By European Observatory on Health Care Systems, European Observatory on Health Care Systems, Martin McKee, Judith Healy

What roles do hospitals play within the wellbeing and fitness care process and the way are those roles altering? If hospitals are to optimize future health earnings and reply to public expectancies, how should still they be configured, controlled, and sustained? What classes emerge from stories of adjusting sanatorium structures throughout Europe? Hospitals of the long run will confront tricky demanding situations: new styles of disorder, quickly evolving scientific applied sciences, growing old populations, and carrying on with price range constraints. This booklet explores the competing pressures dealing with policymakers throughout Europe as they try to answer those complicated demanding situations. It argues that hospices, as a part of a bigger well-being procedure, should still specialize in improving health and wellbeing results whereas additionally responding to public expectancies. Adopting a cross-national, cross-disciplinary viewpoint, the examine assesses fresh facts at the elements riding clinic reform and the suggestions used to enhance organizational functionality. It reports the facts from jap in addition to western Europe and combines educational examine with real-world coverage event. It seems to be on the position of hospitals in bettering overall healthiness instead of easily processing sufferers. The e-book concludes that hospices can't be controlled in isolation from society and the broader healthiness procedure, and that policymakers have a accountability to outline the wider healthiness care objectives that hospices should still try to satisfy. "Hospitals in a altering Europe" synthesizes present proof in a readable and available shape for all practitioners, policy-makers, teachers and graduate point scholars fascinated about future health reform.

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Additional info for Hospitals in a Changing Europe (European Observatory on Health Care Systems Series)

Sample text

The Christian ideal of healing the sick and giving alms to the poor motivated the foundation of many early hospitals, and philanthropists (then as now) sponsored hospitals as an act of charity, in some cases to buy grace in heaven or to demonstrate their wealth and social position. By the Middle Ages, many hospitals providing medical care were attached to monasteries across Europe. St Bartholomew’s was founded in London in 1123, the Hôtel Dieu in Paris in 1231 and Florence’s Santa Maria Nuova in 1288 (Porter 1997).

Such strategies include increases in ambulatory care, as in Norway, or in rehabilitation facilities, as in Germany (Busse 2000). Germany has now abolished its previous rigid separation of inpatient and ambulatory care, which had made substitution of care difficult (Busse 2000). Closure seems more likely where two or more hospitals are replaced by a new facility, often on a different site. This avoids the impression that one site has ‘won’ and also provides visible benefits for staff who benefit from enhanced, modern facilities.

Such strategies include increases in ambulatory care, as in Norway, or in rehabilitation facilities, as in Germany (Busse 2000). Germany has now abolished its previous rigid separation of inpatient and ambulatory care, which had made substitution of care difficult (Busse 2000). Closure seems more likely where two or more hospitals are replaced by a new facility, often on a different site. This avoids the impression that one site has ‘won’ and also provides visible benefits for staff who benefit from enhanced, modern facilities.

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