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澳大利亚的政策相关职能外包:健康和公平影响
Julia Anaf1, Toby Freeman1, Fran Baum1
1Stretton Health Equity, Stretton Institute, University of Adelaide, North Terrace Campus, Adelaide, Australia.
概括
澳大利亚公共部门对顾问的外包使私人利益优先于公共健康和公平. 重建公共部门的能力对于更好的结果至关重要.
科学领域:
- 公共管理 公共管理
- 卫生政策 卫生政策
- 社会经济学 社会经济学
背景情况:
- 自20世纪90年代以来,由新自由主义政策和新公共管理推动的澳大利亚公共部门改革.
- 政府服务,政策和决策的私有化和外包显著增加.
- 对这种广泛的外包对健康和公平影响的理解有限.
研究的目的:
- 调查私营部门参与澳大利亚公共部门对健康和公平的影响.
- 分析将政府职能外包给外部顾问的后果.
- 确定减轻负面影响和促进公共利益的战略.
主要方法:
- 定性研究方法.
- 通过文件,网站搜索,汉莎德抄本,媒体项目和半结构面试 (n=11) 收集数据.
- 主题分析以确定关键趋势和问题.
主要成果:
- 六个关键主题出现了:外包的范围,顾问的策略,利益冲突,削弱公共部门的能力,糟糕的公共成果和公平影响.
- 外包导致私人利益优先于公共利益.
- 确定了利益冲突和对公共服务提供负面影响的情况.
结论:
- 澳大利亚公共部门广泛使用顾问,损害了公共利益,健康和公平.
- 虽然专业专业知识可能需要外部参与,但目前的水平过高.
- 重建公共部门内部的能力对于维护公共利益,促进健康和公平至关重要.
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