000			02136naa a2200205uu 4500
001			11036
003			OSt
005			20190211155257.0
008			030211s2005 xx ||||gr |0|| 0 eng d
100	1		_aSHEAFF, Rod _99866
245	1	0	_aPublic service responsiveness to users' demands and needs : _btheory, practice and primary healthcare in England
260			_c2002
520	3		_aAnalyses and policy statements about publicly funded services frequently distinguish `demands' from `needs'. The distinction has been challenged, calling into question the coherence of formulating welfare policy and evaluating public services in terms of needs. This paper explicates the conceptual distinction between in terms of needs. This paper explicates the conceptual distinction between demands and needs in terms of derived demand and information asymmetry. `Needs' can be defined as `rational demands', where `rational' means consistent and evidence-based', and `demands' as `desires' rather than `effective (i.e. economic) demand'. On that basis, practical demand management in needs-based public services would require: 1. knowledge of users' demands for services; 2. Content analyses of users' demands to identify andy misinformed demands; 3. Conversion of any misinformed demands into evidence-based demands on behalf of users who cannot to do so themselves. A study of English NHS Primary Care Groups explores the problems which authorities responsible for publicly funded services face in undertaking these activities. Demand management receives low priority in terms of the incentives and intellectual resources applied to it. Needs assessment has higher priority but is regarded as a branch of evidence-based professional practice, controlled by professionals rather than responsive to users. This separation tends to defeat the purpose of needs-based public services
700	1		_aPICKARD, Susan _919936
700	1		_aSMITH, Keri _919937
773	0	8	_tPublic Administration an International Quarterly _g80, 3, p. 435-452 _d, 2002 _w
942			_cS
998			_a20030211 _bLucima _cLucimara
998			_a20060731 _b1128^b _cQuiteria
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c11160 _d11160
041			_aeng