HLTB40H3 Lecture Notes - Lecture 5: New Public Management, Health Equity, Neoliberalism
Document Summary
Midterm: 25: matching, t\f, short answer, week 1-5. Tupper (cid:374)p(cid:373) is (cid:862)(cid:374)ot si(cid:373)ply a ha(cid:374)d(cid:373)aide(cid:374) of neoliberalism(cid:863) But: npm concurrent with rise of neoliberalism, npm concepts (decentralization] were used to justify actions (ex] funding cut] coinciding with neoliberalism. Ideologies like (cid:862)pu(cid:271)li(cid:272) good(cid:863) a(cid:374)d (cid:862)(cid:272)o(cid:373)(cid:373)u(cid:374)ity(cid:863) should (cid:271)e repla(cid:272)ed (cid:449)ith (cid:862)i(cid:374)di(cid:448)idual respo(cid:374)si(cid:271)ility(cid:863) Brief history of npm: margret tatcher, areas of britain most severely affected by her economic policies still affected. Interplay of low socio-economic status, high uneomployement, lesser access to recourses, overcrowding, substanceuse & abuse. Markedly higher mortality rates for working classs\low income workers: depended on class & ses status, across all ages and for men & women, while over health of population improved since ww2, health inequalities increased for. 2 poorest categories for workers in the early 197os. Led to much further research on health eqaultiies: became symbolic of the tension between cost-cutting & equity, what is npm, set if goals, processes & structures for the provision of public services.
