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The Americanization of the British National Health Service: A typological approach

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  • Powell, Martin
  • Béland, Daniel
  • Waddan, Alex

Abstract

There have been many different claims that the British National Health Service (NHS) is becoming ‘Americanized’. Focusing on the United Kingdom, this article critically analyses the “Americanization” of the NHS in three main sections. First, we explore the basic meanings of the term. Second, we examine the development of the discourse about Americanization. Third, we focus on one of many possible meanings of Americanization, namely system change. Focusing on this most demanding dimension of Americanization, we suggest that most changes have been ‘internal changes of levels’ (where there is a shift of levels in one or more dimensions but without changing the dominant form) or ‘internal system changes’ (where only one dimension changes its dominant form) rather than a ‘system change’ (from one ideal type to another).

Suggested Citation

  • Powell, Martin & Béland, Daniel & Waddan, Alex, 2018. "The Americanization of the British National Health Service: A typological approach," Health Policy, Elsevier, vol. 122(7), pages 775-782.
  • Handle: RePEc:eee:hepoli:v:122:y:2018:i:7:p:775-782
    DOI: 10.1016/j.healthpol.2018.05.008
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    References listed on IDEAS

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    3. Hinrichs, Karl, 2000. "Elephants on the move. Patterns of public pension reform in OECD countries," European Review, Cambridge University Press, vol. 8(3), pages 353-378, July.
    4. -, 1986. "Agenda = Agenda," Series Históricas 8749, Naciones Unidas Comisión Económica para América Latina y el Caribe (CEPAL).
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    Cited by:

    1. Livio Garattini & Anna Padula, 2019. "Conflict of interest disclosure: striking a balance?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(5), pages 633-636, July.

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