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新西兰的外包:是渐进式还是变革式?来自英国经验的教训。

Contracting out in NZ: evolutionary or revolutionary? Lessons from the UK experience.

作者信息

Meads S

机构信息

Serco Health Services.

出版信息

N Z Health Hospital. 1994 Jan-Feb;46(1):13-5.

PMID:10132162
Abstract

Despite the worldwide trend to Facilities Management Contracting and the documented improvements in organisational efficiency, the NZ health sector has yet to grasp the benefits of awarding a single contract to manage a comprehensive range of services. This appears contradictory for an industry which has considerable assets tied up in supporting its core business and is under huge pressure to reduce costs and improve service. NZ is therefore faced with two options: an "evolutionary" route which could take us over a decade to achieve the same benefits as they are currently enjoying in the UK NHS, or "revolutionary" route, taking a quantum leap forward, both in the way contracts are specified and the way services are structured and managed. In this article Sarah Meads, General Manager of Serco Health Services, takes a look at how New Zealand health providers could learn from the NHS experience of contracting out since the introduction of Compulsory Competitive Tendering in 1983. Serco Health Services is the division of Serco Group NZ Limited responsible for assisting healthcare providers to review and manage a wide range of non-core support services. It shares resource and expertise with similar divisions working with the NHS and health-care organisations in Hong Kong.

摘要

尽管全球都倾向于设施管理外包,且有文件证明这能提高组织效率,但新西兰卫生部门尚未认识到授予单一合同来管理一系列综合服务的好处。对于一个在支持其核心业务方面投入了大量资产、且面临巨大成本削减和服务改善压力的行业来说,这似乎自相矛盾。因此,新西兰面临两种选择:一是“渐进式”路线,这可能需要十多年时间才能实现与英国国民医疗服务体系(NHS)目前所享有的相同效益;二是“变革式”路线,即在合同规定方式以及服务的组织和管理方式上实现巨大飞跃。在本文中,塞尔柯医疗服务公司总经理莎拉·米兹探讨了新西兰医疗服务提供商如何借鉴自1983年引入强制竞争性招标以来NHS的外包经验。塞尔柯医疗服务公司是塞尔柯集团新西兰有限公司的一个部门,负责协助医疗服务提供商审查和管理广泛的非核心支持服务。它与在NHS以及香港医疗保健机构工作的类似部门共享资源和专业知识。

相似文献

1
Contracting out in NZ: evolutionary or revolutionary? Lessons from the UK experience.新西兰的外包:是渐进式还是变革式?来自英国经验的教训。
N Z Health Hospital. 1994 Jan-Feb;46(1):13-5.
2
Facilities management contracting: the key to effective change management.设施管理承包:有效变革管理的关键。
N Z Health Hospital. 1993 Sep-Oct;45(5):11-2.
3
Maximising the benefits of competing non-core support services.最大化相互竞争的非核心支持服务的效益。
N Z Health Hospital. 1993 Jan-Feb;45(1):11-2.
4
Contracting for health services in a public health system: the New Zealand experience.公共卫生系统中的卫生服务合同:新西兰的经验
Health Policy. 2004 Jul;69(1):21-31. doi: 10.1016/j.healthpol.2003.11.004.
5
Doing the splits: contracting issues in the New Zealand health service.分道扬镳:新西兰医疗服务中的矛盾问题
Health Policy. 1993 Aug;24(3):273-86. doi: 10.1016/0168-8510(93)90046-r.
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Contracting through district health authorities.通过地区卫生当局进行签约。
Br J Hosp Med. 1995;54(1):52-3.
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Marginal-cost contracting in the NHS: results of a preliminary survey.英国国家医疗服务体系中的边际成本承包:初步调查结果
Health Serv Manage Res. 2001 May;14(2):104-9. doi: 10.1258/0951484011912591.
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Shopping for health: purchasing health services through contracts.为健康而购物:通过合同购买健康服务。
Health Policy. 1994 Jul-Aug;29(1-2):61-83. doi: 10.1016/0168-8510(94)90007-8.
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Contracting out of health services in developing countries.发展中国家医疗服务的外包
Health Policy Plan. 1994 Mar;9(1):25-30. doi: 10.1093/heapol/9.1.25.
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Plus ça change, plus c'est la meme chose: to the internal market and back in the British National Health Service?万变不离其宗:回归英国国民医疗服务体系的内部市场?
Appl Health Econ Health Policy. 2002;1(4):171-8.