New development: Commercialization of the English National Health Service: a necessity in times of financial austerity?
New development: Commercialization of the English National Health Service: a necessity in times of financial austerity?
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新发展：英国国民医疗服务的商业化：财政紧缩时期的必要性？
DOI：
10.1080/09540962.2020.1795359
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发表时间：
2020
影响因子：
2.5
通讯作者：
Sarah Lafond
中科院分区：
文献类型：
--
作者：
M. Exworthy;Sarah Lafond
摘要 本文探讨了国家医疗服务 (NHS) 提供者从非 NHS 来源获得的收入。 2015-2016年，这占其收入的9.1%。在英国 NHS 中，越来越依赖非 NHS 收入为 NHS 组织提供收入，部分原因是政府紧缩的财务计划。本文是对所有英国组织的这些财务数据的首次全面分析。它为有关公共服务组织的性质和价值以及商业必要性的作用的持续争论提供了新的证据。影响 公共组织的商业化战略影响其提供的公共服务的性质和内容。它还对制定这些策略的员工产生道德影响。本文研究了英国医疗机构在规则放宽后的商业收入，允许它们增加商业收入，例如来自停车场、土地出售、出租医院场地的零售空间、与制药企业的合作、临床试验以及为私人患者和国际医疗游客提供临床服务。作者对英国国民医疗服务体系中商业必要性的程度提出了重要问题。
ABSTRACT This article examines income received by National Health Service (NHS) providers from non-NHS sources. In 2015–2016, it amounted to 9.1% of their revenue. In the English NHS, there is an increasing reliance on non-NHS income to provide revenue for NHS organizations, due in part to government’s austere financial plans. This article is the first comprehensive analysis of these financial data for all English organizations. It provides new evidence in the ongoing debate about the nature and values of public service organisations and the role of commercial imperatives. IMPACT The commercialization strategies of public organizations affects the nature and content of the public services they deliver. It also has ethical implications for staff who enact these strategies. This article examines the commercial income of health organizations in England following a relaxation of rules allowing them to increase their commercial income, for example from car parking, land sales, renting out retail space on hospital grounds, partnerships with pharmaceutical businesses, clinical trials and providing clinical services to private patients and international medical tourists. The authors raise important questions about the extent of commercial imperatives in the English NHS.