• John Kincey


In the comparatively harsh economic realities of current health care provision there is a significant risk that health service managers, surgeons and other clinicians might dismiss concerns about the psychological welfare of the surgical patient as something of a luxury, compared with the need to maximize throughput and reduce waiting lists. This phenomenon has become even more recognizable since the first edition of this book was published, exemplified by the clinical and managerial pressures to ensure that no patients wait more that 2 years for non-emergency hospital surgery, while costs are contained and clinical outcomes improved. A major aim of this chapter is to suggest that the concerns of the patient, surgeon, manager and health psychologist in fact overlap and interact in important ways.


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© Springer Science+Business Media Dordrecht 1995

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  • John Kincey

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