Hindle T
Management School, Lancaster University, UK.
Health Serv Manage Res. 1995 Nov;8(4):259-67. doi: 10.1177/095148489500800406.
This paper describes a selected aspect of a research project concerned with 'contracts and competition' in the recently reformed National Health Service. The particular feature highlighted in this paper is the central role played by the general practitioners in the health service as principal sources of the demands made on provider units (particularly hospitals) and, hence, critical determinants of volumes and costs in contracting. A practical outcome of the research has been the development of GP monitoring systems to be used by provider units particularly in the context of marketing-led referral expectations. The approach used to highlight areas of potential GP contract management and monitoring improvements has been a development of soft systems methodology.
本文描述了一个关于近期改革后的国民医疗服务体系中“合同与竞争”的研究项目的选定方面。本文所强调的特别之处在于，全科医生在医疗服务中发挥着核心作用，他们是对医疗服务提供单位（尤其是医院）提出需求的主要来源，因此也是合同签订中数量和成本的关键决定因素。该研究的一个实际成果是开发了全科医生监测系统，供医疗服务提供单位使用，特别是在以营销为导向的转诊预期背景下。用于突出全科医生合同管理和监测潜在改进领域的方法是软系统方法论的一种发展。
