Loewenberg J J
Department of Human Resource Administration, School of Business and Management, Temple University, Philadelphia, PA 19122, USA.
Int J Health Serv. 1996;26(4):611-23. doi: 10.2190/D0FX-QRMY-R28V-NR74.
Doctors are central to the provision of health care. In England, doctors have been part of and have dealt with the National Health Service for over 45 years. This study looks at recent changes within and outside the National Health Service and their effects on the industrial relations system and outcomes for doctors. The changes include structural reforms imposed by government, changes resulting from dissatisfaction of junior doctors, and reforms advocated by the European Community. A principal finding is that the changes may potentially affect almost every aspect of employment and working conditions of doctors and of the professional and bargaining organizations that represent them. In particular, the changes may alter the existing relationships in doctors' ranks and between hospitals and senior doctors. Hence, the stability and uniformity of the industrial relations system are threatened.
医生是医疗保健服务的核心。在英国，医生参与国民医疗服务体系并与之打交道已有超过45年的时间。本研究考察了国民医疗服务体系内部和外部的近期变化及其对劳资关系体系以及医生工作成果的影响。这些变化包括政府推行的结构改革、初级医生不满引发的变化以及欧洲共同体倡导的改革。一个主要发现是，这些变化可能会潜在地影响医生就业和工作条件的几乎各个方面，以及代表他们的专业和谈判组织。特别是，这些变化可能会改变医生队伍内部以及医院与资深医生之间现有的关系。因此，劳资关系体系的稳定性和一致性受到了威胁。
