注意 发表于 2025-3-27 00:13:31
Discussion,s and threats to the provision of community nursing/health services—the former from more investment or the latter from being dominated by larger acute services. Our main concern is there is a danger that the voice and needs of CHS will yet again remain unheard and un-regarded.净礼 发表于 2025-3-27 01:27:15
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http://reply.papertrans.cn/24/2307/230660/230660_33.pngResign 发表于 2025-3-27 11:39:17
H. E. Torebjörk,J. L. Ochoa,W. J. L. Schadyle re-organisation was born out of frustrations with the management and fragmentation of services resulting from the tripartite system. Services were bought together in a unitary model, centrally controlled but geographically organised. Local Authorities (LAs) were divested of many of their healthcaDungeon 发表于 2025-3-27 16:47:18
Kenneth O. Johnson,John R. Phillipsbureaucratic structure. Area Health Authorities (AHAs) were abolished in 1982 and replaced by 192 District Health Authorities (DHAs). Second, there was a move away from ‘consensus’ style management towards ‘general management’ following the publication of the influential Griffiths Report in 1983. Th债务 发表于 2025-3-27 21:17:02
Zsuzsanna Wiesenfeld-Hallin,Rolf G. Hallincy change which would profoundly impact community and district nursing services. These papers ushered in the introduction of the internal market with purchaser/provider split between commissioners and providers of services, aiming for better services, better patient choice and to reduce costs. ThisPhysiatrist 发表于 2025-3-28 00:18:32
https://doi.org/10.1007/978-1-349-07292-7. We outline the proposals contained in the plan which furthered the quasi-marketisation of the NHS and increased commissioning of health care at the local level of Primary Care Trusts (PCTs)—replacing Health Authorities (HAs) and Primary Care Groups (PCGs). A further review by Lord Darzi and subseqenumaerate 发表于 2025-3-28 05:12:17
Ettore Majorana International Science SeriesWe discuss how the continued emphasis on competition between providers, and the introduction of Clinical Commissioning Groups (CCGs) which replaced Primary Care Trusts (PCTs) as commissioners of community services, impacted on community nursing service management and delivery. Policy shifted in favoOffensive 发表于 2025-3-28 08:19:49
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Ettore Majorana International Science Serieshow the policy changes of the past have defined the services of today and the future. We show how, over time, there has been a consistent pattern in policy by which community nursing services are rarely the focus of policy. Rather, changes have occurred in policy which have had a knock-on effect on