作者: Stephen Peckham
DOI: 10.12927/HCPOL.2014.23914
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摘要: Recent changes in the English National Health Service (NHS) have introduced new complexities into accountability arrangements for healthcare services. This commentary describes how organizational structures challenged traditional centralized by creating a more dispersed system of governance local health-care commissioners. It sets context discussions about UK NHS and then key England following implementation reforms April 2013. The concludes that while there is increased complexity within decentralized fragmented system, government's goal achieving autonomy greater control general practitioners (GPs) will probably not be realized. In particular, continue to strongly aspects, with regulation central political responsibility.