Hooton P
Br J Theatre Nurs. 1993 Jun;3(3):4-5.
As the National Health Service enters the 1990s, it is undergoing a programme of reforms more fundamental than any experienced since its inception in 1948. These reforms stem from three white papers, one of which, 'Working for patients', published in 1989, emphasised the importance of good quality health care, and the provision of a service sensitive to the needs of its customers across the National Health Service. A strong emphasis within this white paper was placed on the devolution of decision making. The white paper states that as far as possible those who provide services are to be empowered to take decisions about operational matters.
随着国民医疗服务体系进入20世纪90年代，它正在经历一场比自1948年成立以来所经历的任何改革都更为根本的改革计划。这些改革源于三份白皮书，其中一份于1989年发表的《为患者服务》强调了高质量医疗保健的重要性，以及在整个国民医疗服务体系中提供满足客户需求的服务。这份白皮书大力强调了决策权的下放。白皮书指出，尽可能赋予提供服务的人员对运营事务做出决策的权力。
