THE SEARCH FOR A PROPORTIONATE CARE LAW BY FORMULA FUNDING IN THE ENGLISH NHS
THE SEARCH FOR A PROPORTIONATE CARE LAW BY FORMULA FUNDING IN THE ENGLISH NHS
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DOI：
10.1111/j.1468-0408.2009.00484.x
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发表时间：
2009-11-01
影响因子：
2.2
通讯作者：
Bevan, Gwyn
中科院分区：
文献类型：
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作者：
Bevan, Gwyn
虽然1948年建立了国家卫生服务体系，以实现平等获得医疗保健，但20多年后，一项“反向医疗法”开始运作。资源分配工作小组在一九七六年发表的报告书，订明了公式拨款的原则，以达致资源的公平分配，并逐步推行按比例照顾法例。这些原则在英国一直沿用至今。本文介绍了背景，治理和随后的发展公式和三个持续存在的问题：人口，他们的需求和供应商的不可避免的成本的变化会计。论文最后概述了过去持续存在的问题以及英格兰配方奶粉资助在减少“可避免”的健康不平等方面面临的新挑战。
Although the National Health Service was created to achieve equity of access to health care in 1948, over twenty years later an ‘inverse care law’ was seen to operate. The 1976Report of the Resource Allocation Working Partylaid the principles of formula funding to achieve an equitable distribution of resources, to move, over time, towards the operation of a proportionate care law. These principles have been applied ever since in England. This paper describes the context, governance and subsequent development of formulas and three persistent problems: accounting for populations, their needs and variations in the unavoidable costs of providers. The paper concludes by outlining continuing problems from the past and new challenges of formula funding in England to reduce ‘avoidable’ inequalities in health.