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首页> 外文期刊>Journal of health services research & policy >Can competition improve outcomes in UK health care? Lessons from the past two decades
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Can competition improve outcomes in UK health care? Lessons from the past two decades

机译：竞争可以改善英国医疗保健的结果吗？ 过去二十年的课程

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摘要

UK governments of all political colours have sought to improve productivity in health care by introducing pro-competitive reforms in the National Health Service (NHS) during the last two decades. The first wave of reform operated from 1991 to 1997. The second wave was introduced in England only in the mid 2000s. In 2010, further reform in England, intended to increase the extent of competition, was proposed by the Coalition administration. But the effect of competition on productivity in health care and in particular on the quality of health care remains a contested issue. This paper reviews the evidence, focusing on robust and recent evidence, on the use of competition as a mechanism for improving quality. The consensus is that competition will increase quality in health care, but that institutional details matter. Given this, we end by discussing whether the current plans to make the buyers of care family doctors and other professionals and to allow some local price variation are likely to be beneficial in the UK context of full public funding for health care.
机译：在过去二十年中，通过在过去二十年中引入国家卫生服务（NHS）的竞争性改革，我们所有政治颜色的欧洲政府都试图提高医疗保健的生产力。从1991年到1997年开始的第一波改革浪潮。第二波仅在2000年代中期在英格兰引入。 2010年，联盟管理局提出了在英格兰进一步改革，旨在增加竞争程度。但竞争对医疗保健生产力的影响，特别是保健质量仍然是有争议的问题。本文审查了对竞争的强大和最近证据的证据，以竞争为改善质量的机制。共识是，竞争将提高医疗保健质量，而是制度细节。鉴于这一点，我们通过讨论目前的计划是否制作护理家庭医生和其他专业人员的计划，并允许一些地方价格变化可能在全面公共资金的英国背景下有益。

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