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Care and Crisis: Making Beds in the National Health Service
Journal of British Studies ( IF 0.764 ) Pub Date : 2024-02-16 , DOI: 10.1017/jbr.2023.138
Agnes Arnold-Forster , Victoria Bates

In July 1979, the Sunday Mirror published an article with the headline: “HOSPITALS AT CRISIS POINT: Jobs and beds to go in cash curbs.” In this article we explore the role of hospital beds in such public discussions of “crisis” within the British National Health Service (NHS). In the 1970s, the media and politicians paid increasing attention to bed numbers as an indicator of resource scarcity within the NHS. While this in part reflected a genuine trend, it was also a powerful narrative device. The hospital bed has become a cipher for NHS resourcing and resilience, but throughout the twentieth century, there has been a tension between stories of declining bed numbers as a sign of “crisis,” and declining bed numbers as a marker of more efficient, high-quality healthcare. This article will show that the hospital bed was an extremely important political device because it was imbued with rich social and cultural symbolism, and that stories of declining bed numbers were not as straightforward as they first appear. While discussions in the public sphere tended to focus on bed numbers and waiting times, discussions in the healthcare sector and among policymakers attended to what beds could—and should—do for both patients and staff. Public rhetoric about decline was less about the object itself, and more about the role of the hospital bed as a symbol of care and as a politically pertinent shorthand for the health of the NHS as an institution.

中文翻译:

护理与危机:在国家医疗服务体系中提供床位

1979 年 7 月,周日镜报发表了一篇标题为“危机时刻的医院:现金限制中的工作和床位”的文章。在本文中,我们探讨了医院病床在英国国民医疗服务体系 (NHS) 内部有关“危机”的公开讨论中的作用。20 世纪 70 年代,媒体和政治家越来越关注床位数量,将其视为 NHS 内资源稀缺的指标。虽然这在一定程度上反映了一种真正的趋势,但它也是一种强大的叙事手段。医院床位已成为 NHS 资源和弹性的代名词,但在整个 20 世纪,床位数量下降作为“危机”标志的说法与床位数量下降作为更高效、更高水平标志的说法之间一直存在紧张关系。 -优质的医疗保健。本文将表明,医院病床是一种极其重要的政治手段,因为它充满了丰富的社会和文化象征意义,而床位数量下降的故事并不像乍看起来那么简单。虽然公共领域的讨论往往集中在床位数量和等待时间上,但医疗保健部门和政策制定者之间的讨论则关注床位可以为患者和工作人员做什么以及应该做什么。关于衰落的公开言论更多地是关于医院病床作为护理象征的作用,以及作为 NHS 作为一个机构健康的政治相关速记的作用。
更新日期:2024-02-16
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