Cotter S M, McKee M, Strong P M
London School of Hygiene and Tropical Medicine, UK.
Health Serv Manage Res. 1997 Feb;10(1):7-12. doi: 10.1177/095148489701000102.
An interview survey of 129 UK National Health Service doctors, nurses, pharmacists and managers at eight acute care hospitals was conducted in 1994. The survey examined several topics including whether the introduction of the internal market had affected hospital pharmacy services and what those effects had been. An internal market has been introduced and it has had significant effects on the nature and structure of hospital pharmacy services. Directorate pharmacy services were available at six sites. Contracts for specific, usually novel, services had been implemented at one site and contracts had been introduced widely at another hospital. However, all the features of a market were not present at any site. Market orientation also has implications for the equity of service provision, primarily because decision-making regarding service provision is increasingly in the hands of the clinical directors, rather than pharmacy managers. The effects of this change are not yet clear.
1994年，对英国8家急症护理医院的129名国民医疗服务体系的医生、护士、药剂师和管理人员进行了一项访谈调查。该调查研究了几个主题，包括内部市场的引入是否影响了医院药房服务以及这些影响是什么。内部市场已经引入，并且对医院药房服务的性质和结构产生了重大影响。六个地点提供了药房服务管理。在一个地点实施了针对特定（通常是新颖）服务的合同，在另一家医院广泛引入了合同。然而，任何一个地点都没有呈现出市场的所有特征。市场导向对服务提供的公平性也有影响，主要是因为关于服务提供的决策越来越由临床主任而非药房经理掌握。这种变化的影响尚不清楚。
