Wilkinson M J
Department of Health Studies, Brunel University College, Isleworth, Middlesex, England.
J Adv Nurs. 1995 May;21(5):980-7. doi: 10.1046/j.1365-2648.1995.21050980.x.
This paper describes the historical developments and current role of new public management (NPM) in the British National Health Service (NHS). It is argued that NPM concern for efficiency improvements has resulted in threats to equality and needs-based service delivery. The relevance of NPM values to health care and nursing is explored. Finally, comments are provided on how nurses can advocate for a more loving NHS environment, and one which is therefore more conducive to nurse and patient health.
本文描述了新公共管理(NPM)在英国国民医疗服务体系(NHS)中的历史发展及当前作用。有人认为,新公共管理对提高效率的关注已对平等和基于需求的服务提供构成威胁。探讨了新公共管理价值观与医疗保健及护理的相关性。最后,就护士如何倡导建立一个更具人文关怀的国民医疗服务体系环境(因而更有利于护士和患者健康的环境)提出了看法。