英国医疗改革：基金持有制试验

The UK health reforms: the fundholding experiment.

作者信息

Glennerster H, Matsaganis M

机构信息

London School of Economics.

出版信息

Health Policy. 1993 Mar;23(3):179-91. doi: 10.1016/0168-8510(93)90056-u.

DOI:10.1016/0168-8510(93)90056-u

PMID:10124653

Abstract

In April 1991 the UK embarked on the most radical reforms of its health care system in 50 years. Unusually it employed two quite distinct models of quasi market reform. One made District Health Authorities the purchasers of hospital and community health services. The other gave family doctors the money to buy these services on behalf of their patients. This latter model was the most radical part of the NHS reforms. This paper reports on a project that has monitored the family doctor fundholding scheme in detail.

摘要

1991年4月，英国启动了其50年来最激进的医疗保健系统改革。不同寻常的是，它采用了两种截然不同的准市场改革模式。一种模式是让地区卫生局成为医院和社区卫生服务的购买者。另一种模式是给家庭医生资金，让他们代表患者购买这些服务。后一种模式是英国国家医疗服务体系（NHS）改革中最激进的部分。本文报告了一个对家庭医生基金持有计划进行详细监测的项目。