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Author : William Shonick,Ruth Roemer
Publisher : Unknown
Page : 150 pages
File Size : 45,8 Mb
Release : 1983
Category : County Hospitals
ISBN : UCBK:C113907341
Author : Alexander S. Preker,April Harding
Publisher : World Bank Publications
Page : 646 pages
File Size : 46,6 Mb
Release : 2003
Category : Medical
ISBN : 0821344943
As the largest expenditure category of the health systems in both industrialised and developing countries, hospital care provision has been the focus of reforms over recent decades. This publication reviews recent trends in hospital policy reforms and options around the world; and includes case studies which offer insights into lessons learned. Issues considered include: differences in income levels, cultural settings and market environments; organisational changes such as increased management autonomy and privatisation; the need for parallel reforms and effective evaluation mechanisms.
Author : Gerard Martin La Forgia,Bernard Couttolenc
Publisher : World Bank Publications
Page : 462 pages
File Size : 55,6 Mb
Release : 2008-01-01
Category : Medical
ISBN : 9780821373590
Drawing on an eclectic array of research and evaluative studies culled from a mix of sources, this volume analyzes Brazilian hospital performance along several policy dimensions including resource allocation and use within hospitals, hospital payment mechanisms, organizational and governance arrangements, management practices, and regulation and quality. An agenda for hospital reform is proposed which synthesizes priorities that are integral to improving hospital performance-and which should be considered for implementation in the near and medium term.
Author : Michele Gragnolati,Magnus Lindelow,Bernard Couttolenc
Publisher : World Bank Publications
Page : 131 pages
File Size : 50,6 Mb
Release : 2013-07-18
Category : Medical
ISBN : 9780821399323
It has been over twenty years since the Brazilian Sistema Único de Saúde (Unified Health System or SUS) was formally established by the 1988 Constitution. The impetus for the SUS came in part from rising costs and a crisis in the social security system that preceded the reforms, but also from a broad-based political movement calling for democratization and improved social rights. Building on reforms that started in the 1980s, the SUS was based on three overarching principles: (i) universal access to health services, with health defined as a citizen’s right and an obligation of the state; (ii) equality of access to health care; and (iii) integrality (comprehensiveness) and continuity of care; along with several other guiding ideas, including decentralization, increased participation, and evidence-based prioritization. The SUS reform established health a fundamental right and duty of the state, and started a process of fundamentally transforming Brazil’s health system to achieve this goal. So, what has been achieved since the SUS was established? And what challenges remain in achieving the goals that were established in 1988? These questions are the focus of this report. Specifically, it seeks to assess whether the SUS reforms have managed to transform the health system as envisaged more than 20 years ago, and whether the reforms have led to improved outcomes in terms of access to services, financial protection, and health status. Any effort to assess the performance of a health system runs into a host of challenges concerning the definition of boundaries of the “health system”, the outcomes that the assessment should focus on, data sources and quality, and the role of policies and reforms in understanding how the performance of the health system has changed over time. Building on an extensive literature on health system assessment, this report is based on a simple framework that specifies a set of health system “building blocks”, which affect a number of intermediate outcomes such as access, quality and efficiency, which, in turn, contribute to final outcomes, including health status, financial protection, and satisfaction. Based on this framework, the report starts by looking at how key building blocks of Brazil’s health system have changed over time and then moves on to review performance in terms of intermediate and final outcomes.
Author : Howard Waitzkin
Publisher : Rowman & Littlefield Publishers
Page : 257 pages
File Size : 53,7 Mb
Release : 2000-02-09
Category : Health & Fitness
ISBN : 9781461645566
Since the appearance of Waitzkin's The Second Sickness, a landmark book of the 1980s, American medicine has been dramatically transformed. Waitzkin's earlier edition used qualitative research to take readers inside the “black box” of medical decisionmaking. This new, fully updated and expanded edition retains the earlier edition's vivid approach and adds timely analysis of how managed care and other economic and social forces influence medical practice today.
Author : Michael Chletsos,Anna Saiti
Publisher : Springer Nature
Page : 264 pages
File Size : 44,5 Mb
Release : 2020-01-01
Category : Education
ISBN : 9783030353704
This book offers significant managerial and economic knowledge on hospitals, and will serve as a valuable tool for explaining complicated managerial and economical problems, and for facilitating decision-making processes. It bridges management and economic sciences - two complementary sciences that feed the process of making rational decisions. With particular reference to the education, the main aim of this book is to provide students of relevant schools and departments with the knowledge (managerial and economic) that will enable them to deal both efficiently and effectively with the real problems arising in a health care organization such as a hospital. In particular, by equipping students with appropriate managerial and economic knowledge, the aim is to give them a clear understanding of HOW to deal with the diverse and complex problems of hospitals while at the same time helping them to develop strategic approaches that will make hospitals more efficient and sustainable.
Author : Winfried de Gooijer
Publisher : Springer Science & Business Media
Page : 504 pages
File Size : 52,9 Mb
Release : 2007-03-20
Category : Medical
ISBN : 9780387327488
The nations of the EU have long led the world in universal health coverage. Recent economic developments have created problems ranging from inequities of care to growing numbers of uninsured — a progression analyzed by Win de Gooijer in Trends in EU Health Care Systems. His ideas may be startling, and the book is bound to be controversial. This is critical reading for health care managers and policymakers, politicians and insurors - anyone looking to Europe to understand this far-reaching evolution.
Author : Bradford H. Gray
Publisher : Harvard University Press
Page : 460 pages
File Size : 41,6 Mb
Release : 1991
Category : Economics, Hospital
ISBN : 0674713389
In this penetrating analysis, Bradford Gray tackles the thorny issues surrounding the question of to whom and for what our physicians and hospitals are accountable. This book provides a careful evaluation of the mechanisms of accountability that have developed along with a growing profit orientation of health care, and it alerts us to keep a sharp eye focused on who is looking out for the interests of the patient.
Author : Cruz-Cunha, Maria Manuela
Publisher : IGI Global
Page : 1531 pages
File Size : 46,5 Mb
Release : 2013-04-30
Category : Medical
ISBN : 9781466639911
Through the use of ICT tools, such as the internet, portals, and telecommunication devices, the quality of healthcare has improved in local and global health; aiding in the development of a sustainable economy. Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care brings together a valuable research collection on ICT elements needed to improve communication and collaboration between global health institutes, public and private organizations, and foundations. Highlighting the adoption and success factors in the development of technologies for healthcare, this book is essential for IT professionals, technology solution providers, researchers, and students interested in technology and its relationship with healthcare and social services.
Author : OECD
Publisher : OECD Publishing
Page : 141 pages
File Size : 55,7 Mb
Release : 2008-06-25
Category : Electronic
ISBN : 9789264043879
OECD's periodic review of the Portuguese economy. This 2008 edition focuses on several key challenges including securing fiscal consolidation, maximising the gains from integration into the world economy, and improving the functioning of the labour ...
Author : Eric de Roodenbeke
Publisher : Routledge
Page : 560 pages
File Size : 51,9 Mb
Release : 2017-07-05
Category : Medical
ISBN : 9781351487993
Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system.This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation.The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.
Author : Raisa B. Deber,Commission on the Future of Health Care in Canada
Publisher : [Saskatoon] : Commission on the Future of Health Care in Canada
Page : 51 pages
File Size : 43,8 Mb
Release : 2002
Category : Health care form
ISBN : 066232787X
Author : Gerard Martin La Forgia
Publisher : World Bank Publications
Page : 232 pages
File Size : 44,6 Mb
Release : 2005
Category : Business & Economics
ISBN : 082136278X
Similar to developing countries elsewhere, during the 1990s, Central American countries faced pressures to improve the performance of their health systems. In most countries, there was a consensus that the systems were failing to live up to their potential. Rather than take on system-wide change, each country opted to step into reform through launching innovations to address specific problems or deficiencies in a particular program, function or intervention of the system. 'Health Systems Innovations in Central America' reports on how these experiences fared--a hospital in Panama, a nutrition program in Honduras, primary care extension in Guatemala, a subset of hospitals and primary care units in Costa Rica and a social security-managed health care program in Nicaragua. The studies report on the performance of the innovations, the policy environment in which they were developed as well as nuts-and-bolts features and processes incorporated into their design and implementation.
Author : Dr M Sandra Kirthy,Dr Jabez R
Publisher : Zenon Academic Publishing
Page : 251 pages
File Size : 55,7 Mb
Release : 2018-07-25
Category : Business & Economics
ISBN : 9789385886140
An International conference on New Trends in Business Management was organized by Immanuel Business School with overseas partners Seattle Pacific University, Spring Harbor University and many others, which provided an opportunity to compile a book with collection of conference research papers related to new trends in business management. The conference helped in creating knowledge based outcomes through robust interaction between corporate delegates, academicians, practitioners, research scholars and management Students. The research papers on new trends in business management with sub-topics Online Marketing, Trends in Training and Development, Legal aspects of Business, Good Service Tax, Demonetization, Green Marketing, Digital Marketing, Consumer Behavior, E-Commerce, Corporate Social Responsibility, Organizational Development and Change were presented by authors in lucent way. Highly learned, eminent faculty from different esteemed educational institutions across the globe, experienced persons from industries and management students have contributed more than 40 papers on different management areas. We hope that readers of this book will gain insights of current fluctuations and upcoming trends in Business Management.
Author : Sandra Opdycke
Publisher : Oxford University Press
Page : 264 pages
File Size : 40,7 Mb
Release : 2000-09-28
Category : History
ISBN : 9780195349818
No One Was Turned Away is a book about the importance of public hospitals to New York City. At a time when less and less value seems to be placed on public institutions, argues author Sandra Opdycke, it is both useful and prudent to consider what this particular set of public institutions has meant to this particular city over the last hundred years, and to ponder what its loss might mean as well. Opdycke suggests that if these public hospitals close or convert to private management--as is currently being discussed--then a vital element of the civic life of New York City will be irretrievably lost. The story is told primarily through the history of Bellevue Hospital, the largest public hospital in the city and the oldest in the nation. Following Bellevue through the twentieth century, Opdycke meticulously charts the fluctuating fortunes of the city's public hospital system. Readers will learn how medical technology, urban politics, changing immigration patterns, economic booms and busts, labor unions, health insurance, Medicaid, and managed care have interacted to shape both the social and professional environments of New York's public hospitals. Having entered the twentieth century with high hopes for a grand expansion, Bellevue now faces financial and political pressures so acute that its very future is in doubt. In order to give context to the Bellevue experience, Opdycke also tracks the history of a private facility over the same century: New York Hospital. By noting the points at which the paths of these two mighty institutions have overlapped--as well as the ways in which they have diverged--this book clearly and persuasively highlights the significance of public hospitals to the city. No One Was Turned Away shows that private facilities like New York Hospital have generally provided superb care for their patients, but that in every era they have also excluded certain groups. This exclusion has occurred for various reasons, such as patients' diagnoses, their social characteristics, behavior, or financial status--or simply because of a lack of unoccupied beds. Fortunately, however, year in and year out, Bellevue and its fellow public facilities have acted as the city's medical safety net. Opdycke's book maintains that public hospitals will be as essential in the future as they have been in the past. This is a thoughtful and well-written study that will appeal to anyone interested in the history of medicine, public policy, urban affairs, or the City of New York.