Keen J, Buxton M, Packwood T
Health Economics Research Group, Brunel University, Uxbridge, UK.
Health Policy. 1993 Apr;24(1):71-82. doi: 10.1016/0168-8510(93)90089-8.
The increasing pressure on resources available for health care in many countries has led to a re-examination of the way in which resources are allocated and committed. One important and innovative option is for managers and doctors to collaborate formally in decision-making. This paper draws on experience of this approach in the UK National Health Service, in the Resource Management Initiative and suggests that its success or failure depends on the nature and strength of the incentives to the two sides to collaborate.
许多国家医疗保健可用资源面临的压力不断增加，这促使人们重新审视资源的分配和投入方式。一个重要且创新的选择是让管理人员和医生在决策过程中进行正式合作。本文借鉴了英国国民医疗服务体系中资源管理倡议的这种方法的经验，并表明其成败取决于双方合作激励措施的性质和力度。
