Biopolitics, space and hospital reconfiguration
Autor: | Alec Fraser, Annette Boaz, Ewan Ferlie, Juan I. Baeza |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Health (social science)
Major service change Population alliedhealth State Medicine Interviews as Topic 03 medical and health sciences Politics 0302 clinical medicine Documentation History and Philosophy of Science NHS London Humans 030212 general & internal medicine education Qualitative Research Governmentality Service (business) education.field_of_study Government Foucault business.industry 030503 health policy & services Public relations Hospitals Legitimation Reconfiguration Biopolitics 0305 other medical science business Delivery of Health Care Qualitative research |
Zdroj: | Fraser, A, Baeza, J, Boaz, A & Ferlie, E 2019, ' Biopolitics, space and hospital reconfiguration ', Social Science and Medicine, vol. 230, pp. 111-121 . https://doi.org/10.1016/j.socscimed.2019.04.011 |
ISSN: | 0277-9536 |
Popis: | Major service change in healthcare – whereby the distribution of services is reconfigured at a local or regional level - is often a contested, political and poorly understood set of processes. This paper contributes to the theoretical understanding of major service change by demonstrating the utility of interpreting health service reconfiguration as a biopolitical intervention. Such an approach orients the analytical focus towards an exploration of the spatial and the population – crucial factors in major service change. Drawing on a qualitative study from 2011–12 of major service change in the English NHS combining documentary analyses of historically relevant policy papers and contemporary policy documentation (n = 125) with semi-structured interviews (n = 20) we highlight how a particular ‘geography of stroke’ in London was created building upon multiple types of knowledge: medical, epidemiological, economic, demographic, managerial and organisational. These informed particular spatial practices of government providing legitimation for the significant political upheaval that accompanies NHS service reconfiguration by problematizing existing variation in outcomes and making these visible. We suggest that major service change may be analysed as a ‘practice of security’ – a way of redefining a case, conceiving of risks and dangers, and averting potential crises in the interests of the population. |
Databáze: | OpenAIRE |
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