首页> 外文期刊>Journal of health politics, policy and law >The British health care reforms, the American health care revolution, and purchaser/provider contracts.
【24h】

The British health care reforms, the American health care revolution, and purchaser/provider contracts.

机译:英国的医疗保健改革,美国的医疗保健革命以及购买者/提供者的合同。

获取原文
获取原文并翻译 | 示例
       

摘要

The health care systems of the United States and the United Kingdom are changing rapidly. After the Thatcher government's 1989 white paper, the formerly unified British National Health Service (NHS) was split into purchaser and provider sides, with the NHS District Health Authorities becoming purchasers, and the NHS hospitals, now reconstructed as independent NHS trusts, becoming providers. The U.S. health care system, driven by market forces rather than government fiat, has been moving rapidly toward integration, with increasingly formalized purchaser and provider relationships. Contracts are found at the purchaser/provider interface in both systems. We reviewed American and British purchaser/provider contracts. The contracts address similar issues but often take disparate approaches. These dissimilarities illuminate the profound, continuing differences between the two systems. They also, however, offer possibilities to transfer contracting "technology" between the two contracting cultures.
机译:美国和英国的卫生保健系统正在迅速变化。撒切尔政府在1989年发布白皮书之后,将以前统一的英国国家卫生服务局(NHS)分为购买方和提供方,NHS地区卫生局成为购买方,而现在被重建为独立NHS信托的NHS医院成为提供方。在市场力量而不是政府命令的推动下,美国医疗保健体系已迅速走向整合,并且购买者和提供者之间的关系日益规范化。在两个系统的购买者/提供者界面中都可以找到合同。我们审查了美国和英国的采购商/提供商合同。合同解决了类似的问题,但通常采取不同的方法。这些差异阐明了两个系统之间深刻而持续的差异。但是,它们也提供了在两种承包文化之间转移承包“技术”的可能性。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号