Public and patient involvement in individual healthcare rationing

Jill Russell; Trisha Greenhalgh; Andrew BurnettJonathan Montgomery

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Public and patient involvement in individual healthcare rationing

机译：公众和患者个人参与医疗保健配给

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Healthcare rationing is high on the political and public agenda in the United Kingdom. The English National Health Service (NHS) is undergoing major restructuring aimed at improving efficiency. From 2013, responsibility for commissioning NHS services looks set to shift from primary care trusts (PCTs) to general practitioner (GP) commissioning consortiums. The coalition government's comprehensive spending review (which demands savings of ound20bn (23bn; dollar32bn) over four years will take the NHS into a "fiscal ice age." Patient and public involvement in decision making remains a central part of the NHS mission and is a statutory responsibility for commissioners of NHS care. However, although patient and public participation in national and local decisions is widely accepted, there is a lack of consensus on whether and how they should be involved in rationing decisions at the individual level, and uncertainty about what involvement means in practice.

机译：医疗保健配给在政治和高在英国公众议程。国民健康服务(NHS)正在发生重大重组以提高效率。2013年,负责调试NHS服务将从初级保健的转变信托和国民保健全科医生(GP)调试财团。政府综合开支审查(要求节省ound20bn(230亿;在四年内将NHS为“财政冰河时代。”决策仍然是英国国民健康保险制度的核心部分任务,是一个法定的责任NHS保健委员。病人,在国家和公众参与本地决策广泛接受,有一个是否以及如何缺乏共识参与分配的决策个体层面和不确定性参与意味着在实践中。

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来源
《BMJ: British medical journal》 |2011年第7812期|1399-1401|共3页
作者
Jill Russell; Trisha Greenhalgh; Andrew BurnettJonathan Montgomery;
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作者单位

Centre for Health Sciences, Blizard Institute, Barts and the London School of Medicine and Dentistry, London E12AT, UK;

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原文格式 PDF
正文语种英语
中图分类医药、卫生;
关键词
Health Care Rationing; Patients; Patient Participationcentral portionSavingsPublic ParticipationCOMMISSIONING;

机译：卫生保健配给;患者;病人Participationcentral portionSavingsPublicParticipationCOMMISSIONING;

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Public and patient involvement in individual healthcare rationing

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