Hudson Bob
Nuffield Institute for Health, Leeds, UK.
Health Soc Care Community. 1999 Sep;7(5):358-366. doi: 10.1046/j.1365-2524.1999.00198.x.
General ideas about joint working have been commonplace in the UK for several decades and those more specifically about joint commissioning have been popular since the quasi-market reforms of the early 1990s. The Labour Government is now placing a heavy premium upon 'partnership working' and expects this to breathe new life into joint commissioning initiatives; especially those involving social care and primary health care. However, despite the relatively lengthy experience of joint commissioning, we still know very little about how it works in practice. This article reviews joint commissioning as a policy concept, describes some recent research findings and pulls out messages for policy and practice. It concludes that although effective joint commissioning is attainable, there can be no 'quick fix' at local level.
几十年来，关于联合工作的总体理念在英国已司空见惯，而自20世纪90年代初的准市场改革以来，那些更具体的联合委托理念一直很流行。工党政府现在高度重视“合作共事”，并期望这能为联合委托举措注入新的活力；尤其是那些涉及社会护理和初级医疗保健的举措。然而，尽管联合委托有相对较长的实践经验，但我们对其实际运作方式仍知之甚少。本文将联合委托作为一个政策概念进行审视，描述一些近期的研究结果，并提炼出对政策和实践的启示。文章得出结论，虽然有效的联合委托是可以实现的，但在地方层面不存在“快速解决办法”。
