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英格兰医疗卫生系统改革述评

Review of Health System Reform in England

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2020 年,在新冠疫情大流行期间,由于被指责对疫情的检测和追踪工作不力,英格兰公共卫生署被英国政府撤销,这引起了人们对英国,尤其是英格兰地区公共卫生系统未来的担忧.为取代英格兰公共卫生署,新成立的两个机构迅速反思了该机构之前的问题,以确保建立一个适合于既定目标的公共卫生系统,避免与之前的英格兰公共卫生署遭遇类似的命运.本文分析了目前英国政治体系存在的几个系统性弱点,包括本位主义、执行不力、领导决策手段缺失或不愿面对真相,以及以牺牲长期计划为代价的功利主义,并对新成立机构的运行进行了评价.
Public Health England was withdrawn by the UK government in 2020 during the COVID-19 pandemic due to accusations of poor testing and tracing of the disease,which raised concerns about the future of the public health system in the UK,and in England in particular.The two new bodies created to replace Public Health England quickly reflected on the agency's previous problems to ensure a public health system fit for the objective and avoid a similar fate to the previous Public Health England.This paper analyzes several systemic weaknesses in the current British political system,including localism,poor implementation,lack of leadership decision-making means or unwillingness to face the truth,and utilitarianism at the expense of long-term planning,and evaluates the operation of newly established institutions.

United KingdomHealth care systemReform

寇文涛、刘芝荃

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广州市劳动就业服务管理中心

广州市医疗保险服务中心

英国 卫生系统 改革

2024

医院管理论坛
北京大学

医院管理论坛

影响因子:0.807
ISSN:1671-9069
年,卷(期):2024.41(5)