NEW FORMS OF PROVIDER IN THE ENGLISH NATIONAL HEALTH SERVICE

ABSTRACT 1 : A wide ranging set of reforms is being introduced into the English National Health Service (NHS). They are designed to increase the market‐like behaviour of providers of care with a view to improving efficiency, quality and responsiveness of services. This paper is concerned with one aspect of those reforms: namely the policy to increase the diversity of types of providers of care to NHS patients. In this context, increasing diversity means that providers will not all be standard publicly owned NHS organizations. They can be publicly owned but autonomous, or independent (both in for‐profit and not for profit). The paper discusses the wide range of organizational forms available, analyzing their governance structures It then discusses the small amount of evidence currently available about the performance of diverse providers of health care.     

集亚诺之大成

优良血统 Prestige 550是在前作畅销船型prestige 500的好评声中发展而来.同样由Garroni设计团队和Prestige设计工作室一起设计的prestige 500已在多个知名大奖的颁奖礼上捧杯,其中包括至尊大奖"2012年度欧洲最佳动力艇".也正因如此,才让设计师将这些前作设计理念中的关键元素融入到更大尺寸的动力艇研发中,550由此应运而生.     

A LONGITUDINAL ANALYSIS OF THE CONTEXT AND STRUCTURE OF A LARGE BRITISH FINANCIAL INSTITUTION

This study represents an analysis of the changes in the environment, context and structure of an organization, using the full Aston Interview Schedule.² The limitations of generalizing from a single case are acknowledged, but the longitudinal analysis provides support for the notion that organizations can and do develop self-evaluative capacities when threatened by external change. The results of the process of self-evaluation on the part of the organization are shown as changes in the organization's scores on the various scales of organizational context and structure developed by the Aston school, at two points in time. These changes provide support for a number of conjectures arising from previous analyses of the relationships among the structural dimensions of organizational form displayed by the Aston methodology; notably the relationship between size/standardization and centralization/standardization. The analysis also suggests that the centralization scale can be viewed as having two components – one related to policy decisions, the other to operational decisions.