Mullen P M
Health Services Management Centre, University of Birmingham.
Health Serv Manage Res. 1994 May;7(2):131-45. doi: 10.1177/095148489400700206.
Waiting lists for hospital inpatient treatment have existed since the foundation of the NHS. There have been many theories put forward to explain them and a wide range of proposals have been advanced to reduce or eliminate them. The effect of the recent changes in the NHS, coupled with the renewed political focus on waiting lists, is explored. It is concluded that access to waiting lists may be restricted, either by explicit rationing or as a result of contractual specifications. Further, the introduction of GP Fundholding, together with the purchaser-provider split, could result in a two-tier service, at least for non-urgent patients. These conclusions are illustrated by the findings from a simple simulation model.
自国民健康服务体系（NHS）建立以来，医院住院治疗的等候名单就一直存在。人们提出了许多理论来解释这些名单，并提出了各种各样的建议以减少或消除它们。本文探讨了NHS近期变化的影响，以及政治上对等候名单重新关注的情况。得出的结论是，等候名单的获取可能会受到限制，要么是通过明确的配给，要么是由于合同规定。此外，全科医生基金持有制的引入，再加上购买方与供应方的分离，可能会导致至少针对非紧急患者的两层服务体系。这些结论通过一个简单模拟模型的研究结果得到了说明。
