000			01917naa a2200169uu 4500
001			8061818505310
003			OSt
005			20190211163744.0
008			080618s2008 xx ||||gr |0|| 0 eng d
100	1		_aTAYLOR-GOOBY, Peter _910548
245	1	0	_aTrust and welfare state reform : _bthe example of the nhs
260			_aMalden, MA : _bBlackwell Publishers, _cJune 2008
520	3		_aThis article discusses the impact of New Public Management on public trust in welfare state institutions, using the example of NHS reform. Discussion of trust in public institutions across political science, psychology and sociology indicates that it is based on both rational/objective considerations (competence and capacity to deliver the service) and affectual/subjective factors (shared values, belief that the trustee shares the trustor's interests). The New Public Management foregrounds individual responsibility and incentives for both suppliers and users of services, in the NHS example in quasi-markets, management by target and patient choice. These accord with an individualized market rational-actor model rather than with affective considerations. Analysis of attitude survey data on the NHS confirms that rational/objective and affectual/subjective factors contribute to public trust in this field. However, a comparison between perceptions in England, where the internal market has been vigorously pursued, and Scotland, where the purchaser/provider split was discarded after devolution, indicate that the market does not offer a royal road to perceptions of superior quality in the objective factors. Conversely, the more market-centred system can make progress in relation to the more subjective affectual factors
773	0	8	_tSocial Policy & Administration _g42, 3, p. 288-306 _dMalden, MA : Blackwell Publishers, June 2008 _xISSN 01445596 _w
942			_cS
998			_a20080618 _b1850^b _cTiago
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c26761 _d26761
041			_aeng