de Wildt G, Bhopal R, Lavender M
Department of Epidemiology and Public Health, Medical School, University of Newcastle upon Tyne, UK.
J Epidemiol Community Health. 1996 Dec;50(6):611-2. doi: 10.1136/jech.50.6.611.
Purchasing health care is at the core of the reforms of the UK NHS and yet there is little research evidence on which the policy is based. Research in this area is hampered by a lack of clarity over the aims of purchasing and the pace of change within the NHS. Purchasing developments such as general practice fund-holding are proceeding without a large scale evaluation of their impact. At a national level a research effort is required to investigate this key area of the NHS reforms.
医疗保健采购是英国国民健康服务体系(NHS)改革的核心,但几乎没有研究证据作为该政策的依据。这一领域的研究因采购目标不明确以及NHS内部变革速度而受到阻碍。诸如全科医生基金持有等采购发展举措正在推进,却没有对其影响进行大规模评估。在国家层面,需要开展研究工作来调查NHS改革的这一关键领域。