LONDON National Health Service and private hospitals to work together

LONDON National Health Service and private hospitals to work together
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伦敦 国民医疗服务体系与私立医院合作

DOI:
10.1016/s0140-6736(05)70374-3
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发表时间:
2000
期刊:
The Lancet
影响因子:
--
通讯作者:
M. Dean
M. Dean
中科院分区:
--
文献类型:
--
作者:
M. Dean

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这一决定被描述为“历史性的”--工党政府通过与独立医疗保健协会签署一项协议,结束了50年来对私立医院的意识形态反对。根据新的协议,国民保健服务(NHS)将在三个领域与私立医院更密切地合作:等待名单上的手术,重症监护,以及老年人的康复和预防服务。25年前,工党政府领导了一场运动,从国民保健服务医院中删除私人病床。1998年,在新工党政府任期的早期,卫生部长发表声明,告诉NHS将私立医院作为绝对的最后手段。今年早些时候,现任卫生部长艾伦·米尔本(Alan Milburn)仍然敦促NHS通过向雇主出售专业职业健康服务来接管私营医疗部门。但现在NHS和私立医院之间的关系将发生变化。据说首相托尼·布莱尔坚持要加强合作。米尔本上周解释说,NHS的主要问题不再是现金短缺,而是能力短缺。他指出,私营部门的床位占用率勉强达到50%,而NHS的床位占用率为80%。米尔本说:“如果有闲置的手术室或没有使用的病床,那么为NHS的病人利用它们似乎是明智的。”如果有空的私人剧院,计划是让一个NHS团队
The decision was described as “historic”—a Labour government had ended 50 years of ideological opposition to private hospitals by signing a concordat with the Independent Health Care Association. Under the new deal, the National Health Service (NHS) will work more closely with private hospitals in three areas: waiting-list operations, intensive care, and rehabilitation and preventive services for the elderly.In some ways this decision was historic. 25 years ago the Labour government led a campaign to remove private beds from NHS hospitals. In 1998, early in this New Labour government’s term in office, the Health Secretary issued a statement telling the NHS to use private hospitals as an absolute last resort. Earlier this year, the current Health Secretary, Alan Milburn, still urged the NHS to take on the private-health sector by selling specialist occupational health services to employers. But now the relation between the NHS and private hospitals is set to change. Prime Minister, Tony Blair, is said to have insisted on greater cooperation. Milburn explained last week that the main problem in the NHS is no longer a shortage of cash but a shortage of capacity. He pointed to bed occupancy rates in the private sector barely reaching 50% compared with 80% in the NHS.“If there are operating theatres that are standing idle or hospital beds that are not being used, it seems sensible to take advantage of them for NHS patients”, says Milburn. Where there are empty private theatres, the plan is let an NHS team