Mason A, Morgan K
South Western Regional Health Authority, Bristol.
BMJ. 1995 Jan 28;310(6974):231-5. doi: 10.1136/bmj.310.6974.231.
Purchaser-provider systems in health care are being implemented in several countries and are under consideration in many more. These new arrangements are described for the United Kingdom, Finland, New Zealand, and Australia, and in each case responsibility for funding, purchasing, providing, and ownership is identified. The four systems, along with managed care organisations in the United States, are also compared with regard to several important features. There is a fundamental similarity between these purchaser-provider arrangements but several key differences are well worth systematic study. This is a major challenge for academic bodies in Britain and other countries, and the opportunity to learn from each other should not be missed.
医疗保健领域的购买者 - 提供者体系正在多个国家实施，还有更多国家正在考虑采用。本文描述了英国、芬兰、新西兰和澳大利亚的这些新安排，并明确了每个国家在资金、购买、提供和所有权方面的责任。这四个体系以及美国的管理式医疗组织，还在几个重要特征方面进行了比较。这些购买者 - 提供者安排之间存在根本的相似性，但几个关键差异非常值得进行系统研究。这对英国和其他国家的学术机构来说是一项重大挑战，不应错过相互学习的机会。
