British government policy and the concentration of ownership in long-term care provision
British government policy and the concentration of ownership in long-term care provision
复制标题
英国政府政策和长期护理服务所有权的集中
作者：
Chris Holden
自20世纪80年代以来，英国大多数老年人的长期护理都是由独立组织提供的。本文借鉴了对该行业各利益相关者的采访以及二手资料。有证据表明，政府在供资、监管和劳动力市场方面的政策正在促进长期护理服务的集中提供。确定了三个相关的关注领域：第一，增加所有权转让的影响;第二，与标准化有关的问题;第三，如果出现地方垄断，护理质量可能下降。它的结论是，政府监管必须关注的市场结构，以及护理院内的条件，如果要保护居民的利益。
Most long-term care for older people in the UK has been provided by independent organisations since the 1980s. This article draws on interviews with various stakeholders in the sector, as well as secondary sources. The evidence shows that government policies in the areas of funding, regulation and the labour market are facilitating the concentration of long-term care provision. Three areas of related concern are identified: firstly, the effects of increased ownership transfers; secondly, issues relating to standardisation; and thirdly, the possibility of a decline in the quality of care if local monopolies emerge. It is concluded that government regulation must be concerned with the structure of the market, as well as the conditions within care homes, if the interests of residents are to be protected.