Choice is yours: A psychodynamic exploration of health policymaking and its consequences for the English National Health Service

摘要: Patient choice is at the forefront of debate about future healthcare provision in many industrialized countries. It argued that understanding complexities and multiple consequences involved implementing individual patient public health systems calls for an analytic framework extending beyond economic determinism positivist social science paradigms. This study applies psychoanalytic concepts to illuminate policy dynamics limitations, using example English NHS. separates declared from unexpressed goals theorizing on role imaginary institutions their defensive less obvious functions society, reflects implications policies are formulated a distance operational reality organizations. By focusing deeper primitive anxieties evoked enacted patient–doctor interactions, this article examines opportunities limitations developing individual...