Are we getting what we pay for?

George, Steve and Julious, Steven (2006) Are we getting what we pay for? Public Health, 120, (11), pp. 1013-1019. (doi:10.1016/j.puhe.2006.08.012).


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The British NHS delivers health care free at the point of access to whomever needs it. It is often claimed to be the envy of the world. But does it deliver health? Or could the resource put into the health service be better spent elsewhere? In this article, we discuss the determinants of health in the United Kingdom in the past, the rise of public health and the impact medical technology has had on health. We discuss resource distribution in health care, and apply the principles of health economics to the wider context of the delivery of health, rather than health care. With a background of rising demand for health care and rationing of resources in the UK, combined with inequalities in life expectancy related to position in society, we conclude that wealth redistribution, environmental regulation, improved nutrition and better education must come first in the priorities for achieving a healthy population.

Item Type: Article
Digital Object Identifier (DOI): doi:10.1016/j.puhe.2006.08.012
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Keywords: health services needs and demand, government, epidemiology, state medicine, economics, sociology, trends, delivery, life expectancy, health, public health, mortality, environmental, health priorities, humans, education, socioeconomic factors, financing, population, health services accessibility, investments, great britain, medical, nutrition, health care rationing, health promotion, statistics
ePrint ID: 61794
Date :
Date Event
November 2006Published
Date Deposited: 10 Sep 2008
Last Modified: 16 Apr 2017 17:30
Further Information:Google Scholar

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