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首页> 外文期刊>BMJ: British medical journal >Opening up the primary care market
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Opening up the primary care market

机译：初级保健市场开放

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Government reforms to the National Health Service in England have sought to increase the choices available to patients and to stimulate competition between healthcare providers. The emerging market in primary medical care has been underpinned by the introduction of the alternative provider medical services (APMS) contract, which allows primary care trusts (PCTs) to contract services from organisations that are outside the NHS, including commercial companies and voluntary sector providers. The contract also enables PCTs to specify what they require of primary medical care providers, rather than being constrained by the terms of the general medical services contract negotiated by the government and the British Medical Association.PCTs were initially slow to promote choice and competition in primary medical care, and this led the government to launch the Equitable Access to Primary Medical Care programme in December 2007. Under the programme, every PCT in England is required to tender for a new general practitioner-led health centre offering bookable and walk-in services to registered and unregistered patients.
机译：政府改革到国家卫生服务在英国寻求增加的选择提供给病人和刺激卫生保健提供者之间的竞争。新兴市场在初级医疗保健支撑的引入替代医疗服务提供者(道)合同,允许初级保健信托和国民保健合同服务的组织英国国民健康保险制度外,包括商业公司和志愿部门提供者。使基础保健护理信托机构指定他们所需要的初级医疗保健提供者,而不是通用医疗的制约由政府服务合同谈判和英国医学协会。最初缓慢推动选择和竞争在初级医疗保健,这领导政府推出公平获得初级医疗保健计划在2007年12月。根据计划,每个PCT在英格兰要求投标一个新的一般practitioner-led健康中心提供可预订的和预约服务和注册未登记的病人。

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