Baldwin Moyra, Wilson Frances
University of Chester, UK.
Br J Community Nurs. 2009 Aug;14(8):343-4, 346-9. doi: 10.12968/bjcn.2009.14.8.43514.
Commissioning is vital to a patient-led NHS. The knowledgeable practitioner, a non-commissioner, can become involved to influence commissioners to improve the population's health and well-being. Commissioning and the activities related towards improving the health and wellbeing of a given population follow a decision-making model. Depicted as a cyclical process each stage of commissioning is examined. At the centre of commissioning are service-users for whom commissioned services are tailored. Securing the service-user at the centre enables people to become involved and have their voices heard. This article provides an exploration of the issues surrounding commissioning and provides examples of how practitioners can engage with the concept of commissioning to inform and influence commissioners.
委托服务对于以患者为导向的英国国家医疗服务体系至关重要。知识渊博的从业者（非委托方）可以参与进来，影响委托方改善民众的健康和福祉。委托服务以及与改善特定人群健康和福祉相关的活动遵循一种决策模式。委托服务被描述为一个循环过程，其每个阶段都要进行审视。委托服务的核心是服务使用者，所委托的服务就是为他们量身定制的。将服务使用者置于核心位置能让人们参与进来并让他们的声音被听到。本文探讨了围绕委托服务的相关问题，并举例说明了从业者如何参与委托服务的概念，为委托方提供信息并施加影响。
