Kerrison S, Corney R
Greenwich University, UK.
J Health Serv Res Policy. 1998 Jan;3(1):20-2. doi: 10.1177/135581969800300106.
To establish the contribution of the private sector in providing outpatient 'outreach' clinics in general practitioner fundholding practices.
Postal survey of all 13 first-wave fundholders and four of the 13 second-wave fundholders in the former South East Thames Region of the National Health Service in 1995.
Fourteen practices responded. Ten practices had set up at least one medical specialist 'outreach' clinic and 12 at least one paramedical clinic since becoming fundholders. Eight practices reported their arrangements for consultant 'outreach' clinics and ten practices their arrangements for paramedical clinics. Forty-nine per cent of the total medical specialist hours and 46% of total paramedical hours were provided by private practitioners. The largest number of hours provided privately was in gynaecology.
This small study identified considerable private provision of fundholders' 'outreach' clinics. However, there is no system in the NHS to monitor the extent of this market, the types of activities undertaken or the relative quality and cost of the services provided.
确定私营部门在全科医生基金持有诊所提供门诊“外展”诊所方面所做的贡献。
1995年对原国民健康服务体系东南泰晤士地区的所有13家首批基金持有者以及13家第二批基金持有者中的4家进行邮政调查。
14家诊所有所回应。自成为基金持有者以来，10家诊所设立了至少一家医学专科“外展”诊所，12家设立了至少一家辅助医疗诊所。8家诊所报告了其顾问“外展”诊所的安排，10家诊所报告了其辅助医疗诊所的安排。私营从业者提供了49%的医学专科总时长和46%的辅助医疗总时长。私人提供时长最多的是妇科。
这项小型研究发现，基金持有者的“外展”诊所大量由私营部门提供。然而，国民健康服务体系中没有系统来监测这个市场的规模、所开展活动的类型或所提供服务的相对质量和成本。
