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9781560009788

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

by
  • ISBN13:

    9781560009788

  • ISBN10:

    1560009780

  • Edition: 1st
  • Format: Nonspecific Binding
  • Copyright: 1997-01-30
  • Publisher: Routledge

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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

Supplemental Materials

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