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Muddling Through

Planning for Health Care in England

Bibliographic Data

ID9099049
AuthorsCEOUCE L MADDOX (International Paper (United States), corresponding author)
Year1971
Volume9
Issue5
Pages439-448
Publication date1971-09-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197109000-00007
PMID5123761
OpenAlexW2014907485
LanguageEN
Citations received5
References cited5

Some of the limits of rationality in health planning are illustrated in contemporary England. The English penchant for “muddling through,” often considered to be the antithesis of rational planning, may in fact suggest that in certain stable political environments a model of comprehensive rationality in decision-making not only is not, but also cannot and should not, be followed. Development of policies in regard to physician manpower, hospital beds, and health centers reflects a complex mixture of advocacy and evidence in the decision process. Although the English style of health planning illustrates the limits of a rational model, the National Health Service appears to have provided extraordinary value for money over the post two decades

Antithesis · Economics · Epistemology · Management · Political science · Politics · Positive economics · Process (computing) · Rational planning model · Rationality · Sociology · Style (visual arts) · Value (mathematics) · Computer Science · Health Services Management and Policy · Healthcare Systems and Challenges · History · Law · Psychology

  • Selection of major planning issues

    Open Access•Charles Wiseman•Policy Sciences•1978

  • Setting Health Priorities

    Open Access•Gerhard Lind, Charles Wiseman•Journal of Social Policy•1978

  • Medical Futurology

    Open Access•Clare Herrick•Antipode•2025

  • Medical rehabilitation

    Open Access•Robert Lee, Robert H Lee•Social Science & Medicine (1967•1975

  • The shift from entrepreneurial to political power in the Canadian health system

    Open Access•Anne Crichton•Social Science & Medicine (1967•1976

  • A Strategy of Decision

    Charles E Lindblom, David Braybrooke•A Strategy of Decision•1970

  • Emigrating British physicians

    Open Access•Oscar Gish, James A Wilson•Social Science & Medicine (1967•1970

  • Hospital Planning and the Structure of the Hospital Service

    Brian Abel-Smith, Brian Abel‐smith•Medical Care•1964

  • "The Science of "Muddling Through

    Charles E Lindblom•Public Administration Review•1959

  • Doctors and State Medicine

    Joel B Montague, J Montague et al.•American Sociological Review•1967

Citations per year0.1
Citation span1975 - 2025 (51)
Highly citedNo

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