|About the book|
* 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.
|About the author|
Martin McKee is a Research Director of the European Observatory on Health Care Systems and Professor of European Public Health at the London School of Hygiene & Tropical Medicine as well as Co-director of the School's European Centre on Health of Societies in Transition. He has published extensively on health and health policy in central and eastern Europe and the former Soviet Union.
Judith Healy is a Senior Research Fellow of the European Observatory on Health Care Systems and an Honorary Senior Lecturer in Public Health and Policy at the London School of Hygiene & Tropical Medicine. She has published extensively on health and social policy including country health system profiles. Other work includes books on welfare policy, age policy and health care in central Asia.
|Table of contents|
Notes on contributors
Series editors' preface
Part one: The context of hospitals
The significance of hospitals
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