Francis B, Humphreys J
School of Post-Compulsory Education and Training, University of Greenwich, Eltham, London, England.
J Adv Nurs. 1998 Sep;28(3):517-23. doi: 10.1046/j.1365-2648.1998.00801.x.
The planning and commissioning of nurse education by consortia of NHS trusts and others in England is examined. These arrangements are analysed in terms of quasi-market theory, investigating their ability to co-ordinate effectively the demand for nurse education and workforce demand for nurses. Hence the paper examines evidence concerning the success or failure of consortia to co-ordinate these aspects, discussing the arguments over nurse and student nurse shortages, and the procedure for assessing the demand for nurse training places. The paper argues that current nurse shortages illustrate past planning errors in commissioning nurse training. Consequently, the central body (National Health Service Executive) is still aiding consortia in their decision-making concerning numbers of nurse training places, modelling workforce plans and suggesting increases in training places (and producing the money to pay for this). As such, it is argued, the quasi-market is not as yet a completely devolved one. It is suggested in the concluding discussion that if qualitative benefits of consortia fail to materialize (as suggested elsewhere), and the quantitative functions are inadequate, the utility of consortia as planners and commissioners of nurse education may be questioned.
本文探讨了英格兰国民保健服务信托基金及其他机构组成的财团对护士教育的规划与委托情况。依据准市场理论对这些安排进行分析，研究它们有效协调护士教育需求与护士劳动力需求的能力。因此，本文审视了有关财团在协调这些方面成败的证据，讨论了关于护士和实习护士短缺的争论，以及评估护士培训名额需求的程序。本文认为，当前的护士短缺表明过去在委托护士培训方面存在规划失误。因此，中央机构（国民保健服务执行局）仍在协助财团就护士培训名额数量、制定劳动力计划以及建议增加培训名额（并提供资金）做出决策。有人认为，如此一来，准市场尚未完全实现权力下放。在结论性讨论中提出，如果财团的定性效益未能实现（如其他地方所建议的那样），且定量功能不足，那么财团作为护士教育规划者和委托者的效用可能会受到质疑。
