Monday, March 10, 2008

[EQ] Capacity planning in health care: a review of the international experience

Capacity planning in health care: a review of the international experience

New policy brief on capacity planning

 

Stefanie Ettelt, Ellen Nolte, Sarah Thomson, Nicholas Mays, and the International Healthcare Comparisons Network 

World Health Organization on behalf of the European Observatory on Health Systems and Policies 

Policy Brief No.13, February 2008  

 

Available online PDF file [67p.] at: http://www.euro.who.int/Document/E91193.pdf

 

“…..  This policy brief reviews approaches to capacity planning, a crucial component of health care governance. By concentrating on a selection of countries as diverse as Canada, Denmark, England, Finland, France, Germany, Italy, the Netherlands and New Zealand, it aims to show a range of approaches to health care financing and organization, since both of these factors have an impact on approaches to capacity planning….”

 

Country Lead responsibility for capacity planning

 

Canada Planning is the responsibility of the provinces/territories, guided in some cases by national frameworks, with participation from local authorities

Denmark Regions and municipalities plan different areas of health care autonomously, with some central supervision

England National and regional planning is directed by the central government with the participation of local authorities

Finland Planning is the responsibility of municipalities and hospital districts (formed by municipalities)

France Regional hospital agencies plan hospital care within a centrally determined framework in consultation with regional stakeholders

Germany Länder (state) governments plan hospital capacity on the basis of national and regional legislation in consultation with regional stakeholders

Italy Regional governments plan health care (mainly hospital care), using a national health plan as a guide

Netherlands Regional provider organizations plan acute hospital care (subject to approval from the central government)

New Zealand Responsibility for planning is shared by the central government and the DHBs

 

 

 

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