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权力下放还是集权?英国各地区护士教育委托政策发展的差异。

Devolution or centralization? Differences in the development of nurse education commissioning policy among the UK nations.

作者信息

Francis B, Humphreys J

机构信息

University of Greenwich, School of Post-Compulsory Education & Training, London, UK.

出版信息

Nurse Educ Today. 1998 Aug;18(6):433-9; discussion 440. doi: 10.1016/s0260-6917(98)80167-6.

DOI:10.1016/s0260-6917(98)80167-6
PMID:9847735
Abstract

An overview of the different systems for the commissioning of nurse education in the various UK countries is contextualized in the policy concerns of development and marketization driven by Government Working Papers 9 and 10. The different systems for commissioning nurse education in the various UK countries are described, with a particular focus on the English consortia system and its level of efficiency. It is argued that while the mechanism of consortia is being used to marketize nurse education commissioning in England, in the other three nations the commissioning process has actually become more centralized. This centralization is contrary to the policy of development, yet it is suggested here that the consortia mechanism adopted in England has not been followed in the other UK nations, as it has not yet proved an independently efficient method of commissioning.

摘要

英国不同国家护士教育委托的不同系统概述,置于由政府工作文件9和10推动的发展与市场化政策关切背景中。描述了英国不同国家护士教育委托的不同系统,特别关注了英格兰的财团系统及其效率水平。有人认为,虽然财团机制正被用于使英格兰护士教育委托市场化,但在其他三个国家,委托过程实际上变得更加集中。这种集中与发展政策相悖,但此处有人提出,英国其他国家并未采用英格兰所采用的财团机制,因为它尚未证明是一种独立有效的委托方法。

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