Medical Autonomy and the UK State 1975 to 2025

Medical autonomy in the United Kingdom has declined over the last twenty-five years, whether considered at the micro level (such as control over treatment and work patterns), the meso level (in terms of corporatist relations with the state) or the macro level (in terms of the ‘biomedical model’). Af...

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Bibliographic Details
Published in:Sociology (Oxford) 2000-02, Vol.34 (1), p.129-146
Main Authors: Harrison, Stephen, Ahmad, Waqar I. U.
Format: Article
Language:English
Subjects:
Autonomy
Doctors
Evaluation
General practice
Governance
Health care industry
Health professions
Health services
Laws, regulations and rules
Medical journals
Medical policy
Medical practice
Medicine
National health insurance
Open universities
Patients
Planning
Political freedom
Post-Fordism
Practice management
Primary health care
Professional workers
Public health
Regulated industries
Self-government
Socialized Medicine
Sociological research
Sociology
Sovereignty
State
State Role
State Society Relationship
Studies
Twentieth Century
Twenty First Century
United Kingdom
Welfare state
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Summary:Medical autonomy in the United Kingdom has declined over the last twenty-five years, whether considered at the micro level (such as control over treatment and work patterns), the meso level (in terms of corporatist relations with the state) or the macro level (in terms of the ‘biomedical model’). After a period in the early 1990s when the National Health Service displayed a mix of Fordist and post-Fordist controls, the emphasis has swung sharply towards the former, suggesting the continued explanatory value of theories which focus on the state's need both to contain welfare expenditure and to maximise the political legitimacy derived from it. The analysis of this relatively narrow area of sociology has implications for the study of much broader questions about the capacity and legitimacy of the state in the twenty-first century.
ISSN:0038-0385
1469-8684
DOI:10.1177/S0038038500000092