1 Ernst & Young LLP, London, UK.
Int J Health Serv. 2019 Jan;49(1):5-16. doi: 10.1177/0020731418797977. Epub 2018 Sep 6.
The period of sustained financial austerity since 2009 has led to a shift in competition policy within the English National Health Service. Policymakers have directed their attention away from the preexisting priority to support quicker access to routine and planned hospital care and have focused instead on improving emergency, cancer, and general practitioner services. This has prompted the development of a new policy framework and, in particular, a desire to create collaborative health systems focused on specific populations. In addition, previous policy initiatives to engage the leadership of general practitioners in planning services have been revisited. The overall effect has been to shift emphasis away from competitive markets and back toward a planning approach.
自 2009 年以来，持续的财政紧缩时期导致英国国民保健制度内的竞争政策发生转变。政策制定者已不再关注先前支持更快获得常规和计划内医院护理的优先事项，而是专注于改善紧急情况、癌症和全科医生服务。这促使制定了新的政策框架，特别是希望创建专注于特定人群的协作性卫生系统。此外，还重新审视了之前让全科医生参与服务规划的领导作用的政策倡议。总体效果是将重点从竞争市场转移回规划方法。
