Mohan J, Woods K J
Int J Health Serv. 1985;15(2):197-215. doi: 10.2190/9GK8-MUBU-X48C-0KMM.
The 1979 election of the Conservative Government in Britain was not followed by the demolition of the welfare state. However, a variety of policy initiatives were introduced both to restructure National Health Service (NHS) expenditure, and to facilitate private provision of health services. This article considers the effects of such policies on the existing and future distribution of health care resources. A historical introduction discusses the main thrusts of conservative welfare policy. This is followed by an examination of the current financial situation of NHS authorities, at the regional and sub-regional scales; the political response to the 1983 manpower reductions is also considered. Events in the NHS are then contrasted with the deregulation of the private sector. The emergence and distribution of commercial acute hospitals are examined, as are other initiatives designed to transfer some of the financial burden of welfare provision away from the state. A concluding section compares and contrasts these developments and considers prospects for the future form of health care provision in Britain.
1979年英国保守党政府上台后，并没有对福利国家进行破坏。然而，政府采取了一系列政策举措，旨在调整国民医疗服务体系（NHS）的支出结构，并促进私人提供医疗服务。本文探讨了这些政策对现有及未来医疗资源分配的影响。历史介绍部分讨论了保守派福利政策的主要要点。接下来考察了NHS机构在区域和次区域层面的当前财政状况；同时也考虑了对1983年人力削减的政治回应。然后将NHS的情况与私营部门的放松管制进行对比。研究了商业急症医院的出现和分布情况，以及其他旨在将部分福利提供的财政负担从国家转移出去的举措。结论部分对这些发展进行了比较和对比，并探讨了英国未来医疗服务提供形式的前景。
