英国国家医疗服务体系改革。计算成本。
NHS reforms. Counting the costs.
作者信息
Paton C, Birch K, Hunt K, Jordan K, Durose J
机构信息
Centre for Health Planning and Management, Keele University, UK.
出版信息
Health Serv J. 1997 Aug 21;107(5567):24-7.
PMID:10173451
Abstract
Localism predominates in purchaser-provider relationships, with markets strictly limited in practice. Block contracting predominates, largely to enable purchasers to bring pressure to bear on providers' costs and outputs. The administrative costs of operating the purchaser-provider split have led to a clear growth in the overall administrative costs within the NHS. Locality commissioning may conflict with the need to reorganise clinical services.
摘要
地方主义在购买者与提供者的关系中占主导地位，实际上市场受到严格限制。整体承包占主导，主要是为了使购买者能够对提供者的成本和产出施加压力。运营购买者与提供者分离的行政成本导致英国国家医疗服务体系（NHS）的整体行政成本显著增加。地方委托可能与临床服务重组的需求相冲突。
相似文献
1
NHS reforms. Counting the costs.英国国家医疗服务体系改革。计算成本。
Health Serv J. 1997 Aug 21;107(5567):24-7.
2
Extra-market incentives in the new NHS.新国民医疗服务体系中的市场外激励措施。
Health Policy. 1993 Sep;25(1-2):169-83. doi: 10.1016/0168-8510(93)90110-b.
3
NHS contracts: an agency approach.国民保健制度合同：一种代理方式。
Health Econ. 1996 Jul-Aug;5(4):341-52. doi: 10.1002/(SICI)1099-1050(199607)5:4<341::AID-HEC196>3.0.CO;2-7.
4
Commissioning reform in the NHS: will he who pays the piper ever really call the tune?NHS 委托改革：出钱的人能否真正掌控局面？
Clin Med (Lond). 2011 Feb;11(1):35-9. doi: 10.7861/clinmedicine.11-1-35.
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.
6
The British health care reforms, the American health care revolution, and purchaser/provider contracts.英国医疗保健改革、美国医疗保健革命与购买者/提供者合同。
J Health Polit Policy Law. 1995 Winter;20(4):885-908. doi: 10.1215/03616878-20-4-885.
7
Challenges of EU competition law for general practice commissioning.欧盟竞争法对全科医疗委托的挑战。
BMJ. 2011 Apr 7;342:d2071. doi: 10.1136/bmj.d2071.
8
Regulatory reform of the NHS internal market.英国国家医疗服务体系内部市场的监管改革。
Health Econ. 1995 Mar-Apr;4(2):77-83. doi: 10.1002/hec.4730040201.
9
Pricing in the NHS internal market.英国国家医疗服务体系内部市场的定价
Health Econ. 1994 May-Jun;3(3):133-6. doi: 10.1002/hec.4730030302.
10
Creating a market: an economic analysis of the purchaser-provider model.创建一个市场：购买者-提供者模式的经济分析
Health Policy. 1993 Sep;25(1-2):153-68. doi: 10.1016/0168-8510(93)90109-3.
引用本文的文献
1
Health and efficiency: clinical effectiveness dissected.健康与效率：剖析临床疗效
Health Care Anal. 1998 Sep;6(3):208-15. doi: 10.1007/BF02678106.
Zotero 插件