MEDICINE, MARKETS AND MORALS: A MULTI-DISCIPLINARY RESEARCH NETWORK ON HEALTH AND SOCIAL CARE PRIORITISATION

在英格兰，关于卫生保健资金的争论随着对国民保健制度的基本原则的质疑而发生了变化（在提供服务时免费，所有人都享有由税收提供的普遍卫生服务）。《2012年健康和社会保障法》可以说是英国自60多年前国民健康保险制度（NHS）成立以来，在医疗保健组织方面发生的最大变化。这些改革从根本上改变了英格兰医疗保健的筹资和提供方式，朝着更多的市场机制迈进，更多地利用私人和第三部门组织来提供以前由国民保健制度提供的医疗保健。该网络将有助于就这项立法的影响进行辩论。毫无疑问，这些改革将对如何向所有NHS患者提供健康和社会护理产生重大影响。这种新的医疗保健格局需要重新讨论我们想要什么样的医疗服务，以及在紧缩时代，医疗保健应该以及如何获得资金。该网络将探索两个主要领域：1。关于卫生和社会保健资源分配和优先事项设置的理论辩论。该网络将探讨英国最近关于卫生和社会保健立法背后的基本原则。随着医疗保健日益全球化，这些问题需要在国际背景下进行审查，该网络将在更广泛的全球背景下定位这些关于筹资机制和如何组织支付的辩论。在现有的财政和政策限制下，在这种新的卫生保健格局中，服务的委托应如何合乎道德地（公平和公平地）进行。该网络将组织三次会议（分别在格拉斯哥、伯明翰和伦敦），每次会议约有9位发言人。会议一（格拉斯哥）-制定议程-卫生和社会保健融资的国际和学科观点（两天多）会议二（伯明翰）-探讨问题-资源分配和委托中的哲学和理论问题（两天多）会议三（伦敦）-汇集所有问题-重新配置公共部门提供的卫生和社会保健：政策和实际影响（一天）

The debate over health care funding in England is changing with the questioning of the founding principles of the NHS (free at the point of delivery, universal health service for all provided out of taxation). The Health and Social Care Act 2012 is arguably the greatest change in health care organisation in England since the beginning of the NHS over 60 years ago. These reforms fundamentally change the way health care is financed and provided in England, with a move towards more market mechanisms and the greater use of private and third sector organisations to deliver health care previously provided by the NHS. The network will contribute to this debate over the implications of this legislation. These reforms will undoubtedly have a significant impact on how health and social care is delivered for all NHS patients. This new health care landscape necessitates a renewed debate over what type of health service we want and how health care should and can be funded in an age of austerity.The network will explore two main areas: 1. Theoretical debates over resource allocation and priority setting in health and social care. The network will explore the fundamental principles behind recent legislation in the UK on health and social care. With the increasing globalisation of health care these issues need to be examined in an international context and this network will locate these debates over funding mechanisms and how payment should be organised in a wider global context.2. How the commissioning of services should be carried out in this new health care landscape ethically (fairly and equitably) within the given financial and policy constraints. The network will organise three meetings (in Glasgow, Birmingham and London), with approximately nine speakers at each meeting.Meeting One (Glasgow) - Setting the agenda - International and disciplinary perspectives on health and social care financing (over two days)Meeting Two (Birmingham) - Exploring the issues - Philosophical and theoretical issues in resource allocation and commissioning (over two days)Meeting Three (London) - Bringing it all together - Reconfiguring public sector provision of health and social care: policy and practical implications (one day)