The Need For Health Care

Rod Sheaff is a Fellow at the Health Services Management Unit, Manchester University. He has had working, research and consultancy experience both in the British NHS and many overseas health systems. He is the author of Marketing for Health Services (1991).

1 WHY A THEORY OF NEEDS? 1 Needs and health policy 2 The language and logic of ‘needs’ 2 WHAT KIND OF THEORY OF NEEDS? 1 Needs in ethical theory 2 Needs and naturalism 3 Needs and drives 4 Newton and the neuron 3 NEEDS, NATURE AND SOCIETY 1 Drives and their structure 2 Drives, actions and capacities 3 Drives, reason and needs 4 Needs and relativism 4 HEALTH NEEDS 1 Needs and health 2 Personal and population health needs 3 Needs for healthcare 4 Needless healthcare? 5 DOES DOCTOR KNOW BEST? 1 Doctors and patients 2 Patients’ needs 3 Clinical autonomy 6 NEEDS AND NORMALITY 1 Medical models of minds 2 Disorders and disorder 3 Involuntary healthcare 7 DILEMMAS FOR HEALTH WORKERS 1 Needs and ‘business ethics’ in healthcare 2 Scarcity 8 WHAT KIND OF HEALTH SYSTEM? 1 Comparing health systems 2 Health needs and markets 3 Health system design: social engineering 9 NEEDS, HEALTH AND MORALITY