The Changing Role of the Hospital in European Health Systems

Jonathan North

doi:10.1017/9781108855440

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.

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

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Contents

The Changing Role of the Hospital in European Health Systems
pp i-i
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European Observatory on Health Systems and Policies - Series page
pp ii-ii
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The Changing Role of the Hospital in European Health Systems - Title page
pp iii-iii
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Copyright page
pp iv-vi
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Contents
pp vii-vii
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Figures
pp viii-ix
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Tables
pp x-x
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Boxes
pp xi-xii
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Contributors
pp xiii-xvi
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Foreword
pp xvii-xviii
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Acknowledgements
pp xix-xx
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Part I - Advances in the Management of Patients with the Main Problems Seen in Hospitals
pp 1-200
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1 - Introduction – The changing nature of care provided in the hospital
pp 3-21
- By Martin Mckee, Sherry Merkur, Nigel Edwards, Ellen Nolte
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2 - The challenges of adapting hospital care for children
pp 22-52
- By Jochen Ehrich, Massimo Pettoello-mantovani, Eleanor Molloy, Reinhold Kerbl, Mehmet Vural, Simon Lenton, Stefano Del Torso, Adamos Hadjipanayis, Björn Wettergren, Zachi Grossman
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3 - Patients with stroke
pp 53-84
- By Benjamin Bray, Anthony Rudd, Phil White, Bo Norrving, Charles Wolfe
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4 - Meeting the needs of frail older patients
pp 85-119
- By Sherena Nair, David Oliver, Alison Cracknell
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5 - Oncological hospital care
pp 120-144
- By Anke Wind, Wim Van Harten, Sigbjørn Smeland, Lucia Da Pieve, Wim Groen
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6 - COPD as an exemplar of a chronic health condition
pp 145-180
- By C Michael Roberts, Jose Luis López-Campos, Robab Breyer-Kohansal
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7 - Emergency medicine
pp 181-200
- By Matthew Cooke, Clifford Mann, Nigel Edwards
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Part II - Cross-cutting topics and technology
pp 201-297
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8 - Advances in perioperative medicine
pp 203-232
- By Marc Wittenberg, Harry Thirkettle, Michael Grocott
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9 - Advances in imaging
pp 233-257
- By Peter Cavanagh
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10 - Advances in laboratory medicine
pp 258-287
- By Rachael Liebmann, Digby Ingle
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11 - Conclusions – Challenges for hospitals of the future
pp 288-297
- By Martin Mckee, Sherry Merkur, Nigel Edwards, Ellen Nolte
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Index
pp 298-306
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The Changing Role of the Hospital in European Health Systems

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Contents

The Changing Role of the Hospital in European Health Systems
pp i-i

European Observatory on Health Systems and Policies - Series page
pp ii-ii

The Changing Role of the Hospital in European Health Systems - Title page
pp iii-iii

Copyright page
pp iv-vi

Contents
pp vii-vii

Figures
pp viii-ix

Tables
pp x-x

Boxes
pp xi-xii

Contributors
pp xiii-xvi

Foreword
pp xvii-xviii

Acknowledgements
pp xix-xx

Part I - Advances in the Management of Patients with the Main Problems Seen in Hospitals
pp 1-200

1 - Introduction – The changing nature of care provided in the hospital
pp 3-21

2 - The challenges of adapting hospital care for children
pp 22-52

3 - Patients with stroke
pp 53-84

4 - Meeting the needs of frail older patients
pp 85-119

5 - Oncological hospital care
pp 120-144

6 - COPD as an exemplar of a chronic health condition
pp 145-180

7 - Emergency medicine
pp 181-200

Part II - Cross-cutting topics and technology
pp 201-297

8 - Advances in perioperative medicine
pp 203-232

9 - Advances in imaging
pp 233-257

10 - Advances in laboratory medicine
pp 258-287

11 - Conclusions – Challenges for hospitals of the future
pp 288-297

Index
pp 298-306

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The Changing Role of the Hospital in European Health Systems

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