Bradshaw Peter L
School of Human and Health Sciences, University of Huddersfield, Huddersfield, UK.
J Nurs Manag. 2008 Sep;16(6):673-81. doi: 10.1111/j.1365-2834.2008.00910.x.
This paper will catalogue and debate the recent policies that seek to extend the role of health Service Users in England. For operational purposes, the term 'Service User' refers collectively to individual patients and also to the public at large.
The provision of principal features of user involvement are twofold. First, it concerns more personalized services to individuals. Second, it represents recognition that the 60 million potential users of health services have a rightful role in determining the design of service development and delivery.
The paper will review the conceptual and ideological basis for current policy in relation to users. For a while, involvement policies began as benign benevolence, users now find themselves as the means to distributing resources in a way that was originally unintended.
The dilemmas raised by these policies for both users and providers will be explored and analysed.
The challenge for managers resides in the empirical evidence. This indicates despite undoubted improvements in the service as a whole, data suggests that at the operational level, care is still far from user centred. The task for policy makers and managers as far as user involvement is concerned, is to move from aspiration to reality.
本文将梳理并探讨近期旨在扩大英格兰医疗服务使用者作用的政策。为便于操作，“服务使用者”一词统称个体患者及广大公众。
使用者参与的主要特点有两方面。其一，关乎为个人提供更个性化的服务。其二，这意味着承认6000万潜在医疗服务使用者在决定服务发展与提供的设计方面应发挥合理作用。
本文将审视当前使用者相关政策的概念和思想基础。曾几何时，参与政策始于善意的慈善之举，如今使用者却发现自己成了以一种最初未曾预想的方式分配资源的手段。
将探讨并分析这些政策给使用者和提供者带来的困境。
管理者面临的挑战在于实证依据。这表明尽管整体服务无疑有所改善，但数据显示在操作层面，护理仍远未以使用者为中心。就使用者参与而言，政策制定者和管理者的任务是将愿望转化为现实。
