P. Garpenby, The State and the Medical Profession: a Cross-National Comparison of the Health Policy Arena in the UK and Sweden 1945–1985, University of Linköping, Sweden, 1989. 240 pp.

1991 ◽  
Vol 20 (2) ◽  
pp. 285-286
Author(s):  
Arthur Gould
Keyword(s):  
Health Policy ◽  
Medical Profession ◽  
The State ◽  
National Comparison ◽  
The Uk ◽  
Policy Arena ◽  
Cross National

scholarly journals Knights and Knaves in the English Medical Profession: the Case of Clinical Excellence Awards

2015 ◽  
Vol 45 (1) ◽  
pp. 83-99 ◽  
Author(s):  
MARK EXWORTHY ◽  
PAULA HYDE ◽  
PAMELA MCDONALD-KUHNE
Keyword(s):  
Health Policy ◽  
National Health Service ◽  
Health Service ◽  
Medical Profession ◽  
Clinical Excellence ◽  
Medical Professional ◽  
Policy Makers ◽  
Written Responses ◽  
Private Interests ◽  
The Uk

AbstractWe elaborate Le Grand's thesis of ‘knights and knaves’ in terms of clinical excellence awards (CEAs), the ‘financial bonuses’ which are paid to over half of all English hospital specialists and which can be as much as £75,000 (€92,000) per year in addition to an NHS (National Health Service) salary. Knights are ‘individuals who are motivated to help others for no private reward’ while knaves are ‘self-interested individuals who are motivated to help others only if by doing so they will serve their private interests.’ Doctors (individually and collectively) exhibit both traits but the work of explanation of the inter-relationship between them has remained neglected. Through a textual analysis of written responses to a recent review of CEAs, we examine the ‘knightly’ and ‘knavish’ arguments used by medical professional stakeholders in defending these CEAs. While doctors promote their knightly claims, they are also knavish in shaping the preferences of, and options for, policy-makers. Policy-makers continue to support CEAs but have introduced revised criteria for CEAs, putting pressure on the medical profession to accept reforms. CEAs illustrate the enduring and flexible power of the medical profession in the UK in colonising reforms to their pay, and also the subtle inter-relationship between knights and knaves in health policy.

scholarly journals A cross-national comparison of violence among young men in China and the UK: psychiatric and cultural explanations

2017 ◽  
Vol 52 (10) ◽  
pp. 1267-1279 ◽  
Author(s):  
Jeremy Coid ◽  
Junmei Hu ◽  
Constantinos Kallis ◽  
Yuan Ping ◽  
Juying Zhang ◽  
...  
Keyword(s):  
Young Men ◽  
National Comparison ◽  
The Uk ◽  
Cross National

A Cross-National Comparison of Sub-National Variation

2017 ◽  
Vol 61 (8) ◽  
pp. 908-931 ◽  
Author(s):  
Elaine Enriquez ◽  
Martin Sybblis ◽  
Miguel Angel Centeno
Keyword(s):  
Latin America ◽  
Standard Deviation ◽  
Southeast Asia ◽  
Eastern Europe ◽  
State Capacity ◽  
The State ◽  
Government Services ◽  
National Comparison ◽  
National Analysis ◽  
Cross National

Previous research has highlighted that, in addition to being operationally opaque, the concept of state capacity has been confined to national and cross-national analysis, with inadequate attention paid to variations at the regional and sub-national levels of the state. Our current research seeks to help remedy this lacuna. Inspired by the growing consensus that state capacity is not monolithic, but instead comprises capabilities distributed in distinct ways across sectors and institutions, we have developed a parsimonious approach to understanding the concept so as to increase its utility. Specifically, we explore variations in the provision of government services across sectors, wealth, geography, and urbanity in three countries: India, Peru, and Ukraine—representing Southeast Asia, Latin America, and Eastern Europe. Importantly, we offer an analysis of state capacity as a function of variation as measured by standard deviation.

Media Personalisation in Context: A Cross-National Comparison between the UK and the Netherlands, 1992–2007

2013 ◽  
Vol 61 (1_suppl) ◽  
pp. 198-216 ◽  
Author(s):  
Jelle W. Boumans ◽  
Hajo G. Boomgaarden ◽  
Rens Vliegenthart
Keyword(s):  
The Netherlands ◽  
National Comparison ◽  
The Uk ◽  
Cross National

scholarly journals Health Inequalities in British Nurses using Census derived databases linked to an adjusted UK Index of Multiple Deprivation

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Will Ball ◽  
Richard Kyle ◽  
Iain Atherton ◽  
Nadine Dougall
Keyword(s):  
Health Outcomes ◽  
Area Deprivation ◽  
Inequalities In Health ◽  
Multiple Deprivation ◽  
Individual Level ◽  
Self Rated Health ◽  
National Comparison ◽  
The Uk ◽  
Index Of Multiple Deprivation ◽  
Cross National

IntroductionScottish health outcomes are worse than in England and Wales. This variation remains after controlling for deprivation, which explains less excess mortality now than previously. Alternative cross-national deprivation measures have limitations which may explain some of this trend. Recent policy interventions to reduce inequalities have not been effective. Objectives and ApproachThis study aims to test a recently developed measure of area deprivation, the UK adjusted Index of Multiple Deprivation which has been linked to National Census derived Longitudinal Studies in England, Wales and Scotland. This adjusted measure is consistent across UK countries and addresses some limitations of previously utilised area measures of deprivation. This study also aims to test whether characteristics of Nurses are protective against inequalities in health. This study will test whether Nurses are more socio-economically homogenous and whether higher health literacy is protective against the social gradient in health outcomes. Results(1) Comparing Nurses to Non-Nurses in Scotland we found that they have systematically different demographic characteristics. Nurses are; older on average, more likely to be female, more likely to own their home, more likely to live in less deprived areas and they report better self-rated health. (1a) Correlation tests will examine the strength of relationship between health and Deprivation quintile for these groups. (2) Comparing Self-Rated Health of Scottish Nurses with English and Welsh Nurses will determine whether any ‘excess’ in worse health outcomes exists and (2a) if an excess does exist, whether the UK consistent deprivation measure can account for this. Analysis is currently ongoing and will be completed, with full results cleared for dissemination through disclosure control, prior to conference. Conclusion/ImplicationsThis study implements methods which provide a basis for cross-national comparison of inequalities using individual-level data and a consistent measure of area deprivation. Results from this study may also permit recommendations to improve the effectiveness of policy aimed at improving population health and reducing socio-economic inequalities in health.

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