浅析英国1991年国民健康服务体制改革
发布时间：2021-12-18 20:48
19世纪是英国福利制度建设的重要时期。英国于1948年建立了世界上第一个福利国家，在当时被誉为是“工党政府最杰出的成就”。本文从历史的角度侧重介绍了发生在上世纪90年代初期的重大改革，系统分析了改革的前因后果，对于了解西方福利国家的具体运作有一定程度的借鉴意义。笔者在第一章节首先对英国的国民健康服务的建立、构成及其特定的时代背景做了一定程度的回顾,首先探讨了贝弗里奇报告与福利国家的历史背景,并介绍了发生在上世纪90年代初期由保守党政府执行的重大体制变革。1948年国民健康服务体系建立之前，英国的国民保健制度一直是各种因素混杂的宏大体系。为了实现1944年的《国民保健制度白皮书》及1946年的《国民健康服务法》中的目标，英国政府对以往分散的医疗卫生服务进行了集中，建立了由中央政府直接管理和资金支持的国民健康服务体系。本文第二章节讨论了以撒切尔为首的保守党政府执政期间的医疗健康政策改革。因为建立之初的国民健康服务体系在数十年内具有很强的国家干预的特点，过于强调医疗服务的国家供给，以致国家几乎承担了全部的医疗服务责任。整个体系面临的问题和矛盾也越来越突出：过高的医疗支出费用让政府难堪其负；混...
【文章来源】：上海外国语大学上海市 211工程院校 教育部直属院校
【文章页数】：58 页
【学位级别】：硕士
【文章目录】：
Acknowledgements
摘要
Abstract
Introduction
Literature Review
Chapter 1 A Brief Review of NHS and the 1991 NHS Reforms
1.1 A Brief Review of the National Health Service
1.1.1 Significance of the Beveridge Report
1.1.2 Establishment of the National Health Service
1.2 A Brief Review of the 1991 NHS Reforms
1.2.1 The Nature of the 1991 Health Care Reforms
1.2.2 Approaching the Internal Market
1.2.3 Politics of the Whiter Paper Working for Patient
Chapter 2 Health Policies of Thatcher's Administration of NHS
2.1 Increasing NHS efficiency
2.2 Making the NHS Businesslike
2.3 Dealing with the Funding Crisis
2.4 Implementing the Reforms
Chapter 3 Evaluation of Main Features of the 1991 Reforms
3.1 Health Authority Purchasing
3.1.1 Quality of Care
3.1.2 Choice and Responsiveness
3.1.3 Summary
3.2 GP Fundholding
3.2.1 Quality of Care
3.2.2 Choice and Responsiveness
3.2.3 Summary
3.3 NHS Trust
3.3.1 Quality of Care
3.3.2 Choice and Responsiveness
3.3.3. Summary
Chapter 4 Implications of the 1991 Reforms and Continuity of Thatcherite Reforms
4.1 The Reforms: Success or Failure
4.1.1 Assessment of the Impact
4.1.2 Overall Change
4.2 Continuity of Thatcherite Reforms
4.2.1 The Labor White Paper: The New NHS
4.2.2 Inheritance in the New NHS
Conclusion
Bibliography
【参考文献】：
期刊论文
[1]论撒切尔政府的社会保障制度改革[J]. 丁建定. 欧洲. 2001(05)
硕士论文
[1]《贝弗里奇报告》的理念研究[D]. 袁琳.广西师范大学 2010
本文编号：3543145
【文章来源】：上海外国语大学上海市 211工程院校 教育部直属院校
【文章页数】：58 页
【学位级别】：硕士
【文章目录】：
Acknowledgements
摘要
Abstract
Introduction
Literature Review
Chapter 1 A Brief Review of NHS and the 1991 NHS Reforms
1.1 A Brief Review of the National Health Service
1.1.1 Significance of the Beveridge Report
1.1.2 Establishment of the National Health Service
1.2 A Brief Review of the 1991 NHS Reforms
1.2.1 The Nature of the 1991 Health Care Reforms
1.2.2 Approaching the Internal Market
1.2.3 Politics of the Whiter Paper Working for Patient
Chapter 2 Health Policies of Thatcher's Administration of NHS
2.1 Increasing NHS efficiency
2.2 Making the NHS Businesslike
2.3 Dealing with the Funding Crisis
2.4 Implementing the Reforms
Chapter 3 Evaluation of Main Features of the 1991 Reforms
3.1 Health Authority Purchasing
3.1.1 Quality of Care
3.1.2 Choice and Responsiveness
3.1.3 Summary
3.2 GP Fundholding
3.2.1 Quality of Care
3.2.2 Choice and Responsiveness
3.2.3 Summary
3.3 NHS Trust
3.3.1 Quality of Care
3.3.2 Choice and Responsiveness
3.3.3. Summary
Chapter 4 Implications of the 1991 Reforms and Continuity of Thatcherite Reforms
4.1 The Reforms: Success or Failure
4.1.1 Assessment of the Impact
4.1.2 Overall Change
4.2 Continuity of Thatcherite Reforms
4.2.1 The Labor White Paper: The New NHS
4.2.2 Inheritance in the New NHS
Conclusion
Bibliography
【参考文献】：
期刊论文
[1]论撒切尔政府的社会保障制度改革[J]. 丁建定. 欧洲. 2001(05)
硕士论文
[1]《贝弗里奇报告》的理念研究[D]. 袁琳.广西师范大学 2010
本文编号：3543145
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