Harrison A, Dixon J, New B, Judge K
Policy Institute, King's Fund, London.
BMJ. 1997 Jan 11;314(7074):139-42. doi: 10.1136/bmj.314.7074.139.
Four potential pressures are likely to determine whether the NHS will be able to cope in future: the change in population structure, changes in level of morbidity, introduction of new technologies, and increasing expectations of patients and NHS providers. New technology and changes in expectations are likely to have the biggest effect and are also the most difficult to quantify. Nevertheless, these pressures are to some extent amenable to control. If the growth in funding continues as it has in the past there is no convincing evidence that the NHS will not continue to cope.
未来,有四种潜在压力可能决定英国国家医疗服务体系(NHS)是否能够应对:人口结构的变化、发病率的变化、新技术的引入,以及患者和NHS服务提供者期望的不断提高。新技术和期望的变化可能产生最大影响,而且也是最难量化的。然而,这些压力在一定程度上是可以控制的。如果资金增长继续像过去那样持续下去,就没有令人信服的证据表明NHS无法继续应对。