Buxton M J, Klein R E
Br Med J. 1975 Feb 8;1(5953):suppl:345-9. doi: 10.1136/bmj.1.5953.suppl.
There has been much discussion in the past about the inequitable distribution of N.H.S. resources between different regions. This paper examines the distribution of hospital resources in terms of current revenue and beds in different specialties in eight regions (49 area health authorities). Variations between A.H.A.s are far more important than those between regions, and indeed they are so large (even in the acute specialties) that it is doubtful whether some A.H.A.s can be considered to be offering a comprehensive service. In the light of these findings the paper explores policy problems involved in trying to secure a more equitable distribution of N.H.S. resources at a time of financial stringency.
过去，人们对国民保健服务体系（N.H.S.）资源在不同地区间的不公平分配进行了诸多讨论。本文从八个地区（49个地方卫生当局）不同专科的当前收入和床位方面，研究了医院资源的分配情况。地方卫生当局之间的差异比地区之间的差异重要得多，实际上这些差异非常大（即使在急症专科领域），以至于令人怀疑一些地方卫生当局是否能被认为提供了全面的服务。鉴于这些发现，本文探讨了在财政紧缩时期试图确保国民保健服务体系资源更公平分配所涉及的政策问题。
