Hospital Policy in the United Kingdom: Its Development, Its Future

by Harrison,Anthony John

• ISBN13: 9781560009788
• ISBN10: 1560009780
• Edition: 1st
• Format: Nonspecific Binding
• Copyright: 1997-01-30
• Publisher: Routledge

Summary

Harrison and Prentice aim to provide a source of reference and reflection for those who are concerned with the planning of hospitals themselves or who are concerned with the health care delivery system as a whole. The authors set out a detailed framework for analyzing hospital services in relation to other providers, based on clinical quality, costs of provision, and access. The book also contains a series of recommendations for action.

Table of Contents

Preface	vii
1 The development of hospital policy	1	(12)
2 Why general hospitals?	13	(20)
2.1 What is a general hospital?	14	(2)
2.2 Scope	16	(6)
2.3 Scale	22	(6)
2.4 Limits to scope and scale	28	(4)
2.5 Conclusion	32	(1)
3 Systems of hospitals	33	(16)
3.1 Division of functions	34	(10)
3.2 Routes to hospital	44	(2)
3.3 Relations between hospitals	46	(1)
3.4 Conclusion	47	(2)
4 Hospitals and other providers	49	(10)
4.1 Types of relationship	50	(5)
4.2 Implications for hospital structures	55	(2)
4.3 Conclusion	57	(2)
5 Scale, scope and clinical quality	59	(19)
5.1 Research studies	59	(11)
5.2 Service reviews	70	(3)
5.3 Conclusion	73	(5)
6 Scale, scope and costs	78	(10)
6.1 Scale	78	(5)
6.2 Scope	83	(3)
6.3 Conclusion	86	(2)
7 Access	88	(15)
7.1 Financial costs	88	(6)
7.2 Clinical costs	94	(6)
7.3 Conclusion	100	(3)
8 The demand for hospital services	103	(26)
8.1 Recent trends and prospects	103	(2)
8.2 Some aspects of overall demand	105	(22)
8.3 Conclusion	127	(2)
9 The supply of hospital services	129	(22)
9.1 The changing hospital	129	(4)
9.2 Technology	133	(5)
9.3 Human resources	138	(8)
9.4 Cost levels	146	(2)
9.5 Management structures	148	(1)
9.6 Conclusion	149	(2)
10 Access: prospects and policies	151	(7)
10.1 Travel prospects	151	(2)
10.2 Policy options	153	(3)
10.3 Conclusion	156	(2)
11 What should be done?	158	(19)
11.1 Immediate prospects	159	(4)
11.2 The context for change	163	(4)
11.3 Some scenarios for hospital development	167	(3)
11.4 Action required	170	(6)
11.5 Overall conclusion	176	(1)
Annex	177	(4)
Bibliographical notes	181	(8)
Bibliography	189	(36)
Index	225