[EQ] Capital investment and strategic planning in health care facilities - Case studies

Euro Observer

The Health Policy Bulletin of the European Observatory on Health Systems and Policies

Spring 2010 Volume 12, Number 1

 

Available online at: http://www.euro.who.int/document/OBS/EuroObserver_Spring2010.pdf

Capital investment and strategic planning in health care facilities. Case studies on Spain, Finland and Northern Ireland.

 

Content:

 

Even in tough times: investing in hospitals of the future
Bernd Rechel, Stephen Wright, Barrie Dowdeswell, Martin McKee

“….Hospitals are of crucial importance for health systems. In the WHO European region, the hospital sector absorbs 35–70% of national health expenditure.1 Although capital investment accounts for only 2–6% of total health expenditure1, how hospitals (by far the dominant capital asset) are built predestines a large stream of operational and medical costs for decades to come – roughly the equivalent of the original capital costs every two years.

This means that the way that the many billions of euros that are being invested annually across Europe in new and refurbished health care facilities has major consequences for the financial sustainability of the whole health system.

 

 

The Alzira Model: PPP Public Private Partnerships  in an Integrated Health Services Organization

Carlos Trescoli Serrano, Tomas Quiros Morato, Manuel Marin Ferrer

‘…The Spanish National Health Service (NHS) is a centrally tax-funded system which is universal and free at the point of delivery. Its total health care expenditure in 2007 was 6.1% of GDP.1 Between 1978 and 2002, responsibility for the management and delivery of health services was transferred from the central government (the national Ministry of Health) to the 17 Autonomous Regions (known as Autonomous Communities), although the majority of funding still comes from central government……”

 

Strategic planning of health facilities in Northern Ireland

John Cole

“….This case study describes the planning response to a strategic review of health provision in Northern Ireland, focusing on the location and type of health and social care facilities required. The strategic planning policy discussed here has evolved and been refined over a number of years and a number of changes in administration.

Given the rate of change in the demand for and the delivery of health services it is the subject of regular review to ensure its ongoing appropriateness and effectiveness….”

 

The Observatory Venice - Summer School 2010

EU integration and health systems:
challenges and opportunities for patients, professionals and policy-makers

This event, which is jointly organized with the Veneto Region – one of the Observatory’s partners

25 to 31 July 2010 on the island of San Servolo in Venice.

It will explore different EU policy fields to identify links with health and assess their impact on health systems.

The Summer School is targeted at senior to mid-level policy-makers, planners, and health professionals as well as a limited number of junior professionals

making careers in policy and management. The Summer School aims to have a participative approach involving the sharing of insights and experiences, together

with formal sessions to review the evidence. The working language will be English.

 

We are accepting application forms and recommend early submissions as places are limited.

 

Please send your application or any question regarding the Summer School to: summerschool2010@obs.euro.who.int

Feel free to pass this announcement on to anybody who might be interested in attending the Summer School.

For more information: www.observatorysummerschool.org

 

 

The Observatory is a partnership between the WHO Regional Office for Europe, the Governments of Belgium, Finland, Ireland, the Netherlands, Norway, Slovenia, Spain, Sweden, the Veneto Region of Italy, the European Commission, the European Investment Bank, the World Bank, UNCAM (French National Union of Health Insurance Funds), the London School of Economics and Political Science and the London School of Hygiene & Tropical Medicine.

 

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