信托基金的收入，来自慈善来源的比例方面的分布。我们建立了一个独特的链接纵向数据集，通过时间的NHS信托的人口，以及相关的NHS慈善机构的人口，自2000年以来，在英格兰。该分析说明了中等水平的慈善支持急性医院信托相比，低得多的慈善支持救护车，社区和精神卫生信托，相反，高得多的慈善支持信托提供专科护理。这些结果代表了罕见的定量证据相关的理论讨论的不平衡性的志愿部门的医疗保健需求的反应。它们为志愿行动的一个关键特征（也可以说是弱点）提供了重要证据，即慈善特殊主义（philanthropic particularism）--慈善支持倾向于集中在有限的事业范围内。我们还表明，这种“慈善特殊性”-反映在非常可观的差异，在慈善收入之间的不同部门的NHS信托-正变得越来越明显，随着时间的推移，而空间差异，特别是精英机构之间的伦敦和其他地点，也是巨大的。本文反映了这些不平等的政策和规划内的公共卫生保健系统的影响。
The British National Health Service (NHS) relies for the great bulk of its funding on direct taxation, but the contribution of charitable sources of income to the NHS is not well-understood. The few studies of charitable giving to the NHS to date have concentrated on aggregate levels of income and expenditure. However, to date there has been limited collective understanding about the extent to which different kinds of NHS Trusts benefit from charitable funding and about the persistence of inequalities between trusts in their access to these resources. This paper presents novel analyses of the distribution of NHS Trusts in terms of the proportion of their income that comes from charitable sources. We build a unique linked longitudinal dataset which follows through time the population of NHS Trusts, and the population of associated NHS charities, in England since 2000. The analysis illustrates intermediate levels of charitable support for acute hospital trusts compared with the much lower levels of charitable support for ambulance, community and mental health Trusts and, conversely, much higher levels of charitable support for Trusts providing specialist care. These results represent rare quantitative evidence relevant to theoretical discussions about the uneven nature of the voluntary sector's response to healthcare need. They provide important evidence for a key feature (and arguably weakness) of voluntary initiative, namelyphilanthropic particularism- the tendency for charitable support to focus on a restricted range of causes. We also show that this ‘philanthropic particularism’ – reflected in the very sizeable differences in charitable income between different sectors of NHS trusts - is becoming more marked over time, while spatial disparities, notably between elite institutions in London and other locations, are also substantial. The paper reflects on the implications of these inequalities for policy and planning within a public health care system.
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影响因子：
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作者：
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发表时间：
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影响因子：
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影响因子：
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作者：
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