Green M
British Postgraduate Medical Federation, University of London.
BMJ. 1992 Oct 31;305(6861):1081-5. doi: 10.1136/bmj.305.6861.1081.
Sir Bernard Tomlinson's report focuses on London's health services, but his proposals have major implications for the future of clinical research--not just in London but in the United Kingdom as a whole. They must be seen in the context of a widely perceived decline in British research and development which also threatens clinical research. This article examines the implications of Tomlinson's proposals and related strategies and recommends the construction of a research market for the patient costs of clinical research to complement the NHS market for patient services introduced in 1991. These arrangements would help sustain the clinical research base and guarantee excellence.
伯纳德·汤姆林森爵士的报告聚焦于伦敦的医疗服务，但其提议对临床研究的未来具有重大影响——不仅是在伦敦，而是整个英国。这些提议必须置于英国研发普遍衰退的背景下来看待，而这种衰退也威胁到了临床研究。本文探讨了汤姆林森提议及相关策略的影响，并建议构建一个针对临床研究患者成本的研究市场，以补充1991年引入的国民保健服务患者服务市场。这些安排将有助于维持临床研究基础并确保卓越水平。
