Wing D M
Wellington Hospital of Humana, London, England.
Int Nurs Rev. 1988 Jan-Feb;35(1):13-6, 26.
The United Kingdom and the United States are both facing dramatic changes in health care delivery and resource allocation, brought about by advanced technology, limited financial (and in some cases human) resources and conflicting values regarding the right to health care. The differences and similarities of their health care systems provide a favourable research environment for comparing how the two countries acquire and allocate their respective health care resources. For the purpose of such a comparative study, two sites were selected, the London region of Central Thames and the US city of Energytown (only the names are fictitious). Central Thames is representative of an English region in size, administrative structure and health services; Energytown is representative of an oil city in the US Midwest. National policy, reductions in health care funds and size make the areas amenable to a comparative study.
英国和美国都面临着医疗服务提供和资源分配方面的巨大变化，这些变化是由先进技术、有限的财政（在某些情况下是人力资源）以及关于医疗保健权利的相互冲突的价值观所引发的。两国医疗保健系统的异同提供了一个有利的研究环境，便于比较两国如何获取和分配各自的医疗保健资源。出于这种比较研究的目的，选取了两个地点，即泰晤士河中部的伦敦地区和美国的能源镇（仅为虚构名称）。泰晤士河中部在规模、行政结构和医疗服务方面代表了英国的一个地区；能源镇代表了美国中西部的一个石油城市。国家政策、医疗保健资金的削减以及规模使得这些地区适合进行比较研究。
