Editors:
- Argues that the health policy community has for decades opposed the roles of primary care and population health against those of hospitals, blinding us about how to govern and resource our health sectors properly
- Suggests that gathering together expensive people and pieces of equipment in hospitals enables a delivery of care now and in the future which complements yet goes beyond what simpler settings can offer
- Develops a vision of hospitals, opening the potential to take more sensible decisions on what they should do, how big they should be and how much they should cost
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Table of contents (10 chapters)
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Front Matter
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Back Matter
About this book
James Barlow, Imperial College Business School, UK
“This book covers various relevant aspects of the hospital in different states and contexts. Underlining the importance of business models for future hospitals, this publication presents models of care from a historic and a current perspective. All authors possess a deep insight into different health care systems, not only as scholars but as experts working for world-renowned health policy institutions such as the World Health Organization, the World Bank or the European Observatory for Health Systems.”
Siegfried Walch, Management Center Innsbruck, Austria
“For an organisation like mine, representing those involved in the strategic planning of healthcare infrastructure, this book provides invaluable insights into what really matters – now and for the future – in the complex and contentious field of hospital development.”
Jonathan Erskine, European Health Property Network, Netherlands
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.
Keywords
- Health systems
- Hospitals
- changing health systems
- public health
- care services
- resources
- governance
- technical capacity
- managerial capacity
- New Public Management
- value
- efficiency
- not-for-profit
- accountability
- budgets
- incentives
- evidence-based medicine
- dysfunction
- decision analysis
- comparable system analysis
Editors and Affiliations
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ALLDMHEALTH, Seville, Spain
Antonio Durán
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Independent Consultant, Ingleton, UK
Stephen Wright
About the editors
Stephen Wright is a freelance consultant in health policies, macroeconomics, social investment, and health finance and investment, for EU Member States, European Commission, EIB, WB and WHO. He has co-edited a number of books, and publishes and presents frequently.
Bibliographic Information
Book Title: Understanding Hospitals in Changing Health Systems
Editors: Antonio Durán, Stephen Wright
DOI: https://doi.org/10.1007/978-3-030-28172-4
Publisher: Palgrave Macmillan Cham
eBook Packages: Political Science and International Studies, Political Science and International Studies (R0)
Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2020
Hardcover ISBN: 978-3-030-28171-7Published: 11 December 2019
Softcover ISBN: 978-3-030-28174-8Published: 15 January 2021
eBook ISBN: 978-3-030-28172-4Published: 27 November 2019
Edition Number: 1
Number of Pages: XXV, 242
Number of Illustrations: 8 b/w illustrations
Topics: Public Policy, Comparative Politics, Governance and Government, Health Policy, Health Administration, Health Care Management