Markets, Moral Economy and Healthcare Provision in England

英国的市场、道德经济和医疗保健提供

• 批准号: 1925667
• 金额: --
• 依托单位: University of Birmingham
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-1925667
• 关键词: Markets; Moral; Economy; Healthcare; Provision

The NHS in England is current embarking on large scale structural change due to budgetary pressures, shifting patient needs and changes in technology (NHS England 2014, 2017). This research is examining the impact of such change on the normative (or moral) dimension of the culture of NHS organisations. To do this, the research is drawing on a moral economy theoretical framework. A moral economy approach states that all organised economic activities rely on shared moral understandings regarding issues such as what is good and bad, right and wrong, and appropriate and inappropriate. It also acknowledges that these understandings are adaptable and can change in response to changes in the economic environment (Sayer, 2007). The research is therefore exploring issues such as: the extent to which there are shared moral understandings (relating to questions such as duty, fairness, respect etc.) within organisations or groups (such as professional groups); how such understandings are affected by the process of service reconfiguration; and how the moral understandings of different groups within an organisation influence the implementation of national or local policy. The research is drawing on an in-depth, intensive study of the implementation of one service change in order generate these insights. The research will also seek to use the findings from the study to further develop a moral economy perspective into a theoretical tool that can be applied by other researchers to similar contexts (i.e. organisations undergoing a significant level of change) to understand how organisational culture is affected by economic and structural change.

英格兰的NHS目前正在开始大规模的结构性变化，这是由于预算压力，改变了患者需求和技术变化（NHS England 2014，2017）。这项研究正在研究这种变化对NHS组织文化规范（或道德）维度的影响。 为此，研究借鉴了道德经济理论框架。道德经济的方法指出，所有有组织的经济活动都依赖于对诸如好与坏，对与错，适当和不适当等问题的共同道德理解。它还承认，这些理解是适应能力的，并且可以随着经济环境变化的响应而改变（Sayer，2007年）。因此，该研究正在探讨以下问题：在组织或团体内（例如专业团体）内有共同的道德理解（与义务，公平，尊重等）的共同理解的程度；服务重新配置过程如何影响这种理解；以及组织内不同群体的道德理解如何影响国家或地方政策的实施。这项研究借鉴了对一种服务变更的实施的深入，深入的研究，从而产生了这些见解。这项研究还将寻求利用研究的发现，进一步发展道德经济的观点，以一种理论工具，其他研究人员可以将其应用于类似环境（即经历了重大变化的组织），以了解组织文化如何受到经济和结构变革的影响。