Rationing: Constructed Realities and Professional Practices / Edition 1

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This volume contributes to the ongoing debate about healthcare rationing by bringing together case studies of resource allocation at different levels of the healthcare system. Drawing on research from the United Kingdom, Europe and North America, it examines issues such as prioritisation and access to care in a range of hospital and community settings.

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Product Details

Meet the Author

David Hughes is a Professor in the School of Health Scienceat the University of Wales Swansea and Dean of the Faculty ofEducation and Health Studies. His current research interestsinclude the reformed NHS, health care rationing and the changingdivision of health labour. He has written on a range of topics inthe fields of medical sociology, socio-legal studies and healthpolicy.

Donald W. Light is the Professor of comparative healthcare systems at the University of Medicine and Dentistry of NewJersey and a fellow at the Center for Bioethics at the Universityof Pennsylvania. Trained as a sociologist at the University ofChicago and Brandeis, he is a Faculty Associate in the Departmentof Sociology at Princeton University. Professor Light has writtenabout distributive justice in the BMJ and is co-author ofBenchmarks of Fairness for Health Care Reform (1996).

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Table of Contents

Notes on Contributors.

1. Introduction. A sociological perspective on rationing: power,rhetoric and situated practices (Donald Light and DavidHughes).

2. Risk and Rationing. Rationing through risk assessment inclinical genetics: all categories have wheels (Lindsay Prior).

3. Governmentality and risk: setting priorities in the new NHS(Paul Joyce).

4. Rationing in Hospitals. Categorisation and micro-rationing:access to care in a French emergency department (Carine Vassy).

5. Everyday experiences of implicit rationing: comparing thevoices of nurses in California and British Columbia (Ivy LynnBourgeault, Pat Armstrong, Hugh Armstrong, Jacqueline Choiniere,Joel Lexchin, Eric Mykhalovskiy, Suzanne Peters and JerryWhite).

6. Rationing in the Community. Rationing health car to disabledpeople (Gary L. Albrecht).

7. Categorising to exclude: the discursive construction of casesin community mental health teams (Lesley Griffiths).

8. Professional Resistance. Subverting criteria: the role ofprecedent in decisions to finance surgery (John Heritage, ElizabethBoyd and Lawrence Kleinman).

9. Clinical actions and financial constraints: the limits torationing intensive care (Irvine Lapsley and Kath Melia).


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