Street A
National Centre for Health Program Evaluation, Melbourne.
Aust J Public Health. 1994 Dec;18(4):369-79. doi: 10.1111/j.1753-6405.1994.tb00267.x.
A purchaser/provider separation and managed competition have been recommended as options for reform of Australia's health system. This paper presents the theoretical basis and supposed advantages of each model. The introduction of the purchaser/provider separation in the United Kingdom and New Zealand is described, as are the proposals for implementation of managed competition in the United States and the Netherlands. The potential for either model to deliver its promised benefits is critically evaluated in the light of existing evidence. As yet neither model can command unqualified support but both are worthy of further consideration.
购买者/提供者分离和管理竞争已被推荐为澳大利亚卫生系统改革的选项。本文介绍了每种模式的理论基础和假定优势。文中描述了英国和新西兰引入购买者/提供者分离的情况，以及美国和荷兰实施管理竞争的提议。根据现有证据对这两种模式实现其承诺效益的潜力进行了批判性评估。到目前为止，这两种模式都不能获得无条件的支持，但两者都值得进一步考虑。
