Understanding Hospitals in Changing Health Systems

  • Antonio Durán
  • Stephen Wright

Table of contents

  1. Front Matter
    Pages i-xxv
  2. Antonio Durán, Stephen Wright, Paolo Belli, Tata Chanturidze, Patrick Jeurissen, Richard B. Saltman
    Pages 1-24
  3. Antonio Durán, Richard B. Saltman
    Pages 25-47
  4. Antonio Durán, Stephen Wright
    Pages 49-73
  5. Stephen Wright, Antonio Durán
    Pages 75-101
  6. Patrick Jeurissen, Hans Maarse
    Pages 103-119
  7. Paolo Belli, Patrick Jeurissen
    Pages 121-138
  8. Tata Chanturidze, Richard B. Saltman
    Pages 139-165
  9. Richard B. Saltman, Tata Chanturidze
    Pages 167-192
  10. Stephen Wright, Antonio Durán
    Pages 193-220
  11. Antonio Durán, Stephen Wright, Paolo Belli, Tata Chanturidze, Patrick Jeurissen, Richard B. Saltman
    Pages 221-238
  12. Back Matter
    Pages 239-242

About this book


“This timely book provides insight into the changing role of the ‘hospital’ in the face of technological, organizational innovation and ever-tightening health budgets.”
James Barlow, Imperial College Business School, UK

“The book covers aspects of hospitals in different states and contexts. Underlining the importance of business models, it presents models of care from historic and current perspectives. All authors possess deep insight into health care systems, as scholars and experts working for world-renowned health policy institutions like the World Health Organization, World Bank or European Observatory.”
Siegfried Walch, Management Center Innsbruck, Austria

“For an organisation like mine, representing those involved in the strategic planning of healthcare infrastructure, this book provides invaluable insights into what really matters – now and for the future – in the complex and contentious field of hospital development.”
Jonathan Erskine, European Health Property Network, Netherlands

This book seeks to reframe current policy discussions on hospitals. Healthcare services turn expensive economic resources - people, capital, energy, materials - into care. Hospitals concentrate the use and cost of this. But paradoxically other areas of health, such as public health and primary care, attract more attention and affection, at least within the health policy community. Hospitals choose, or are assigned, to deliver certain parts of care packages. They are organised to do this via business models. These necessarily incorporate care models – the processes that patients follow. The activity needs to be governed, in the widest senses. Rational decisions need to be taken about care and resources used. This book pulls these elements together, to stimulate a debate.

Antonio Durán is Alldmh Consultancy director, senior consultant for WHO, WB, EU and DfID, and Technical Adviser for the European Observatory on Health Systems. A frequent lecturer and speaker, he has recently published peer-reviewed articles, and edited a book on governing public hospitals.

Stephen Wright is a freelance consultant in health policies, macroeconomics, social investment, and health finance and investment, for EU Member States, European Commission, EIB, WB and WHO. He has co-edited a number of books, and publishes and presents frequently.


Health systems Hospitals changing health systems public health care services resources governance technical capacity managerial capacity New Public Management value efficiency not-for-profit accountability budgets incentives evidence-based medicine dysfunction decision analysis comparable system analysis

Editors and affiliations

  • Antonio Durán
    • 1
  • Stephen Wright
    • 2
  1. 1.ALLDMHEALTHSevilleSpain
  2. 2.Independent ConsultantIngletonUK

Bibliographic information

Industry Sectors
Finance, Business & Banking