Hospitals today face a huge number of challenges, including new patterns of disease, rapidly evolving medical technologies, ageing populations and continuing budget constraints. This book is written by clinicians for clinicians and hospital managers, and those who design and operate hospitals. It sets out why hospitals need to change as the patients they treat and the technology to treat them changes. In a series of chapters by leading authorities in their field, it challenges existing models, reviews best practice from many countries and presents clear policy recommendations for policymakers and hospital administrators. It covers the main patient groups and conditions as well as those departments that make modern effective care possible, in imaging and laboratory medicine. Each chapter looks at patient pathways, aspects of workforce, required levels of specialisation and technology, and the opportunities and challenges for optimising the delivery of services in the hospital of the future. This title is also available as Open Access on Cambridge Core.
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The changing role of the hospital in European health systems gives an accurate picture of the changes taking place. Particularly well illustrated by key fields of transformation, it helps the reader clarify the complex landscape of hospital care. Pascal Garel, Chief Executive, European Hospital and Healthcare Federation (hope) Recent experience shows that advances in medical and information technology, far from making hospitals obsolete, increase our dependence on them and they are here to stay. While the conclusion of this thoughtful volume is that it is impossible to know what the hospitals of the future will look like, the authors nonetheless highlight the main societal and technological influences that will shape them. Those responsible for our future planning, if their crystal ball is hazy, could do no better than consult this lucid account of these key factors. Sir Ian Gilmore, Director, Liverpool Centre for Alcohol Research
Muu info
A team of world-leading policy experts and clinicians analyse the changing role of the hospital across Europe.
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viii | |
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x | |
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xi | |
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xiii | |
| Foreword |
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xvii | |
| Acknowledgements |
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xix | |
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Part I Advances in the management of patients with the main problems seen in hospitals |
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1 Introduction -- The changing nature of care provided in the hospital |
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3 | (19) |
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2 The challenges of adapting hospital care for children |
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22 | (31) |
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53 | (32) |
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4 Meeting the needs of frail older patients |
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85 | (35) |
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5 Oncological hospital care |
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120 | (25) |
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6 COPD as an exemplar of a chronic health condition |
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145 | (36) |
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181 | (22) |
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Part II Cross-cutting topics and technology |
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8 Advances in perioperative medicine |
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203 | (30) |
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233 | (25) |
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10 Advances in laboratory medicine |
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258 | (30) |
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11 Conclusions -- Challenges for hospitals of the future |
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288 | (10) |
| Index |
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298 | |
Martin McKee CBE is Professor of European Public Health at the London School of Hygiene and Tropical Medicine, research director of the European Observatory on Health Systems and Policies, and Past President of the European Public Health Association. His contributions have been recognised by election to the UK Academy of Medical Sciences, Academia Europeae, and the US National Academy of Medicine, and by six honorary doctorates. He was awarded the 2003 Andrija Stampar medal, the 2014 Alwyn Smith Prize, and the 2015 Donabedian International Award. Sherry Merkur is a Research Fellow and Health Policy Analyst at the European Observatory on Health Systems and Policies, based at the London School of Economics. She is Editor-in-Chief of Eurohealth and author and editor of HiT: Health system reviews for countries in the European Region and Promoting Health, Preventing Disease: The Economic Case (2015). With Ellen Nolte and Anders Anell, she is co-Editor of Achieving Person-centred Health Systems (Cambridge, 2020). Nigel Edwards is Chief Executive at The Nuffield Trust, a research and policy foundation based in London. Prior to this he was a senior fellow at the King's Fund and the Policy Director of the NHS Confederation. He is honorary visiting professor at the London School of Hygiene and Tropical Medicine and was awarded an honorary DSc by the University of Westminster. Ellen Nolte is Professor of Health Services and Systems Research at the London School of Hygiene & Tropical Medicine. Her expertise is in health systems research, international health care comparisons and performance assessment. She has published widely on health systems, integrated care, European health policy and population health assessments. She is co-Editor of the Journal of Health Services Research & Policy. With Anders Anell and Sherry Merkur, she is editor of Achieving Person-centred Health Systems (Cambridge, 2020).
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