Understanding hospitals in changing health systems
Bände/Inhalt:
- 1. Introduction: Why this book? / Antonio Durán, Stephen Wright, Paolo Belli, Tata - Chanturidze, Patrick Jeurissen, and Richard B. Saltman - 2. Hospital governance / Antonio Durán and Richard B. Saltman - 3. Models of care and hospitals / Antonio Durán and Stephen Wright - 4. Business models and hospitals / Stephen Wright and Antonio Durán - 5. Hospital care: private assets for-a-profit? / Patrick Jeurissen and Hans Maarse - 6. Hospital payment systems / Paolo Belli and Patrick Jeurissen - 7. Hospitals in different environments: a messy reality / Tata Chanturidze and Richard B. Saltman - 8. Why is reform of hospitals so difficult? / Richard B. Saltman and Tata Chanturidze - 9. Decision Analysis / Stephen Wright and Antonio Durán - 10. Conclusions / Antonio Durán, Stephen Wright, Paolo Belli, Tata Chanturidze, Patrick Jeurissen, and Richard B. Saltman
- This book seeks to reframe current policy discussions on hospitals. Healthcare services turn expensive economic resources-people, capital, pharmaceuticals, energy, materials-into care and cure. Hospitals concentrate the use and the cost of these resources, particularly highly-trained people, expensive capital, and embedded technologies. But other areas of health, such as public health and primary care, seem to attract more attention and affection, at least within the health policy community. How to make sense of this paradox? Hospitals choose, or are assigned, to deliver certain parts of care packages. They are organised to do this via "business models". These necessarily incorporate models of care - the processes of dealing with patients. The activity needs to be governed, in the widest senses. Rational decisions need to be taken about both the care and the resources to be used. This book pulls these elements together, to stimulate a debate.