Saturday, December 3, 2011

[EQ] Governing public hospitals. Reform strategies and the movement towards institutional autonomy

Governing public hospitals.
Reform strategies and the movement towards institutional autonomy

Edited by Richard B. Saltman, Antonio Durán and Hans F.W. Dubois
Observatory Studies Series No. 25, 2011
World Health Organization 2011, on behalf of the European Observatory on Health Systems and Policies

Available in English (PDF), 1.1 MB [278p.] at

 “…..Governance of public hospitals in Europe is changing. Individual hospitals have been given varying degrees of semi-autonomy within the public sector and empowered to make key strategic, financial, and clinical decisions themselves. This study explores the major developments and their implications for national and European health policy.

The study focuses on hospital-level decision-making and draws together both theoretical and practical evidence. It includes an in-depth assessment of eight different country models of semi-autonomy, in the Czech Republic, England, Estonia, Israel, the Netherlands, Norway, Portugal and Spain.

The evidence that emerges throws light on the shifting relationships between public-sector decision-making and hospital-level organizational behaviour and will be of real and practical value to those working with this increasingly important and complex mix of approaches.



Introduction: innovative governance strategies in European public hospitals

PART I Hospital governance in Europe

Chapter 1 The evolving role of hospitals and recent concepts of public sector governance

Chapter 2 A framework for assessing hospital governance

Chapter 3 Mapping new governance models for public hospitals

Chapter 4 Conclusions and remaining issues

PART II Hospital governance in eight countries
Chapter 5 Czech Republic
Chapter 6 England
Chapter 7 Estonia
Chapter 8 Israel
Chapter 9 Netherlands
Chapter 10 Norway
Chapter 11 Portugal
Chapter 12 Spain


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