英国卡梅伦政府全科医生委托服务制度的相关改革评析

GP Commissioning Service:Evaluation and Analysis of Reforms of Cameron Government

卡梅伦政府于2010年7月推出了英国医疗服务体系建立以来最大的改革措施,其核心在于增强病人与基层全科医生的话语权和决策权,推行全科医生自下而上的临床服务委托模式,成立了全科医生委托联合会(后改为临床医生委托团体)和医疗服务委托委员会,使得全科医生从被动提供医疗服务转变为处于医疗服务体系决策者的核心位置,进而导致了英格兰医疗服务体系临床服务决策模式的重大调整。本文对卡梅伦政府全科医生委托服务制度进行了分析,以期为我国的新医改提供参考。

The Cameron Government launched the greatest reform of National Health Service （NHS） in July 2010 since its establishment, the core of which was to enhance the right of speaking and decision - making power of patients and Gener- al Practitioners （GP）. The implement of GP clinical service commissioning mode and the establishment of a new GP Commissio- ning Consortia （renamed Clinic Commissioning Groups, CCGs） and NHS commissioning Board have put GPs in the core position of decision making in NHS from providing medical service passively, thus to lead to great adjustments in clinical service decision -making mode of NHS. China＇s new medical reform needs reconstruction of medical service system, especially set -up of pri- mary health care service system and training of GPs. This paper analyzes the reforms of Cameron Government in GP commissio- ning service system to provide reference for China＇s new medical reform.