Biomaterial Database

Can we do better? 1995

R J Maxwell

King's Fund, London, UK.

In the introductory chapter, I claimed that rationing is a fact of life in the NHS, and that the rationing dilemma is worsening over time, primarily because what medicine can offer becomes vastly more sophisticated and in aggregate more expensive. What is implied in Nye Bevan's intent that every citizen should receive 'the best that medical skill can provide' is very different now from what it was in 1946 when the NHS Act was passed. And the going will be ever harder in the years ahead, since medical possibilities, offering genuine benefit for some, will continue to increase faster than national wealth.

UI	MeSH Term	Description	Entries
D010358	Patient Participation	Patient involvement in the decision-making process in matters pertaining to health.	Patient Activation,Patient Empowerment,Patient Engagement,Patient Involvement,Patient Participation Rates,Activation, Patient,Empowerment, Patient,Engagement, Patient,Involvement, Patient,Participation Rate, Patient,Participation Rates, Patient,Participation, Patient,Patient Participation Rate
D003657	Decision Making	The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.	Credit Assignment,Assignment, Credit,Assignments, Credit,Credit Assignments
D006113	United Kingdom	Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London.	Great Britain,Isle of Man
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013222	State Medicine	A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.	National Health Service, British,Socialized Medicine,British Health Service, National,British National Health Service,Medicine, Socialized,Medicine, State,Service, British National Health
D015276	Health Care Rationing	Planning for the equitable allocation, apportionment, or distribution of available health resources.	Allocation of Health Care Resources,Allocation of Healthcare Resources,Rationing, Health Care,Healthcare Rationing,Healthcare Resources Allocation,Healthcare Resources Allocations,Rationing, Healthcare,Resources Allocation, Healthcare