Study on structural reform and governance models of National Health Service in UK
10.3969/j.issn.1674-2982.2017.11.005
- VernacularTitle:英国国民卫生服务制度(NHS)的结构性改革与治理模式
- Author:
wan Xiao WANG
1
;
ping Li CHEN
;
hang Li LIU
Author Information
1. 中国医学科学院卫生政策与管理研究中心 北京 100020
- Keywords:
National Health Service system;
Public hospital;
Supply-side reform;
Governance
- From:
Chinese Journal of Health Policy
2017;10(11):27-35
- CountryChina
- Language:Chinese
-
Abstract:
Based on the structural reform approaches of management system and mechanism implemented by the British NHS, this paper systematically introduced governance models and characteristics of NHS Foundation Trusts(FTs)from the four dimensions:perfecting the laws,establishing accountability framework,improving finan-cial management,and operational governance business model.As a public benefit corporation, on the basis of the principle of public-private partnerships(Public-Private-Partnership, PPP), NHS foundation trusts currently intro-duces a number of entrepreneurial practices under the premise of public welfare attribute, and provide goods and services according to entrustment contract and core NHS principles-free medical care,demand-oriented,affordability and so on.With these reform measures being implemented,the legal status and independent decision-making power of NHS Trust Fund Medical Consortium will be remarkably improved,so as the Foundation Trusts will be much more"on their own"and take complete responsibility for ensuring that they are successful.At the same time, with the norms of the provider,s behavior and medical services,and the improvement of competition and regulation mechanism has also greatly promoted a much more diversified and orderly competitive market for medical service providers.
