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Will Practice-Based Commissioning in the English NHS Resolve the Problems Experienced by GP Fundholding?

机译:英语NHS中基于实践的调试能否解决GP资金持有所遇到的问题?

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摘要

Labour's new approach to primary health care, based around the policy of practice-based commissioning, has considerable potential for learning from the general practitioner fundholding reforms put in place by the Conservative governments of the 1990s. However, practice-based commissioning seems to repeat many of the same problems as the earlier policy. Despite the increased scope for GPs to make a significant difference to the shape of local health economies because of the incentives and opportunities offered by payment by results and patient choice reforms, the potential problems of practice-based commissioning threaten the reform's viability and long-term success.
机译:工党以实践为基础的委托政策为基础的新的初级保健方法,具有从1990年代保守党政府实施的全科医生资金持有改革中学习的巨大潜力。但是,基于实践的调试似乎会重复许多与早期策略相同的问题。尽管由于结果支付和患者选择改革带来的激励和机遇,全科医生扩大了对当地卫生经济体的形态产生重大影响的范围,但基于实践的委托的潜在问题威胁着改革的可行性和长期性成功。

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  • 来源
    《Public Money & Management》 |2008年第4期|231-238|共8页
  • 作者

    Ian Greener; Russell Mannion;

  • 作者单位

    Reader in Applied Social Sciences/ Social Policy in the School of Applied Social Sciences, University of Durham..;

    Director of the Centre for Health and Public Services Management, The York Management School, University of York..;

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  • 正文语种 eng
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