• Summary
  • Contents
  • Subject index

Written by leading academics in their field this book provides a clear and considered overview of the politics of health care in Britain. Bringing together a wide range of material on both past events and recent developments, the chapters cover issues such as the politics of health professionalism, clinical knowledge, and organization and management.

The Politics of Clinical Knowledge
The politics of clinical knowledge

As we saw in Chapter 2, the connection between medicine and the universities goes back several centuries and the notion of a ‘profession’ entails an element of esoteric knowledge. The belief that the practice of medicine, and subsequently of other clinical professions, ought to take account of some kind of ‘evidence’ has also been held and acted upon by some individuals over several centuries. However, widespread acceptance of the explicit claim that daily clinical practice should be based on systematic research evidence about the effectiveness of the interventions employed has grown only over the last 50 years and has been an active ...

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