International Centre for Governance and Public Management, Warwick Business School, University of Warwick, Coventry, UK.
Health Expect. 2013 Jun;16(2):115-8. doi: 10.1111/hex.12069.
Patient and public involvement has been at the heart of UK health policy for more than two decades. This commitment to putting patients at the heart of the British National Health Service (NHS) has become a central principle helping to ensure equity, patient safety and effectiveness in the health system. The recent Health and Social Care Act 2012 is the most significant reform of the NHS since its foundation in 1948. More radically, this legislation undermines the principle of patient and public involvement, public accountability and returns the power for prioritisation of health services to an unaccountable medical elite. This legislation marks a sea-change in the approach to patient and public involvement in the UK and signals a shift in the commitment of the UK government to patient-centred care.
患者和公众的参与一直是英国卫生政策的核心内容，已经超过二十年。英国国民保健制度（NHS）将患者置于核心位置的这一承诺，已成为确保卫生系统公平、患者安全和有效的核心原则。最近的《2012 年健康和社会保健法案》是自 1948 年 NHS 成立以来对 NHS 进行的最重大改革。更激进的是，该立法破坏了患者和公众参与、公共问责制的原则，并将卫生服务的优先排序权交还给不负责任的医疗精英。该立法标志着英国在患者和公众参与方面的方法发生了重大变化，并预示着英国政府对以患者为中心的护理的承诺发生了转变。
