Centre for Policy on Ageing



'Structural interests' in health care — evidence from the contemporary national health service
Author(s)	Kath Checkland, Stephen Harrison, Anna Coleman
Journal title	Journal of Social Policy, vol 38, part 4, October 2009
Pages	pp 607-626
Source	http://www.journals.cambridge.org
Keywords	Health services ; General practice ; Planning [admin] ; Finance [care] ; Theory ; England.
Annotation	Alford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article data is used from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of 'professional monopolisers' as dominant interests, challenged by management 'corporate rationalisers', we suggest that the new structures established in the NHS since 2002 systematically privilege an interest that we call 'corporate monopolisers', and that this is under challenge from 'professional rationalisers'. (KJ/RH).
Accession Number	CPA-091110206 A
Classmark	L: L5: QA6: QC: 4D: 82
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...from the Ageinfo database published by Centre for Policy on Ageing.