英格兰第三部门的商品化和医疗保健:从礼物到商品 - 回来?
Rod Sheaff1, Angela Ellis-Paine2, Mark Exworthy3
1Peninsular School of Medicine and Dentistry, University of Plymouth, UK.
概括
来自第三部门组织的委托服务需要一种协作式的方法. 研究结果表明,关系式,非商品化的方法比纯竞争型模式更适合这些伙伴关系.
科学领域:
- 公共管理 公共管理
- 医疗服务管理 医疗服务管理
- 第三部门研究 第三部门研究
背景情况:
- 公开资助的服务往往是外包的,需要政府通过治理结构来保持控制.
- 第三部门组织在开展社区卫生活动中发挥着关键作用.
- 在英格兰,现有的调试模式混合了商品化和协作元素.
研究的目的:
- 系统地比较第三部门委托的治理结构.
- 调查商品化和协作调试模式之间的共存和冲突.
- 了解专员和第三部门组织如何调整委托实践.
主要方法:
- 采用了现实的评估方法.
- 一个系统的社区卫生活动的比较在六个英格兰地区.
- 在2020-2022年期间收集的数据.
主要成果:
- 确定了两种不同的委托模式:商品化 (正式,竞争性采购) 和协作 (关系性,长期合作).
- 当商品化和协作模式发生冲突时,专员经常倾向于采用协作方法.
- 委员会成员积极调整做法,以减少商品化和加强合作.
结论:
- 与公共或企业提供商相比,委托第三部门提供商需要采取不同的方法.
- 在实践中,协作式,非商品化的方法似乎更适合委托第三部门组织.
- 英格兰的第三部门委托系统显示,他们更喜欢关系性而不是纯粹市场驱动的机制.
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