| DOI: | 10.7249/RR728
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| 报告号: | RR-728-DH
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| 报告题名: | The changing hospital landscape: An exploration of international experiences |
| 作者: | Ellen Nolte; Emma Pitchforth; Celine Miani; Sheena Mc Hugh
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| 出版者: | RAND Corporation
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| 出版年: | 2014
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| 发表日期: | 2014
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| 总页数: | 124
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| 国家: | 美国
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| 语种: | 英语
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| 英文关键词: | Health Care Organization and Administration
; Health Care Financing
; United Kingdom
; Ireland
; Health Care Services Capacity
; France
; Germany
; Hospitals
; United States
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| 中文主题词: | 铅
|
| 主题词: | LEAD
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| 英文摘要: | The nature of hospital activity is changing in many countries, with some experiencing a broad trend towards the creation of hospitals groups or chains and multi-hospital networks. This report seeks to contribute to the understanding of experiences in other countries about the extent to which different hospital 'models' may provide lessons for hospital provision in England by means of a review of four countries: France, Germany, Ireland and the United States, with England included for comparison. We find that here has been a trend towards privatisation and the formation of hospital groups in France, Germany and the United States although it is important to understand the underlying market structure in these countries explaining the drivers for hospital consolidation. Thus, and in contrast to the NHS, in France, Germany and the United States, private hospitals contribute to the delivery of publicly funded healthcare services. There is limited evidence suggesting that different forms of hospital cooperation, such as hospital groups, networks or systems, may have different impacts on hospital performance. Available evidence suggests that hospital consolidation may lead to quality improvements as increased size allows for more costly investments and the spreading of investment risk. There is also evidence that a higher volume of certain services such as surgical procedures is associated with better quality of care. However, the association between size and efficiency is not clear-cut and there is a need to balance 'quality risk' associated with low volumes and 'access risk' associated with the closure of services at the local level. |
| URL: | http://www.rand.org/content/dam/rand/pubs/research_reports/RR700/RR728/RAND_RR728.pdf
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| Citation statistics: |
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| 资源类型: | 研究报告
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| 标识符: | http://119.78.100.158/handle/2HF3EXSE/27280
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| Appears in Collections: | 影响、适应和脆弱性
科学计划与规划
气候减缓与适应
气候变化事实与影响
气候变化与战略
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| RAND_RR728.pdf（1119KB） | 研究报告 | -- | 开放获取 | | View
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| Recommended Citation: | |
Ellen Nolte,Emma Pitchforth,Celine Miani,et al. The changing hospital landscape: An exploration of international experiences. 2014-01-01.
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