Corby S
Manchester Metropolitan University, UK.
J Manag Med. 1997;11(5-6):279-93. doi: 10.1108/02689239710189744.
The NHS in 1991 launched an equality programme for women, setting eight goals to be achieved by 1994. Shows that at least some of the goals are not being met and suggests reasons falling into four categories. First is the NHS context, including trusts' autonomy which is incompatible with a national equality plan. Second, there is a failure of implementation. Third, the programme is inherently flawed: its business rationale is less than convincing to many health professionals who attach a high value to ethics, Fourth, the reasons for failure relate to all equality programmes for women, including a value system which sees the male career pattern as the norm. Concludes that movement towards equality for women in the NHS is only likely to be made if a different approach to goal setting is adopted.
1991年,英国国民医疗服务体系(NHS)发起了一项针对女性的平等计划,设定了到1994年要实现的八个目标。结果表明,至少部分目标并未实现,并提出了可分为四类的原因。首先是NHS的背景情况,包括信托机构的自主权,这与国家平等计划不相容。其次,存在实施不力的问题。第三,该计划本身存在缺陷:其商业理由对许多高度重视道德规范的医疗专业人员来说缺乏说服力。第四,失败的原因与所有针对女性的平等计划有关,包括一种将男性职业模式视为常态的价值体系。结论是,只有采用不同的目标设定方法,NHS才有可能朝着实现女性平等的方向迈进。