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What Is The Experience Of Decentralized Hospital Governance In Europe
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Book Synopsis What is the Experience of Decentralized Hospital Governance in Europe? by : Bernd Rechel
Download or read book What is the Experience of Decentralized Hospital Governance in Europe? written by Bernd Rechel and published by . This book was released on 2018 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: 1. The political pressure to change how hospital governance is currently organized comes from a mix of sources, including increasing costs, technological advances, changing patterns of disease, and growing patient expectations.2. This pressure to reform has prompted a review of hospital ownership and a drive, in many countries, to decentralize hospital governance.3. The key trends in decentralizing hospital governance, which may not be compatible with each other, include increasing hospital autonomy and more direct managerial control of hospitals; and decentralization to newly created administrative layers in the health system:- Hospitals with greater autonomy are perceived to be more flexible in meeting the needs of the local population and, thanks to active purchasing, more efficient performers.- Decentralizing hospital governance to allow decision making at the local level is seen as a way of promoting responsiveness to communities and to changing patterns of disease; it is also a means of moving responsibility for funding or adopting technological advances away from central government.4. Despite these apparent merits of decentralized hospital governance, there is an explicit need to:- acknowledge the tension between potential efficiency gains from centralization and the potential to improve responsiveness and flexibility with greater decentralization.- address investment decisions (e.g. strategic planning of hospital infrastructure) to ensure geographical equity and efficiency and to balance this with the 'narrower focus' decision making in a locally run system.5. There are good examples of authorities in systems with decentralized hospital governance collaborating to overcome equity and efficiency concerns, but the specific institutional and political contexts make it difficult to transfer successful models from one country to another.6. More broadly, unless this is supported by the existing country context, policy-makers will struggle to achieve the desired degree of decentralization in hospital governance.
Book Synopsis What is the Experience of Decentralized Hospital Governance in Europe? 10 Case Studies from Western Europe on Institutional and Accountability Arrangements by : Duran A Rechel B (Saltman R, authors)
Download or read book What is the Experience of Decentralized Hospital Governance in Europe? 10 Case Studies from Western Europe on Institutional and Accountability Arrangements written by Duran A Rechel B (Saltman R, authors) and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Decentralization In Health Care: Strategies And Outcomes by : Saltman, Richard
Download or read book Decentralization In Health Care: Strategies And Outcomes written by Saltman, Richard and published by McGraw-Hill Education (UK). This book was released on 2006-12-01 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.
Book Synopsis Federalism and Decentralization in European Health and Social Care by : J. Costa-Font
Download or read book Federalism and Decentralization in European Health and Social Care written by J. Costa-Font and published by Springer. This book was released on 2016-01-12 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.
Book Synopsis The Coordination of European Public Hospital Systems by : Sorin Dan
Download or read book The Coordination of European Public Hospital Systems written by Sorin Dan and published by Springer. This book was released on 2016-11-18 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book engages theoretically and empirically with the unprecedented wave of public management reforms in public hospitals in Europe in the past 25 years. It provides a useful overview of these reforms and studies the way in which they have influenced the ability of national policy-making institutions to co-ordinate the system of public hospitals as a whole. Using a comparative structure, as well as original empirical data collected by the author, the book examines case studies on which little has so far been published for an international audience in English.
Book Synopsis Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by : OECD
Download or read book Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies written by OECD and published by OECD Publishing. This book was released on 2019-10-17 with total page 447 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
Book Synopsis Decentralization in Healthcare by : George Shakarishvili
Download or read book Decentralization in Healthcare written by George Shakarishvili and published by . This book was released on 2005 with total page 543 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Hospital-Based Health Technology Assessment by : Laura Sampietro-Colom
Download or read book Hospital-Based Health Technology Assessment written by Laura Sampietro-Colom and published by Springer. This book was released on 2017-01-23 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: A timely work describing how localized hospital-based health technology assessment (HB-HTA) complements general, ‘arms-length’ HTA agency efforts, and what has been the collective global impact of HB-HTA across the globe. While HB-HTA has gained significant momentum over the past few years, expertise in the field, and information on the operation and organization of HB-HTA, has been scattered. This book serves to bring this information together to inform those who are currently working in the field of HTA at the hospital, regional, national or global level. In addition, this book is intended for decision-makers and policy-makers with a stake in determining the uptake and decommissioning of new and established technologies in the hospital setting. HTA has traditionally been performed at the National/Regional level by HTA Agencies, typically linked to governments. Yet hospitals are the main entry door for most health technologies (HTs). Hospital decision-makers must undertake multiple high stakes investment and disinvestment decisions annually for innovative HTs, usually without adequate information. Despite the existence of arms-length HTA Agencies, inadequate information is available to hospital decision-makers either because relevant HTA reports are not yet released at the time of entry of new technologies to the field, or because even when the report exists, the information contained is insufficient to clarify the contextualized informational needs of hospital decision makers. Therefore, there has recently been a rising trend toward hospital-based HTA units and programs. These units/programs complement the work of National/Regional HTA Agencies by providing the key and relevant evidence needed by hospital decision makers in their specific hospital context, and within required decision-making timelines. The emergence of HB-HTA is creating a comprehensive HTA ecosystem across health care levels, which creates better bridges for knowledge translation through relevance and timeliness.
Book Synopsis Health System Decentralization by : Anne Mills
Download or read book Health System Decentralization written by Anne Mills and published by . This book was released on 1990 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Civil Society and Health by : Scott L. Greer
Download or read book Civil Society and Health written by Scott L. Greer and published by World Health Organization. This book was released on 2017-11-20 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: Civil Society Organizations (CSOs) can make a vital contribution to public health and health systems but harnessing their potential is complex in a Europe where government-CSO relations vary so profoundly. This study is intended to outline some of the challenges and assist policy-makers in furthering their understanding of the part CSOs can play in tandem and alongside government. To this end it analyses existing evidence and draws on a set of seven thematic chapters and six mini case studies. They examine experiences from Austria Bosnia-Herzegovina Belgium Cyprus Finland Germany Malta the Netherlands Poland the Russian Federation Slovenia Turkey and the European Union and make use of a single assessment framework to understand the diverse contexts in which CSOs operate. The evidence shows that CSOs are ubiquitous varied and beneficial and the topics covered in this study reflect such diversity of aims and means: anti-tobacco advocacy food banks refugee health HIV/AIDS prevention and cure and social partnership. CSOs make a substantial contribution to public health and health systems with regards to policy development service delivery and governance. This includes evidence provision advocacy mobilization consensus building provision of medical services and of services related to the social determinants of health standard setting self-regulation and fostering social partnership. However in order to engage successfully with CSOs governments do need to make use of adequate tools and create contexts conducive to collaboration. To guide policy-makers working with CSOs through such complications and help avoid some potential pitfalls the book outlines a practical framework for such collaboration. This suggests identifying key CSOs in a given area; clarifying why there should be engagement with civil society; being realistic as to what CSOs can or will achieve; and an understanding of how CSOs can be helped to deliver.
Book Synopsis Building Primary Care in a Changing Europe by : Dionne S. Kringos
Download or read book Building Primary Care in a Changing Europe written by Dionne S. Kringos and published by World Health Organization. This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
Book Synopsis Federalism and Decentralization in Health Care by : Gregory P. Marchildon
Download or read book Federalism and Decentralization in Health Care written by Gregory P. Marchildon and published by University of Toronto Press. This book was released on 2018-01-01 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines the overall organization of the health system.
Book Synopsis Assuring the Quality of Health Care in the European Union by : Helena Legido-Quigley
Download or read book Assuring the Quality of Health Care in the European Union written by Helena Legido-Quigley and published by World Health Organization. This book was released on 2008 with total page 242 pages. Available in PDF, EPUB and Kindle. Book excerpt: People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.
Book Synopsis Health Policy and European Union Enlargement by : Mckee
Download or read book Health Policy and European Union Enlargement written by Mckee and published by McGraw-Hill Education (UK). This book was released on 2004-04-01 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: While there may be consensus on the broader issues of the core objectives of the health care system, expectations differ between EU countries, and European national policy-makers. This book seeks firstly to assess the impact of the enlargement process and then to analyse the challenges that lie ahead in the field of health and health policy.
Book Synopsis The Changing National Role in Health System Governance by : Elke Jakubowski
Download or read book The Changing National Role in Health System Governance written by Elke Jakubowski and published by World Health Organization. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This study provides an overview of recent changes in national government's role in the governance of health systems in 12 countries. Country assessments focus on recent efforts to reconfigure responsibilities for health policy regulation and management; the resultant policy priorities; and the initial impact" --Executive summary.
Book Synopsis Economic Crisis, Health Systems and Health in Europe by : Sarah Thomson
Download or read book Economic Crisis, Health Systems and Health in Europe written by Sarah Thomson and published by Open University Press. This book was released on 2015-07 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Economic shocks pose a threat to health and health system performance by increasing people's need for health care and making access to care more difficult - a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:' analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery 'assess the impact of these responses on health systems and population health' identify policies most likely to sustain the performance of health systems facing financial pressure' explore the political economy of implementing reforms in a crisisThe book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.--
Book Synopsis Organization and Financing of Public Health Services in Europe by : Rechel B.
Download or read book Organization and Financing of Public Health Services in Europe written by Rechel B. and published by World Health Organization. This book was released on 2018-11-20 with total page 161 pages. Available in PDF, EPUB and Kindle. Book excerpt: How are public health services in Europe organized and financed? With European health systems facing a plethora of challenges that can be addressed through public health interventions there is renewed interest in strengthening public health services. Yet there are enormous gaps in our knowledge. How many people work in public health? How much money is spent on public health? What does it actually achieve? None of these questions can be answered easily. This volume brings together current knowledge on the organization and financing of public health services in Europe. It is based on country reports on the organization and financing of public health services in nine European countries and an in-depth analysis of the involvement of public health services in addressing three contemporary public health challenges (alcohol obesity and antimicrobial resistance). The focus is on four core dimensions of public health services: organization financing the public health workforce and quality assurance. The questions the volume seeks to answer are: o How are public health services in Europe organized? Are there good practices that can be emulated? What policy options are available? o How much is spent on public health services? Where do resources come from? And what was the impact of the economic crisis? o What do we know about the public health workforce? How can it be strengthened? o How is the quality of public health services being assured? What should quality assurance systems for public health services look like? This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications: Organization and financing of public health services in Europe: country reports and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance.
