Social partnership and political devolution in the National Health Service: emergence, operation and outcomes
Social partnership and political devolution in the National Health Service: emergence, operation and outcomes
复制标题
国家卫生服务中的社会伙伴关系和政治权力下放：出现、运作和结果
DOI：
10.1177/0950017015616910
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
P. Samuel
中科院分区：
文献类型：
--
作者：
Nicolas Bacon;P. Samuel
本文探讨了苏格兰和威尔士国家医疗服务体系 (NHS) 中社会伙伴关系的出现、运作和成果。 1998 年政治权力下放后，社会伙伴关系在 NHS 中出现，权力移交给苏格兰和威尔士的左翼政府。这些安排有助于改善卫生服务、实现劳资关系现代化并改善员工的条款和条件。在苏格兰国民医疗服务体系中，工会参与战略决策产生了广泛的合作，以瓦解内部医疗市场、改善服务并改善员工条款和条件。威尔士国家医疗服务体系的工会参与仅限于讨论劳动力问题，尽管当威尔士政府获得增强的立法权力并拆除内部医疗市场时，合作有所增加，但在服务和薪酬水平方面的改善却较少。政府政治定位（反对公共部门市场化）和独立程度（权力下放的行政部门被授予不同的立法权）的差异有助于解释社会伙伴关系的运作和结果。
This article explores the emergence, operation and outcomes of social partnership in the National Health Service (NHS) in Scotland and Wales. Social partnership emerged in the NHS following political devolution in 1998 which transferred powers to left-wing governments in Scotland and Wales. These arrangements helped improve health services, modernize industrial relations and enhance staff terms and conditions. In NHS Scotland, union participation in strategic decisions produced extensive co-operation to dismantle the internal health market, improve services and enhance staff terms and conditions. Union participation in NHS Wales was restricted to discussing workforce issues, and although co-operation increased when Welsh governments gained enhanced legislative powers and dismantled the internal health market, it delivered fewer improvements in service and pay levels. Differences in government political positioning (against public sector marketization) and degree of independence (with devolved administrations granted different legislative powers) help explain the operation and outcomes of social partnership.