privatisation of healthcare services for older people. We can explore this by examining how much nation states spend on healthcare, the extent to which healthcare has become privatised and whether this has been affected by global factors. Again this will allow us to critically assess the extent to which we are witnessing the emergence of a global bioscape of ageing, based around a uniform approach to healthcare spending in all countries, or whether we can identify regional or national patterns of spending. Global patterns of spending on healthcare Figure 4.4 shows the
Population ageing and globalisation represent two of the most radical social transformations that have occurred. This book provides, for the first time, an accessible overview of how they interact.
Ageing has been conventionally framed within the boundaries of nation states, yet demographic changes, transmigration, financial globalization and the global media have rendered this perspective problematic. This much-needed book is the first to apply theories of globalisation to gerontology, including Appadurai’s theory, allowing readers to understand the implications of growing older in a global age.
This comprehensive introduction to globalisation for gerontologists is part of the Ageing in a Global Context series, published in association with the British Society of Gerontology. It will be of particular interest to advanced undergraduate and postgraduate students and academics in this area.
Targeted as the ‘grey consumer’, people retiring now participated in the creation of the post-war consumer culture. These consumers have grown older but have not stopped consuming.
Based on extensive analysis over two years, this unique book examines the engagement of older people with consumer society in Britain since the 1960s. It charts the changes in the experience of later life in the UK over the last 50 years, the rise of the ‘individualised consumer citizen’ and what this means for health and social policies.
The book will appeal to students, lecturers, researchers and policy analysts. It will provide material for teaching on undergraduate courses and postgraduate courses in sociology, social policy and social gerontology. It will also have considerable appeal to private industry engaged with older consumers as well as to voluntary and non-governmental organisations addressing ageing in Britain.
Personal health budgets are an important new tool to improve the lives of people living with long-term conditions and disabilities by giving them greater choice and control over their healthcare.This is the first step-by-step guide to their implementation.
Using current evidence and best practice identified by pilot sites, Delivering personal health budgets contains everything there is to know about the purpose and history of personal health budgets, the evidence for their effectiveness and the challenges they pose to traditional healthcare systems. It describes the essential infrastructure needed for personal health budgets and includes implementation checklists.The book focuses on how personal health budgets can be implemented to achieve the best possible outcomes for individuals, while real life stories from personal health budget holders bring their potential vividly to life.
Delivering personal health budgets is essential reading for commissioners, healthcare providers, clinicians and policy makers who are looking for an informative and authoritative guide.
EPDF and EPUB available Open Access under CC-BY-NC-ND licence.
Technology is quickly becoming an integral part of care systems across the world and is frequently cited in policy discourse as pivotal for solving the ‘crisis’ in care and delivering positive outcomes.
Exploring the role of technology in Europe, Canada, Australia and Japan, this book examines how technology contributes effectively to the sustainability of these different care systems which are facing similar emergent pressures, including increased longevity, falling fertility and the consequences of the COVID-19 pandemic.
It considers the challenges and opportunities of embedding technologies in care systems and the subsequent outcomes for older and disabled service users, carers and the care workforce.
Neoliberal reforms have seen a radical shift in government thinking about social citizenship rights around the world. But have they had a similarly significant impact on public support for these rights? This unique book traces public views on social citizenship across three decades through attitudinal data from New Zealand, the United Kingdom and Australia.
It argues that support for some aspects of social citizenship diminished more significantly under some political regimes than others, and that limited public resistance following the financial crisis of 2008-2009 further suggests the public ‘rolled over’ and accepted these neoliberal values. Yet attitudinal variances across different policy areas challenge the idea of an omnipotent neoliberalism, providing food for thought for academics, students and advocates wishing to galvanise support for social citizenship in the 21st century.
Does health promotion have a lasting and positive effect on people?
With mounting pressure to reduce costs to the NHS and increasing scepticism of the so-called nanny state, health promotion initiatives are increasingly being criticised as costly and ineffective, with many arguing that health inequalities can only be reduced through radical political and economic change.
This book examines the methods used to evaluate the value of health promotion projects and determines whether attempts to change people’s lifestyles have proved successful. Taking into account the practical and ethical issues involved in deciding the appropriate approach to take in efforts to reduce health inequalities, the book assesses what might be the best path forward for health promotion.
This timely comparative study assesses the role of medical doctors in reforming publicly funded health services in England and Canada.
Respected authors from health and legal backgrounds on both sides of the Atlantic consider how the high status of the profession uniquely influences reforms. With summaries of developments in models of care, and the participation of doctors since the inception of publicly funded healthcare systems, they ask whether professionals might be considered allies or enemies of policy-makers.
With insights for future health policy and research, the book is an important contribution to debates about the complex relationship between doctors and the systems in which they practice.
Social Policy in a Cold Climate offers a data-rich, evidence-based analysis of the impact Labour and coalition government policies have had on inequality and on the delivery of services such as health, education, adult social care, housing and employment in the wake of the greatest recession of our time.
The authors provide an authoritative and unflinching analysis of recent approaches to social policy and their outcomes following the financial crisis, with particular focus on poverty and inequality. Through a detailed look at spending, outputs and outcomes the book offers a unique appraisal of Labour and the coalition’s impact as well as an insightful assessment of future directions.
This volume offers a much-awaited follow-up to the critically acclaimed ‘A more equal society?’ (2005) and ‘Towards a more equal society?’ (2009).
Health services are among the most expensive and complex areas of social policy.
Using qualitative comparative analysis to explore 11 developed countries’ health services, this volume considers the links between a range of different outcome measures and levels of funding, social determinants and different types of health expenditures. It also reflects on how those systems responded to the first wave of COVID-19.
This ambitious text identifies which underpinning factors are associated with the strongest outcomes, providing a rigorous account of health systems and health policies in the context of their wider economies and societies.