Yudkin J S
Br Med J. 1978 Oct 28;2(6146):1212-5. doi: 10.1136/bmj.2.6146.1212.
The health plans of the Tower Hamlets district management team were studied to determine what effects the report of the Resource Allocation Working Party and the White Paper "Priorities in the Health and Social Services" have had on resource allocation in a teaching district. The study showed that at present acute services are allocated a greater proportion of the district budget than occurs nationally, while geriatrics, mental health, and community services receive proportionately less. In the next three years spending on acute services is expected to decrease, while spending on geriatric facilities and community services will increase. Nevertheless, cuts in acute services will take place mainly through a reduction in the number of beds serving a community function, concentrating all acute services in the teaching hospital. Services to the district might be better maintained by creating a community hospital to meet the needs of patients who would otherwise need to be accommodated in acute beds with unnecessarily expensive support services.
对陶尔哈姆莱茨区管理团队的医疗计划进行了研究，以确定资源分配工作小组的报告和白皮书《健康与社会服务的优先事项》对一个教学区的资源分配产生了哪些影响。研究表明，目前急症服务在该地区预算中所占的比例高于全国水平，而老年医学、心理健康和社区服务获得的比例相对较少。在未来三年，预计急症服务支出将减少，而老年设施和社区服务的支出将增加。然而，急症服务的削减将主要通过减少承担社区功能的床位数量来实现，将所有急症服务集中在教学医院。通过创建一家社区医院来满足那些否则将需要在急症床位接受不必要昂贵支持服务的患者的需求，可能会更好地维持对该地区的服务。
