It is often claimed Scotland is more social democratic in outlook compared to England, if this is the case then we might expect to find differences in public attitudes towards health and social justice, reflecting the growing health policy divergence between the two nations. Comparative attitudes towards healthcare in Scotland and England are worthy of close scrutiny here, given the different reform trajectories, with the running of the Scottish NHS based on professionalism and the English NHS structure built on market‐based principles. The Scottish Government also implemented stricter lockdown restrictions compared to the UK Government in England. However, the extent to which the policy responses to the pandemic reflect different attitudes towards collective public health action in the two countries remains under‐researched. In this article, public attitudes towards health in Scotland are compared with those in England. The comparative analysis relies primarily on survey data from the International Social Survey Programme (ISSP) module on health and healthcare. This survey was fielded in Scotland and England in the autumn of 2021, during the COVID‐19 pandemic. Overall, Scotland is more solidaristic or ‘social democratic’ than England on key issues relating to public health action and social justice. The findings reveal some commonalities between the nations, confidence in the NHS during the pandemic, and a willingness to improve the health service via higher taxes for example, but also important differences in attitudes and preferences for state action exist that help set the scene for greater policy divergence in the UK.

中文翻译：

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COVID-19 危机中的卫生系统：苏格兰和英格兰 NHS 满意度和公共卫生行动偏好的比较模式

人们经常声称，与英格兰相比，苏格兰在观点上更加社会民主，如果是这样的话，那么我们可能会发现公众对健康和社会正义的态度存在差异，反映出两国之间日益扩大的健康政策分歧。鉴于苏格兰和英格兰的改革轨迹不同，苏格兰和英格兰对医疗保健的态度比较值得仔细审视，苏格兰 NHS 的运行基于专业性，而英国 NHS 结构则基于市场原则。与英国政府相比，苏格兰政府在英格兰也实施了更严格的封锁限制。然而，针对这一流行病的政策反应在多大程度上反映了两国对集体公共卫生行动的不同态度仍有待研究。在本文中，苏格兰公众对健康的态度与英格兰进行了比较。比较分析主要依赖于国际社会调查计划（ISSP）健康和医疗保健模块的调查数据。这项调查于 2021 年秋季 COVID-19 大流行期间在苏格兰和英格兰进行。总体而言，在公共卫生行动和社会正义相关的关键问题上，苏格兰比英格兰更加团结或更加“社会民主”。调查结果揭示了各国之间的一些共性，例如在大流行期间对 NHS 的信心，以及通过提高税收来改善医疗服务的意愿，但在国家行动的态度和偏好上也存在重要差异，这有助于为更大范围的医疗保健奠定基础。英国政策分歧。