Bell L, Brown R B, Morris B
Southend Health Care NHS Trust.
Int J Health Care Qual Assur. 1995;8(2):38-43. doi: 10.1108/09526869510081875.
The National Health Service (NHS) has many different kinds of professionals and managers working underneath its large umbrella: non-clinical managers administer the work of health-care professionals, who in turn are concerned with the management of patients' treatments. Delivery of health-care services involves the managers and professionals working together to achieve a service that is good for, and acceptable to, patients. A change in the philosophy of the NHS is indicated by the growing acceptance, by both managers and professionals, of the necessity to elicit the views of patients (i.e. the expectations and perceptions of service users) and to incorporate these views into the planning and implementation of services. Discusses one such attempt to elicit the perceptions of service users, and reports on the preliminary findings of a patient-centred audit which has been undertaken in Southend Community Care Services NHS Trust. Discusses the effects that the audit has had on the chiropody services in Southend, for both non-clinical managers and health-care professionals, in order to highlight the usefulness of the approach.
国民医疗服务体系（NHS）旗下有许多不同类型的专业人员和管理人员：非临床管理人员负责管理医疗保健专业人员的工作，而医疗保健专业人员则专注于患者治疗的管理。提供医疗保健服务需要管理人员和专业人员共同努力，以实现对患者有益且患者可接受的服务。国民医疗服务体系理念的转变体现在管理人员和专业人员越来越多地认识到，有必要征求患者的意见（即服务使用者的期望和看法），并将这些意见纳入服务的规划和实施中。本文讨论了一次征求服务使用者看法的尝试，并报告了在绍森德社区护理服务国民医疗服务信托基金进行的以患者为中心的审计的初步结果。讨论了该审计对绍森德足病服务在非临床管理人员和医疗保健专业人员方面产生的影响，以突出这种方法的实用性。
