Analysing the transnational provisioning of services in the social sector: the case of commercialisation of NHS services in China and India
分析社会部门的跨国服务提供:以中国和印度 NHS 服务商业化为例
基本信息
- 批准号:ES/S010920/1
- 负责人:
- 金额:$ 92.04万
- 依托单位:
- 依托单位国家:英国
- 项目类别:Research Grant
- 财政年份:2019
- 资助国家:英国
- 起止时间:2019 至 无数据
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
This study addresses the contemporary attempts by public and private organisations to position the UK within a globalised commercial healthcare economy. It asks how and why this ambition is being realised in England and in two major 'emerging economies' perceived as potential areas of market growth (India and China), and considers the implications for public or state-owned healthcare, health training organisations and healthcare users in the three settings. The study objectives are to:1) describe and analyse the key drivers, actors, markets and supporting social and political infrastructures of commercialised transnational provisioning of healthcare; 2) investigate these and their everyday workings and moral economies through three detailed qualitative case studies of UK-India and UK-China healthcare provisioning in the areas of a) labour sourcing and processes, b) training and management consultancy and c) joint infrastructure ventures, and 3) consider the implications for healthcare planning and governance in the three countries, and communicate these to scholarly, practitioner, advocacy and policy audiences.The context for this research is a period of globalisation in which there have been significant changes in how service sectors are organised, and how public services are managed and provided. In the healthcare sector, there has been an increasing expansion of markets and of opportunities for investment in a global healthcare industry; greater cross-border consumption of healthcare, and increased consumer rights consciousness among patients. In England there have been cumulative market-based reforms to the structure of the National Health Service (NHS), while China and India have seen trade policy reforms, growth of specialist private hospital care and related diagnostic services, and expansion of fee-based provision.The run up to the UK's 'Brexit' departure from the European Union is posing new demands for recruitment of international staff, and public healthcare organisations are facing pressure to 'become more entrepreneurial' to cope with budgetary pressures. Labour markets in middle-income countries are proving a vital source of health workers - provisioned either by third-party commercial agencies or by private hospital chains - while the rising burden of non-communicable diseases amongst ageing and middle-class populations in China and India is driving new demand for healthcare services that offer potential new markets and sources of revenue for UK-based healthcare organisations, notably hospitals, insurance companies, professional bodies and university health schools. In what seems to be a significant step change for the 'NHS identity', marketing has begun with sights set on offshore provisioning to new audiences, primarily in these emerging economies. This project seeks to understand these new developments, which reflect wider global trends in commercialisation, labour markets and trade in social sector services. The case studies will include the transnational outsourcing of back-office administrative activities, training and management consultancies, and joint ventures for hospital development. It will explore projects between organisations in England and in Guangdong, Fujian and Jiangsu (China) and in Delhi, Andhra Pradesh and Maharashtra (India) examining all elements of the 'provisioning chain' from governance and financing, through to production, delivery of / access to healthcare facilities and services, and consumption.Our study findings will be important for raising public awareness and understanding in the three settings of the increasingly globalised nature of the healthcare economy, the types of changes being promoted, and their possible effects. Our public and policy engagement activities will aim to inform policy development within healthcare organisations directly, and also indirectly through engagement with local community organisations.
这项研究涉及公共和私人组织在全球化的商业医疗保健经济中定位英国的当代尝试。它询问如何以及为什么这一雄心正在实现在英国和两个主要的“新兴经济体”被视为市场增长的潜在领域(印度和中国),并认为在三个设置的公共或国有医疗保健,健康培训机构和医疗保健用户的影响。该研究的目标是:1)描述和分析商业化跨国医疗保健供应的关键驱动因素,参与者,市场和支持社会和政治基础设施; 2)通过三个详细的定性案例研究来调查这些及其日常运作和道德经济,这些案例研究涉及英印和英中医疗保健供应领域:a)劳动力采购和流程,B)培训和管理咨询,以及c)合资基础设施企业,以及3)考虑对三个国家的医疗规划和治理的影响,并将这些影响传达给学者、从业人员、倡导者和政策受众。本研究的背景是全球化时期,服务部门的组织方式以及公共服务的管理和提供方式发生了重大变化。在医疗保健领域,全球医疗保健行业的市场和投资机会不断扩大,跨境医疗保健消费增加,患者的消费者权益意识增强。在英国,国家医疗服务体系(NHS)的结构进行了累积性的市场化改革,而中国和印度则经历了贸易政策改革、专科私立医院护理和相关诊断服务的增长以及收费服务的扩大。英国"脱欧"脱欧对国际员工的招聘提出了新的要求,公共医疗机构正面临着"变得更具企业家精神"的压力,以应对预算压力。中等收入国家的劳动力市场正在成为卫生工作者的重要来源-由第三方商业机构或私人连锁医院提供-而中国和印度老龄化和中产阶级人口中非传染性疾病负担的增加正在推动对医疗服务的新需求,为英国医疗保健组织提供潜在的新市场和收入来源,特别是医院,保险公司、专业机构和大学卫生学院。这似乎是“NHS身份”的重大转变,营销已经开始着眼于向新受众(主要是这些新兴经济体)提供离岸服务。该项目旨在了解这些新的发展,这些发展反映了商业化、劳动力市场和社会部门服务贸易方面更广泛的全球趋势。个案研究将包括后勤行政活动的跨国外包、培训和管理咨询以及医院发展的合资企业。它将探讨英国与广东、福建和江苏(中国)以及德里、安得拉邦和马哈拉施特拉邦(印度)的组织之间的项目,研究"供应链"的所有要素,从治理和融资,到生产、提供/获得医疗设施和服务,和消费。我们的研究结果对于提高公众对医疗保健经济日益全球化的三种背景的认识和理解非常重要,正在推动的变革类型及其可能产生的影响。我们的公众和政策参与活动旨在直接为医疗机构内部的政策制定提供信息,并通过与当地社区组织的接触间接提供信息。
项目成果
期刊论文数量(4)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Constructing healthcare services markets: networks, brokers and the China-England engagement.
- DOI:10.1186/s12992-022-00892-8
- 发表时间:2022-12-09
- 期刊:
- 影响因子:10.8
- 作者:Salter, Brian;Dong, Yiming;Hunter, Benjamin M.
- 通讯作者:Hunter, Benjamin M.
'Not in it for huge profits but because it's right': The contested moral economies of UK-India exports in health worker education and training.
“不是为了巨额利润,而是因为这是正确的”:英印在卫生工作者教育和培训方面的出口存在争议的道德经济。
- DOI:10.1111/1467-9566.13700
- 发表时间:2023
- 期刊:
- 影响因子:2.9
- 作者:Merz S
- 通讯作者:Merz S
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Susan Fairley Murray其他文献
Susan Fairley Murray的其他文献
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{{ truncateString('Susan Fairley Murray', 18)}}的其他基金
Practices, regulation and accountability in the evolving private healthcare sector: lessons from Maharashtra State, India
不断发展的私营医疗保健行业的实践、监管和问责制:印度马哈拉施特拉邦的经验教训
- 批准号:
MR/R003009/1 - 财政年份:2017
- 资助金额:
$ 92.04万 - 项目类别:
Research Grant
India's challenge in a globalizing healthcare economy: social science directions
印度在全球化医疗保健经济中面临的挑战:社会科学方向
- 批准号:
ES/H032657/1 - 财政年份:2010
- 资助金额:
$ 92.04万 - 项目类别:
Research Grant
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