Hospitals in a changing Europe:
Saved in:
| Format: | Book |
|---|---|
| Language: | English |
| Published: |
Buckingham [u.a.]
Open Univ. Press
2002
|
| Edition: | 1. publ. |
| Series: | European Observatory on Health Care Systems series
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis |
| Item Description: | Includes bibliographical references and index |
| Physical Description: | XVIII, 295 S. graph. Darst. |
| ISBN: | 0335209289 0335209297 |
Staff View
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| 245 | 1 | 0 | |a Hospitals in a changing Europe |c ed. by Martin McKee and Judith Healy |
| 250 | |a 1. publ. | ||
| 264 | 1 | |a Buckingham [u.a.] |b Open Univ. Press |c 2002 | |
| 300 | |a XVIII, 295 S. |b graph. Darst. | ||
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| 490 | 0 | |a European Observatory on Health Care Systems series | |
| 500 | |a Includes bibliographical references and index | ||
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Record in the Search Index
| _version_ | 1804129323244847104 |
|---|---|
| adam_text | Contents
List of figures, tables and boxes vii
List of contributors xi
Series editors introduction xiii
Foreword xv
Acknowledgements xvii
part one The context of hospitals 1
one The significance of hospitals: an introduction 3
Martin McKee and Judith Healy
two The evolution of hospital systems 14
Judith Healy and Martin McKee
three Pressures for change 36
Martin McKee, Judith Healy, Nigel Edwards and Anthony
Harrison
four The role and function of hospitals 59
Judith Healy and Martin McKee
part two External pressures upon hospitals 81
five The hospital and the external environment:
experience in the United Kingdom 83
Martin Hensher and Nigel Edwards
vi Hospitals in a changing Europe
six Are bigger hospitals better? 100
John Posnett
seven Investing in hospitals 119
Martin McKee and Judith Healy
eight Hospital payment mechanisms: theory and
practice in transition countries 150
John C. Langenbrunner and Miriam M. Wiley
nine Linking organizational structure to the external
environment: experiences from hospital reform
in transition economies 177
Melitta Jakab, Alexander Preker and April Harding
part three Internal strategies for change 203
ten Improving performance within the hospital 205
Judith Healy and Martin McKee
eleven The changing hospital workforce in Europe 226
James Buchan and Fiona O May
twelve Introducing new technologies 240
Rebecca Rosen
thirteen Optimizing clinical performance 252
Nick Freemantle
fourteen Hospital organization and culture 265
Linda Aiken and Douglas Sloane
part four Conclusions 279
fifteen Future hospitals 281
Martin McKee and Judith Healy
Index 285
List of figures, tables
and boxes
Figure 1.1 The hospital as a system: opportunities for change 12
Figure 2.1 Number of hospitals per 100,000 population in the
European Union, countries of central and eastern
Europe and countries of the former Soviet Union 19
Figure 2.2 Hospital beds in acute hospitals per 100,000
population in the European Union, countries of
central and eastern Europe and countries of the
former Soviet Union 20
Figure 2.3 Hospital beds in acute hospitals per 100,000
population, selected western European countries 20
Figure 2.4 Acute hospital admissions per 100 population in
the European Union, countries of central and eastern
Europe and countries of the former Soviet Union 21
Figure 2.5 Average length of stay in acute care hospitals in
the European Union, countries of central and eastern
Europe and countries of the former Soviet Union 22
Figure 2.6 Bed occupancy rate (%) in acute care hospitals in
the European Union, countries of central and eastern
Europe and countries of the former Soviet Union 23
Figure 2.7 Bed days per 100 population in acute hospitals in
the European Union, countries of central and eastern
Europe and countries of the former Soviet Union 24
Figure 2.8 Hospital inpatient expenditure as a percentage of total
health expenditure, selected western European countries 25
viii Hospitals in a changing Europe
Figure 2.9 Trends in beds (per 1000 population), United Kingdom
1977 96 26
Figure 3.1 Pressures for change in hospitals 37
Figure 3.2 Total fertility rate in selected European countries 38
Figure 3.3 Future projections of the percentage of the population
aged over 65 in various regions of Europe 38
Figure 3.4 Age standardized death rate from cancer of the lung,
bronchus and trachea per 100,000 population in
Finland and Portugal, all ages, 1970 98 42
Figure 3.5 Age standardized death rate from cerebrovascular
disease per 100,000 population in France, Poland,
Portugal and Spain, all ages, 1985 98 42
Figure 3.6 Total expenditure on health as a percentage of gross
domestic product for the Group of Seven (G7) leading
industrial countries, 1960 96 50
Figure 4.1 Functions of an acute care hospital 60
Figure 4.2 Percentage of cataract extractions performed as
day cases in ten industrialized countries (latest
available year) 62
Figure 4.3 The possible roles of a district general hospital in
a health care system 67
Figure 5.1 Inward hospital interface links 85
Figure 5.2 Outward hospital interface links 92
Figure 6.1 Theoretical long term average cost curve 101
Figure 6.2 Observed long term average cost curve 104
Figure 7.1 External levers to improve hospital performance 120
Figure 7.2 Cardiac surgery procedures (bypasses, stents and
angioplasties) per million population 137
Figure 7.3 Cardiac surgery procedures (bypasses, stents and
angioplasties) per million population as a
proportion of deaths from ischaemic heart
disease 138
Figure 7.4 An integrated quality programme: the quality
framework in England 143
Figure 8.1 Case mix groups: an iterative process 158
Figure 8.2 Inpatient payment systems in the Russian
Federation according to the number of regions 164
Figure 9.1 Determinants of hospital behaviour I79
Figure 9.2 The hospital environment during communism 183
Figure 9.3 The hospital environment during transition 184
Figure 10.1 Improving health care from inside the hospital 205
Figure 10.2 Factors influencing hospital design 206
Figure 10.3 Various types of hospital design 207
Figure 11.1 Proportion of women in the total labour force in
12 western European countries: 1980 and 1997 228
Figure 11.2 Female physicians as a percentage of all practising
physicians in eight western European countries: 1980
and 1997 or 1998 228
List of figures, tables and boxes ix
Figure 11.3 Ratio of certified or registered nurses to all practising
physicians in nine western European countries:
1980 and 1997 or 1998 231
Figure 14.1 Hospital organization, nurse staffing and patient
outcomes 270
Figure 14.2 Probability of dying among people seriously ill with
AIDS within 30 days of admission to 40 organizational
units at 20 hospitals throughout the United States
according to hospital setting 272
Figure 14.3 Unadjusted and adjusted effects of type of unit on the
satisfaction of people with AIDS at 40 organizational
units at 20 hospitals throughout the United States 273
Table 1.1 Number of articles in a Medline search on
hospital related topics 8
Table 2.1 Historical evolution of hospitals 15
Table 4.1 Alternative meanings of hospitals 69
Table 4.2 Describing a hospital: dimensions and measures 74
Table 5.1 NHS inpatient and day case activity in England,
1982 98 90
Table 5.2 NHS beds in England, 1982 and 1998 90
Table 5.3 Association between positive change in private nursing
home bed stock and negative change in NHS hospital
bed stock in England, 1984 97 94
Table 5.4 Changes in information flows and interaction between
general practitioners and hospital consultants across the
interface between primary care and hospital 96
Table 6.1 Distribution of acute hospitals in England by size
(including acute sites in combined National Health
Service trusts) 105
Table 6.2 Evidence of relationship between volume and quality
for various health care procedures or services or
conditions from the best quality studies 107
Table 7.1 Inputs and policy levers: examples of strategies 120
Table 8.1 Rating of selected models of hospital payment against
objective criteria 157
Table 8.2 Summary of hospital payment systems in countries in
eastern Europe for which information is available 159
Table 8.3 Features of systems of payment per day for hospital
services across selected countries in eastern Europe 160
Table 8.4 Features of systems of payment per case for hospital
services across selected countries in eastern Europe 162
Table 8.5 Percentage change in share of GDP devoted to
health and public expenditure on inpatient care
as a proportion of total health expenditure
in the 15 countries that are currently in the
European Union, 1980 95 172
Table 9.1 Scaling of the organizational structure of hospitals 182
x Hospitals in a changing Europe
Table 9.2 Ownership and legal organizational status of hospitals
in 11 selected countries 186
Table 9.3 Decision rights regarding labour input, selected countries 188
Table 9.4 Internal hospital incentive environment during
transition 197
Table 10.1 Good employment practices 214
Table 11.1 The changing hospital workforce in Europe 227
Table 11.2 Trends in the management of the hospital workforce 230
Table 11.3 The changing hospital workforce in Europe 237
Table 13.1 Rates of intervention (per cent) among patients in 306
hospital referral regions participating in the Cooperative
Cardiovascular Project by type of intervention, among
patients meeting clinical criteria for each type of
intervention 256
Table 14.1 Mean scores on practice environment subscales for
40 organizational units at 20 hospitals throughout the
United States according to form of organization 271
Table 14.2 Effects of dedicated AIDS units and magnet hospitals in
the United States on nurse burnout as measured by the
Emotional Exhaustion Scale of the Maslach Burnout
Inventory 274
Box 1.1 Two hospitals 5
Box 2.1 La Piti^ Salpetriere 16
Box 3.1 The battle against hospital acquired infection 44
Box 3.2 Forecasting programmes in western Europe 54
Box 4.1 Specialist hospitals in the central Asian republics 76
Box 7.1 Models of hospital ownership 122 3
Box 7.2 United Kingdom Private Finance Initiative 126 7
Box 7.3 The Bristol hospital enquiry 131
Box 7.4 Clinical performance indicators: England 132
Box 7.5 Steps in assessing needs for a health care intervention 138
Box 10.1 The model Children s Charter of the Department of
Health of England 210
Box 10.2 Baby Friendly Hospital Initiative: ten steps to successful
breastfeeding 218
Box 10.3 Key elements of total quality management 220
Box 11.1 Approaches to skill mix and substitution in nursing 232
Box 11.2 Main elements of patient focused care/hospital
re engineering 234
Box 12.1 Technological developments in the management of
peptic ulceration 244
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| indexdate | 2024-07-09T19:03:19Z |
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| isbn | 0335209289 0335209297 |
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| record_format | marc |
| series2 | European Observatory on Health Care Systems series |
| spelling | Hospitals in a changing Europe ed. by Martin McKee and Judith Healy 1. publ. Buckingham [u.a.] Open Univ. Press 2002 XVIII, 295 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier European Observatory on Health Care Systems series Includes bibliographical references and index Hôpitaux - Europe Hôpitaux - Europe - Administration Ziekenhuizen gtt Health Care Reform Europe Hospital Administration trends Europe Hospitals Europe Hospitals Europe Administration Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Stationäre Behandlung (DE-588)4182947-5 gnd rswk-swf Sozioökonomischer Wandel (DE-588)4318539-3 gnd rswk-swf Reform (DE-588)4115716-3 gnd rswk-swf Organisationswandel (DE-588)4075693-2 gnd rswk-swf Krankenhaus (DE-588)4032786-3 gnd rswk-swf Europa Europa (DE-588)4015701-5 gnd rswk-swf Europa (DE-588)4015701-5 g Krankenhaus (DE-588)4032786-3 s Organisationswandel (DE-588)4075693-2 s DE-604 Stationäre Behandlung (DE-588)4182947-5 s Sozioökonomischer Wandel (DE-588)4318539-3 s Gesundheitswesen (DE-588)4020775-4 s Reform (DE-588)4115716-3 s McKee, Martin Sonstige oth Healy, Judith Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009890207&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Hospitals in a changing Europe Hôpitaux - Europe Hôpitaux - Europe - Administration Ziekenhuizen gtt Health Care Reform Europe Hospital Administration trends Europe Hospitals Europe Hospitals Europe Administration Gesundheitswesen (DE-588)4020775-4 gnd Stationäre Behandlung (DE-588)4182947-5 gnd Sozioökonomischer Wandel (DE-588)4318539-3 gnd Reform (DE-588)4115716-3 gnd Organisationswandel (DE-588)4075693-2 gnd Krankenhaus (DE-588)4032786-3 gnd |
| subject_GND | (DE-588)4020775-4 (DE-588)4182947-5 (DE-588)4318539-3 (DE-588)4115716-3 (DE-588)4075693-2 (DE-588)4032786-3 (DE-588)4015701-5 |
| title | Hospitals in a changing Europe |
| title_auth | Hospitals in a changing Europe |
| title_exact_search | Hospitals in a changing Europe |
| title_full | Hospitals in a changing Europe ed. by Martin McKee and Judith Healy |
| title_fullStr | Hospitals in a changing Europe ed. by Martin McKee and Judith Healy |
| title_full_unstemmed | Hospitals in a changing Europe ed. by Martin McKee and Judith Healy |
| title_short | Hospitals in a changing Europe |
| title_sort | hospitals in a changing europe |
| topic | Hôpitaux - Europe Hôpitaux - Europe - Administration Ziekenhuizen gtt Health Care Reform Europe Hospital Administration trends Europe Hospitals Europe Hospitals Europe Administration Gesundheitswesen (DE-588)4020775-4 gnd Stationäre Behandlung (DE-588)4182947-5 gnd Sozioökonomischer Wandel (DE-588)4318539-3 gnd Reform (DE-588)4115716-3 gnd Organisationswandel (DE-588)4075693-2 gnd Krankenhaus (DE-588)4032786-3 gnd |
| topic_facet | Hôpitaux - Europe Hôpitaux - Europe - Administration Ziekenhuizen Health Care Reform Europe Hospital Administration trends Europe Hospitals Europe Hospitals Europe Administration Gesundheitswesen Stationäre Behandlung Sozioökonomischer Wandel Reform Organisationswandel Krankenhaus Europa |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009890207&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT mckeemartin hospitalsinachangingeurope AT healyjudith hospitalsinachangingeurope |