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This paper offers an interpretation of contemporary developments in Britain's National Health Service which suggests that a major transformation is under way, the contours of which, while visible, are not yet fully appreciated or understood. The analysis is in sharp contrast with that recently proposed by Klein and deliberate comparisons are drawn. The paper is in three main sections. The first briefly summarises Klein's position. The second takes issue with certain of his views, notably those on structural change, but also to some extent those on the relevance of the private sector. Welfare pluralism is posited as the most plausible future for health care and as a phenomenon as yet not well understood in Britain's health care sector.  相似文献   

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Maternal and Child Health Journal -  相似文献   

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Maternal and Child Health Journal -  相似文献   

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No abstract available for this article.  相似文献   

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Agricultural safety and health issues affecting producers and their families are complicated, requiring equally complex solutions that address underlying factors. Furthermore, these efforts must involve all in the community who provide information, services, and products to the agricultural industry. This paper suggests that we need to shift our paradigm of thinking about how rural leaders and professionals address these problems. We believe that professionals including health providers, educators, producers, rural agribusinesses, and others with a stake in the field of agromedicine must work together through community coalitions and other similar groups in their efforts to protect farmers and their families.  相似文献   

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