Davies C
Sociol Health Illn. 1987 Sep;9(3):302-17. doi: 10.1111/1467-9566.ep10957896.
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.
本文对英国国民医疗服务体系的当代发展进行了解读，表明一场重大变革正在发生，其轮廓虽已可见，但尚未得到充分认识或理解。该分析与克莱因最近提出的观点形成鲜明对比，并进行了刻意比较。本文分为三个主要部分。第一部分简要总结了克莱因的立场。第二部分对他的某些观点提出异议，特别是关于结构变革的观点，但在一定程度上也涉及对私营部门相关性的观点。福利多元主义被认为是医疗保健最合理的未来发展方向，且在英国医疗保健领域仍是一种尚未被充分理解的现象。
