Goodwin Nick, Smith Judith
Birmingham University's Health Services Management Centre.
Health Serv J. 2002 Nov 14;112(5831):22-5.
Primary care trust commissioning is not advanced and there is little evidence of PCTs influencing hospital services. Any further NHS reorganisation would hamper the development of commissioning. PCTs need to engage more GPs in the task of commissioning services. PCTs' ability to move work round on a cost per case basis should strengthen their hand in commissioning from hospitals.
初级保健信托机构的委托工作并不先进，几乎没有证据表明初级保健信托机构对医院服务产生了影响。国民保健制度的任何进一步重组都将阻碍委托工作的发展。初级保健信托机构需要让更多的全科医生参与到服务委托任务中来。初级保健信托机构按每个病例的成本转移工作的能力，应能增强其在向医院委托服务时的影响力。
