Hospitals in a changing Europe
著者
書誌事項
Hospitals in a changing Europe
(European Observatory on Health Care Systems series / edited by Josep Figueras ... [et al.])
Open University Press, 2002
- : hbk
- : pb
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
* What roles do hospitals play in the health care system and how are these roles changing?
* If hospitals are to optimize health gains and respond to public expectations, how should they be configured, managed, and sustained?
* What lessons emerge from experiences of changing hospital systems across Europe?
Hospitals of the future will confront difficult challenges: new patterns of disease, rapidly evolving medical technologies, ageing populations, and continuing budget constraints. This book explores the competing pressures facing policymakers across Europe as they struggle to respond to these complex challenges. It argues that hospitals, as part of a larger health system, should focus on enhancing health outcomes while also responding to public expectations. Adopting a cross-national, cross-disciplinary perspective, the study assesses recent evidence on the factors driving hospital reform and the strategies used to improve organizational performance. It reviews the evidence from eastern as well as western Europe and combines academic research with real-world policy experience. It looks at the role of hospitals in enhancing health rather than simply processing patients. The book concludes that hospitals cannot be managed in isolation from society and the wider health system, and that policymakers have a responsibility to define the broader health care goals that hospitals should strive to meet.
Hospitals in a Changing Europe synthesizes current evidence in a readable and accessible form for all practitioners, policy-makers, academics and graduate level students concerned with health reform.
目次
Notes on contributors
Series editors' preface
Part one: The context of hospitals
The significance of hospitals
an introduction
The evolution of hospital systems
Pressures for change
The role and function of hospitals
Part two: External pressures upon hospitals
The hospital and the external environment
experience in the United Kingdom
Are bigger hospitals better?
Investing in hospitals
Hospital payment mechanisms
theory and practice in transition countries
Linking organizational structure to the external environment
experiences from hospital reform in transition economies
Part three: Internal strategies for change
Improving performance within the hospital
The changing hospital workforce in Europe
Introducing new technologies
Optimizing clinical performance
Hospital organization and culture
Part four: Conclusions
Future hospitals
References
Index.
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