Morley V
Lambeth, Southwark and Lewisham Family Health Services Authority, London.
BMJ. 1993 Jan 9;306(6870):112-4. doi: 10.1136/bmj.306.6870.112.
FHSAs have defined their role in purchasing primary care FHSAs have also found themselves intermediaries between district health authorities and general practitioners All of the purchasing authorities recognise the need to educate general practitioners on how to use their influence in the purchasing process General practitioners should be involved in the purchasing process as they purchase the bulk of health care; are the first point of contact for the users of the health service; need to have input on what is purchased; and need to be able to manage the changes resulting from the shift in the balance of power towards primary care The involvement of general practitioners in the purchasing process at present varies considerably among health authorities. Several district health authorities have developed models of purchasing that enable different levels of involvement
家庭健康服务机构已明确了其在购买初级保健服务方面的作用。家庭健康服务机构还发现自己处于地区卫生当局和全科医生之间的中间位置。所有采购当局都认识到有必要对全科医生进行教育，使其了解如何在采购过程中发挥影响力。全科医生应参与采购过程，因为他们购买了大部分医疗保健服务；是卫生服务使用者的第一接触点；需要对所采购的内容有发言权；并且需要能够管理由于权力平衡向初级保健转移而产生的变化。目前，全科医生在采购过程中的参与程度在各卫生当局之间差异很大。一些地区卫生当局已经开发出了采购模式，使不同程度的参与成为可能。
