Abstract
Maurice Backett argues that in health services poor may actually face a triple penalty for poverty. They are poor; and partly as a result of this they have worse health and more sickness than other groups; and yet they tend to get less or worse medical care than other groups. Because poor people have greater need for health services than others, consumer detriment cannot be overcome by equalising health services for different groups irrespective of need. Rather, there must be a radical reallocation of resources away from the better-off towards poor groups and poor areas — a complete reversal of the present allocation which favours well-off people in well-off areas with low needs for care and a modification of current thinking which seeks equality of provision for rich and poor.
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References
National Consumer Council, For richer, for poorer. London, HMSO, 1975
P Townsend, ‘Inequality and the Health Service’, Lancet. Vol 1, p 1179
R M Titmuss, Commitment to welfare. London, Allen and Unwin, 1960
M J Gardner, M Crawford, and J N Morris, ‘Patterns of mortality in middle and early old age in the country boroughs of England and Wales’, British Journal of Preventive and Social Medicine. Vol 23, 1969, p 133
Department of Health and Social Security, Report of the Resource Allocation Working Party: sharing resources for health. London, HMSO, 1976
Registrar General for England and Wales, Decennial supplement 1961: occupational mortality tables. London, HMSO, 1971
N Butler and E Alberman (eds), Perinatal problems. Second report of the British perinatal morbidity survey, London, E & S Livingstone, 1969
T McKeown, The role of medicine. Rock Carling Monograph, London, Nuffield Provincial Hospitals Trust, 1976
C J M Martini G J B Allan, J Davison, and E M Backett, ‘Health indices that are sensitive to medical care variation’, International Journal of Health Services. Vol 7, no. 2, 1977, p293
A Cartwright and M O’Brien, ‘Social class variations in health care and in the nature of general practitioner consultations’ in M Stacey (ed), The sociology of the National Health Service. Sociological Review Monograph No. 22, University of Keele, 1976
M Rein, ‘Social class and the utilisation of medical care services’, Journal of the American Hospital Association. Vol 43, 1969, p 43
I McDowell and C J M Martini, ‘Problems and new directions in the evaluation of primary care’, International Journal of Epidemiology. Vol 5, 1976, p 247
J H Brotherston, ‘The Galton Lecture’ in C O Carter and J Peel (eds), Equalities and inequalities in health. London, Academic Press, 1976
W W Holland, ‘Effects of air pollution on children’, Pediatrics. No. 53, supplement,1974
E M Backett, ‘Social patterns of antibody to poliovirus’, Lancet. Vol 1, 1957, p 778
Statistics of smoking in the United Kingdom, London, Tobacco Research Council, 1976
Office of Population Censuses and Surveys, General household survey 1972. London, HMSO, 1975
M Young and P Willmott, The symmetrical family. London, Routledge, 1973
J N Morris, Uses of epidemiology. 3rd edition, London, Churchill Livingstone, 1975, p 182
National Food Survey Committee, Household food consumption and expenditure 1974. London, HMSO, 1976
T Khosla and C R Lowe, ‘Obesity and smoking habits by social class’, British Journal of Preventive and Social Medicine. Vol 26, 1972, p 249
A Stunkard, E d’Aguili, S Fox, and R D L Filion, ‘Influence of social class on obesity and thinness in children’, Journal of the American Medical Association. Vol 221, no. 6, 1972, p 579
Department of Health and Social Security, Confidential inquiry into post-neonatal deaths: 1964 to 1966. Reports on Public Health and Medical Subjects No. 125, London, HMSO, 1970, p 18
J Spence, W S Walton, F J W Miller and S D M Court, A thousand families in Newcastle upon Tyne. London, Oxford University Press, 1954
A L Cochrane, Effectiveness and efficiency. Rock Carling Monograph 1971, London, Nuffield Provincial Hospitals Trust, 1972
D S Salkever, ‘Economic class and differential access to care: comparisons among health care systems’, International Journal of Health Services. Vol 5, no. 3, 1975, p 373
Which? August 1975, p 232
J R Butler, J M Bevan and R C Taylor, Family doctors and public policy. London, Routledge and Kegan Paul, 1973
J S Collings, ‘General practice in England today; a reconnaissance’, Lancet. Vol 1, 1950, p 555
J Noyce, A H Snaith and A J Trickey, ‘Regional variations in the allocation of financial resources to the community health services’, Lancet. Vol 1, 1974, p 554
Department of Health and Social Security, Circular 3/70 to Regional Hospital Board Chairmen, 1970; P A West, ‘Allocation and equity in public sector: the hospital revenue allocation formula’, Applied Economics. Vol 5, 1973, p 153–166
M J Buxton and R E Klein, ‘Distribution of hospital provision: policy themes and resource variations’, British Medical Journal. Vol 1, 1975, p 345
D Owen, In sickness and in health: the politics of medicine. London, Quartet Books, 1976
Secretary of State for Social Services, National Health Service Reorganization: England. Cmnd 5055, London, HMSO, 1972; Priorities for health and social services in England. London, HMSO, 1976
R R West and C R Lowe, ‘Regional variations in need for and provision of child health services in England and Wales’, British Medical Journal. Vol 2, 1976, p 843; Report of the Committee on Child Health Services. Cmnd 6684–1, London, HMSO, 1976
Report of the Committee on Working of the A bortion Act. Cmnd 5579–1, Vol 2, London, HMSO, 1974, p 78
C J M Martini and J Davison, Personal communication, 1977
M R Alderson, ‘Social class and the health service’, The Medical Officer, Vol 124, 17 July, 1970, p 50
A Cartwright, E Hockey and J L Anderson, Life before death. London, Routledge and Kegan Paul, 1973
A Cartwright, Parents and family planning services. London, Routledge and Kegan Paul, 1970
M Jefferys, An anatomy of social welfare services. London, Michael Joseph, 1965
B Earthrowl and M Stacey ‘Social class and children in hospital’, Social Science and Medicine. Vol 11, 1977, p 83
J T Hart, ‘The inverse care law’ in C Cox and A Mead (eds), A sociology of medical practice. London, Collier-Macmillan, 1975
See also M Blaxter, ‘Social class and health inequalities’, in C O Carter and J Peel (eds), Equalities and inequalities in health, London, Academic Press, 1976, p 120 Table 1
M Clarke, Trouble with feet Occasional Papers on Social Administration No. 29, London, Bell, 1969
P M Ziulein and C A Cox, ‘Child health clinics and inverse care laws: evidence from longitudinal study of 1,878 pre-school children’, British Medical Journal. Vol 2, 1976, p 411
A Sheiham |and M H Hobdell, ‘Decayed, missing and filled teeth in British adult populations’, British Dental Journal Vol 126, 1969, pp 401–4
D Baird, ‘The epidemiology of low birth weight: changes in incidence in Aberdeen, 1948–72’, Journal of Biosocial Science. Vol 6, 1974, pp 113–137. Quoted in Brotherston, op cit.
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© 1977 National Consumer Council
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Backett, M. (1977). Health Services. In: Williams, F. (eds) Why the Poor Pay More. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-15779-2_6
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DOI: https://doi.org/10.1007/978-1-349-15779-2_6
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