七年盛宴，七年饥荒：英国国家医疗服务体系会由盛转衰吗？
Seven years of feast, seven years of famine: boom to bust in the NHS?
作者信息
Maynard Alan, Street Andrew
机构信息
Department of Health Sciences, University of York, YO10 5DD.
出版信息
BMJ. 2006 Apr 15;332(7546):906-8. doi: 10.1136/bmj.332.7546.906.
Abstract
Service improvements in the NHS have not kept pace with the dramatic increase in expenditure. As expenditure growth slows, attention must focus on reforming the incentives faced by NHS staff and institutions rather than on indulging in yet another reorganisation
摘要
英国国民医疗服务体系（NHS）的服务改善未能跟上支出的急剧增长。随着支出增长放缓，注意力必须集中在改革NHS工作人员和机构所面临的激励措施上，而不是一味地进行又一次重组。
相似文献
1
Seven years of feast, seven years of famine: boom to bust in the NHS?七年盛宴，七年饥荒：英国国家医疗服务体系会由盛转衰吗？
BMJ. 2006 Apr 15;332(7546):906-8. doi: 10.1136/bmj.332.7546.906.
2
Public health and economic policy: financing the NHS.公共卫生与经济政策：为国民医疗服务体系提供资金
Lancet. 1985 Nov 30;2(8466):1233-5. doi: 10.1016/s0140-6736(85)90755-x.
3
Intergenerational Report 2015: A limited and political view of our future.《2015年代际报告》：对我们未来的一种有限且带有政治色彩的观点。
Australas J Ageing. 2015 Dec;34(4):217-9. doi: 10.1111/ajag.12293.
4
Intergenerational report misses the point on health spending.代际报告未抓住医疗支出的重点。
Australas J Ageing. 2015 Dec;34(4):214-6. doi: 10.1111/ajag.12290.
5
NHS: the Blair years.国民保健制度：布莱尔执政时期
BMJ. 2007 May 19;334(7602):1030-1. doi: 10.1136/bmj.39210.492188.AD.
6
New BMA president compares a third of NHS care to care in the developing world.英国医学协会新任主席将三分之一的国民医疗服务体系护理水平与发展中国家的护理水平相提并论。
BMJ. 2002 Jul 13;325(7355):66. doi: 10.1136/bmj.325.7355.66.
7
Boom to bust in the NHS: income in general practice.英国国家医疗服务体系的兴衰：全科医疗收入
BMJ. 2006 May 6;332(7549):1096. doi: 10.1136/bmj.332.7549.1096.
8
Genetics white paper heralds "a revolution in health care".遗传学白皮书预示着“医疗保健领域的一场革命”。
BMJ. 2003 Jun 28;326(7404):1413. doi: 10.1136/bmj.326.7404.1413.
9
The world of payments.支付的世界。
Health Serv J. 2012 Aug 23;122(6318):18.
10
Comparative health systems. Italy.比较卫生系统。意大利。
Adv Health Econ Health Serv Res Suppl. 1990;1:211-40.
引用本文的文献
1
Facing the future: the effects of the impending financial drought on NHS finances and how UK radiology services can contribute to expected efficiency savings.展望未来：即将到来的财政干旱对英国国民保健制度财务的影响，以及英国放射科服务如何有助于实现预期的效率节省。
Br J Radiol. 2012 Jun;85(1014):784-91. doi: 10.1259/bjr/20359557. Epub 2011 Dec 13.
2
From rationing to rational: the evolving status of NICE.从定量配给到合理配置：英国国家卫生与临床优化研究所的发展现状
J R Soc Med. 2008 Sep;101(9):436-42. doi: 10.1258/jrsm.2008.080167.
3
Quality of clinical primary care and targeted incentive payments: an observational study.临床初级保健质量与定向激励支付：一项观察性研究。
Br J Gen Pract. 2007 Jun;57(539):449-54.
4
Economic evaluation and decision making in the UK.英国的经济评估与决策制定
Pharmacoeconomics. 2006;24(11):1133-42. doi: 10.2165/00019053-200624110-00009.
5
How NICE may be outflanked.英国国家卫生与临床优化研究所（NICE）可能如何被智取。
BMJ. 2006 May 27;332(7552):1268-71. doi: 10.1136/bmj.332.7552.1268.
6
Boom to bust in the NHS: income in general practice.英国国家医疗服务体系的兴衰：全科医疗收入
BMJ. 2006 May 6;332(7549):1096. doi: 10.1136/bmj.332.7549.1096.
7
Boom to bust in the NHS: consultant productivity.英国国家医疗服务体系的兴衰：顾问医生的工作效率
BMJ. 2006 May 6;332(7549):1096. doi: 10.1136/bmj.332.7549.1096-a.
8
Boom to bust in the NHS: questions on productivity.英国国家医疗服务体系的兴衰：关于生产率的问题。
BMJ. 2006 May 6;332(7549):1096. doi: 10.1136/bmj.332.7549.1096-b.
本文引用的文献
1
Do we need more doctors?我们需要更多医生吗？
J R Soc Med. 2006 Jun;99(6):281-7. doi: 10.1177/014107680609900613.
2
Payment by results wide open to fraud, say commissioners.专员们表示，按绩效付费极易引发欺诈行为。
Health Serv J. 2006 Feb 23;116(5994):5.
3
Herceptin and early breast cancer: a moment for caution.赫赛汀与早期乳腺癌：需谨慎对待的时刻。
Lancet. 2005 Nov 12;366(9498):1673. doi: 10.1016/S0140-6736(05)67670-2.
4
Trends in waiting time to date and total time waited: are the sources compatible?截至目前的等待时间趋势和总等待时间：数据源是否兼容？
Health Stat Q. 2004 Winter(24):23-9.
5
What's the evidence that NICE guidance has been implemented? Results from a national evaluation using time series analysis, audit of patients' notes, and interviews.有哪些证据表明英国国家卫生与临床优化研究所（NICE）的指南已得到实施？一项使用时间序列分析、患者病历审核和访谈的全国性评估结果。
BMJ. 2004 Oct 30;329(7473):999. doi: 10.1136/bmj.329.7473.999.
6
Challenges for the National Institute for Clinical Excellence.英国国家临床优化研究所面临的挑战。
BMJ. 2004 Jul 24;329(7459):227-9. doi: 10.1136/bmj.329.7459.227.
7
Funding for the National Health Service.国家医疗服务体系的资金投入。
Lancet. 2002 Aug 17;360(9332):576. doi: 10.1016/S0140-6736(02)09736-2.
Zotero 插件