Harrison S
Yorkshire Collaborating Centre for Health Services Research, Nuffield Institute for Health, University of Leeds, United Kingdom.
J Public Health Policy. 1994 Autumn;15(3):283-97.
The National Health Service provides a 'policy puzzle' to British governments: how to cope with rising demands in a service which is extremely popular with the public, whilst maintaining economic orthodoxy with regard to public expenditure. The limited number of options for reconciling these tensions has provided the menu from which successive recent policies for organising and managing the Service have been drawn, and from which governments will continue to have to choose over the next few years.
国民医疗服务体系给英国政府带来了一个“政策难题”:如何在一个深受公众欢迎的服务体系中应对不断增长的需求,同时在公共支出方面保持经济正统性。解决这些矛盾的选择有限,这就形成了一份菜单,近期一系列组织和管理该服务体系的政策从中选取,并且在未来几年政府仍将不得不从中做出选择。