Flanagan H
Health Services Management Centre, University of Birmingham, UK.
Health Manpow Manage. 1997;23(4-5):187-91. doi: 10.1108/09552069710175490.
Management of the NHS is necessary and vital to effective delivery of health services. It is not a process that can be avoided, whoever does it. New Labour needs effective managers in the NHS if they are to bring about the changes they want to see. Manager bashing, which New Labour is showing signs of continuing, is counter productive and encourages a climate of threat for managers which subsequently translates into bad management practice with its inevitable consequences for service quality and productivity. The NHS badly needs a positive long-term strategy of serious investment in individual and organizational development. It is a question of balanced investment between the long-term management capability of the NHS and immediate patient care. The major issues of rationing, priorities and the balance between health and health services will always be part of the difficult national and local management task. Some move by politicians in the direction of open recognition of these difficulties and the burden they place on the skill, will and courage of managers could go a long way to building a caring management culture.
国民保健制度的管理对于有效提供医疗服务而言是必要且至关重要的。这是一个无法回避的过程，无论由谁来做。新工党若想在国民保健制度中实现他们期望的变革，就需要有高效的管理者。新工党有继续抨击管理者的迹象，这种做法适得其反，会营造出一种对管理者构成威胁的氛围，进而导致不良的管理行为，不可避免地影响服务质量和生产率。国民保健制度迫切需要一项积极的长期战略，对个人和组织发展进行认真投资。这是在国民保健制度的长期管理能力与即时患者护理之间进行平衡投资的问题。配给、优先事项以及健康与医疗服务之间的平衡等主要问题，将始终是国家和地方艰难管理任务的一部分。政治家们朝着公开承认这些困难以及它们对管理者的技能、意愿和勇气所造成的负担的方向迈出一些步伐，对于建立一种关爱型的管理文化会大有帮助。
