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从消费主义到伙伴关系?世纪之交的英国国民医疗服务体系。

From consumerism to partnership? Britain's National Health Service at the turn of the century.

作者信息

Calnan M, Gabe J

机构信息

MRC Health Services Research Collaboration, Department of Social Medicine, Room 2.2a, University of Bristol, Canynge Hall, Whiteladies Road, Bristol BS8 2PR, England.

出版信息

Int J Health Serv. 2001;31(1):119-31. doi: 10.2190/7H2Q-NX5H-5CU9-MCK2.

Abstract

It has been argued that "consumerism" has been one of the main influences on health policy in many countries over the last decade or so. This article focuses on the role of consumerism in U.K. health policy during this period through the introduction of changes in National Health Service provision such as introduction of the quasi-market, creation of the new managerialism, and new organizational structures set up under the recent Labour government. It considers the consequences of these changes for the users of health care and for citizenship rights, in particular the extent to which the changes have empowered these users and citizens.

摘要

有人认为,“消费主义”在过去十年左右的时间里一直是许多国家卫生政策的主要影响因素之一。本文通过介绍国民医疗服务体系(NHS)提供服务的变化,如引入准市场、创建新管理主义以及近期工党政府设立的新组织结构,来聚焦这一时期消费主义在英国卫生政策中的作用。它考量了这些变化对医疗保健使用者和公民权利的影响,尤其是这些变化赋予这些使用者和公民权力的程度。

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