Newman M, Bardsley M, Morgan D, Jacobson B
School of Health, Biological, and Environmental Sciences, Middlesex University, London, UK.
Qual Health Care. 1998 Sep;7(3):142-8. doi: 10.1136/qshc.7.3.142.
To compare the commissioning of contraception services by London health authorities with accepted models of good practice.
Combined interview and postal surveys of all health authorities and National Health Service (NHS) trusts responsible for running family planning clinics in the Greater London area.
Health authority commissioning was assessed on the presence of four key elements of good practice--strategies, coordination, service specifications, and quality standards in contracts--by monitoring activity and quality.
Less than half the health authorities surveyed had written strategies or service specifications for contraception services. Arrangements for coordination of services were limited and monitoring was underdeveloped.
The process of commissioning services for contraception seems to be relatively underdeveloped despite the importance of health problems associated with unplanned pregnancy in London. These findings raise questions about the capacity of health authorities to improve the quality of these services through the commissioning process.
比较伦敦各卫生当局的避孕服务委托开展情况与公认的良好实践模式。
对大伦敦地区负责运营计划生育诊所的所有卫生当局和国民健康服务（NHS）信托机构进行访谈和邮寄调查相结合的研究。
通过监测活动和质量，依据良好实践的四个关键要素——策略、协调、服务规范以及合同中的质量标准，对卫生当局的委托工作进行评估。
接受调查的卫生当局中，不到一半制定了避孕服务的书面策略或服务规范。服务协调安排有限，监测工作也不完善。
尽管伦敦意外怀孕相关健康问题很重要，但避孕服务的委托开展过程似乎相对不够完善。这些发现引发了关于卫生当局通过委托流程提高这些服务质量能力的疑问。
