Department of Economics, University of Bologna, Bologna, Italy.
Centre for Health Economics, University of York, York, UK.
Eur J Health Econ. 2018 May;19(4):607-626. doi: 10.1007/s10198-017-0906-6. Epub 2017 Jun 15.
Since 2004, English NHS hospitals have been given the opportunity to acquire a more autonomous status known as a Foundation Trust (FT), whereby regulations and restrictions over financial, management, and organizational matters were reduced in order to create incentives to deliver higher-quality services in the most efficient way. Using difference-in-difference models, we test whether achieving greater autonomy (FT status) improved hospital performance, as proxied by measures of financial management, quality of care, and staff satisfaction. Results provide little evidence that the FT policy per se has made any difference to the performance of hospitals in most of these domains. Our findings have implications for health policy and inform the trend towards granting greater autonomy to public-sector organizations.
自 2004 年以来，英国国民保健署医院获得了被称为基础信托（FT）的更自主地位的机会，从而减少了对财务、管理和组织事务的监管和限制，以激励以最高效的方式提供更高质量的服务。使用差异中的差异模型，我们检验了实现更大自主权（FT 地位）是否会改善医院的绩效，这可以通过财务管理、护理质量和员工满意度等指标来衡量。结果几乎没有证据表明 FT 政策本身对这些领域中大多数医院的绩效有任何影响。我们的研究结果对卫生政策有影响，并为向公共部门组织赋予更大自主权的趋势提供了信息。
