Baker Richard, Tang Mei Yee
National Institute of Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Leicestershire, Northamptonshire and Rutland (LNR).
London J Prim Care (Abingdon). 2011 Jul;4(1):27-32. doi: 10.1080/17571472.2011.11493324.
The new commissioning consortia face a major challenge in improving the efficiency of the NHS. They are new organisations, and at the same time as establishing themselves they need to overcome significant obstacles to reforming services. Research evidence about the value of care can help consortia achieve efficiencies, but there are often delays between the provision of evidence and its routine use in policy and practice. The National Institute for Health Research (NIHR) has invested substantial funding in providing evidence for the NHS, and in this article we discuss how consortia can make sure they obtain and apply relevant evidence as quickly as possible, and also generate evidence on practical questions such as the impact of redesigned services. Partnership with NIHR research organizations, particularly the Collaborations for Leadership in Applied Research and Care (CLAHRCs), offer one approach to helping consortia commission efficient health care.
新的委托联合体在提高国民医疗服务体系（NHS）的效率上面临着重大挑战。它们是新成立的组织，在站稳脚跟的同时，还需要克服改革服务所面临的重大障碍。关于医疗价值的研究证据有助于联合体提高效率，但从提供证据到其在政策和实践中的常规应用，往往会有延迟。国家卫生研究院（NIHR）已投入大量资金为NHS提供证据，在本文中，我们将探讨联合体如何确保尽快获取并应用相关证据，同时就重新设计服务的影响等实际问题生成证据。与NIHR研究机构建立伙伴关系，特别是应用研究与护理领导力合作组织（CLAHRCs），为帮助联合体委托高效的医疗服务提供了一种途径。
