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Introduction: Why This Book?

  • Antonio DuránEmail author
  • Stephen Wright
  • Paolo Belli
  • Tata Chanturidze
  • Patrick Jeurissen
  • Richard B. Saltman
Chapter

Abstract

The determinants of health status depend on public health measures and curative and care services. “Hospitals” as organizations concentrate resources—physical capital and human capital, and technology—and thereby do things which other settings simply cannot. Yet, somehow, they mean different things to different people at different times and different places. Hospitals should be defined by their functions, not by their attributes. It is evident that the trade-off in concentrating resources does not always work out well. We lay out an approach to thinking about the role of hospitals, based around their governance, business models, and system and institutional models of care. We bear in mind contingencies of ownership and payment mechanisms, and pull this all together by reflecting on decision analysis.

Keywords

Attributes Business models Care services Curative services Decision analysis Determinants of health status Functions Governance Hospitals Human capital Models of care Ownership Payment mechanisms Physical capital Public health Resources Technology 

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Copyright information

© The Author(s) 2020

Authors and Affiliations

  • Antonio Durán
    • 1
    Email author
  • Stephen Wright
    • 2
  • Paolo Belli
    • 3
  • Tata Chanturidze
    • 4
  • Patrick Jeurissen
    • 5
    • 6
  • Richard B. Saltman
    • 7
  1. 1.ALLDMHEALTHSevilleSpain
  2. 2.Independent ConsultantIngletonUK
  3. 3.The World BankNairobiKenya
  4. 4.Oxford Policy ManagementOxfordUK
  5. 5.Radboud University Medical SchoolNijmegenNetherlands
  6. 6.Ministry of Health, Welfare and SportsHagueNetherlands
  7. 7.Department of Health Policy and ManagementRollins School of Public Health, Emory UniversityAtlantaUSA

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