Bernadt Morris
Consultant Psychiatrist, South London and Maudsley NHS Foundation Trust, London, UK, email
Int Psychiatry. 2011 Aug 1;8(3):55-56. eCollection 2011 Aug.
Commissioning of health services has become an intensely political issue in the UK and there is no reason to believe that the conflicts that have arisen domestically would not be mirrored overseas. A key ideological issue in the UK concerns the relative merits of public and private provision of services. In their guest editorial in this issue, 'Governance, choice and the global market for mental health', Sugarman & Kakabadse take a particular ideological stance: they write on the one hand of commercial-style efficiency and on the other of monopoly state provision risking inefficiency and ineffectiveness. This perspective is addressed here.
在英国，医疗服务的委托安排已成为一个极具政治色彩的问题，而且有理由相信，国内出现的冲突在海外也会出现。英国一个关键的意识形态问题涉及公共和私人提供服务的相对优点。在本期的客座社论《治理、选择与全球精神卫生市场》中，苏格曼和卡卡巴德塞采取了一种特定的意识形态立场：他们一方面论述了商业式效率，另一方面又提到垄断性国家提供服务可能存在效率低下和效果不佳的风险。本文将探讨这一观点。
