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Governing Public Hospitals

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The Palgrave International Handbook of Healthcare Policy and Governance

Abstract

Acute care public hospitals are run in different ways in differently structured health systems, reflecting national circumstances. However, hospital reform and organizational realignment in most health systems typically involve three interconnected factors: (1) technological improvement in clinical and infor- mation capacity; (2) growing patient expectations regarding quality, safety, and responsiveness; and (3) political pressures on authorities to restructure command-and-control relationships. The overall debate in the health sector suggests a broad rethinking of the role of public hospitals and of the general development of governance theory.

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Author information

Authors and Affiliations

  1. Andalusian School of Public Health, Associate Director of Research Policy, Spain

    Antonio Durán (CEO of Técnicas de Salud and Lecturer)

  2. Rollins School of Public Health, Emory University, Atlanta, USA

    Richard B. Saltman (Professor of Health Policy and Management)

  3. European Observatory on Health Systems and Policies, Brussels, Belgium

    Richard B. Saltman (Professor of Health Policy and Management)

Authors
  1. Antonio Durán
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  2. Richard B. Saltman
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Editor information

Editors and Affiliations

  1. Karolinska Institutet, Sweden

    Ellen Kuhlmann

  2. University of Canterbury, Christchurch, New Zealand

    Robert H. Blank (Adjunct Professor) (Adjunct Professor)

  3. Institute of Population Health and the Telfer School of Management, University of Ottawa, Canada

    Ivy Lynn Bourgeault (Professor) (Professor)

  4. University of Siegen, Germany

    Claus Wendt (Professor of Sociology of Health and Healthcare Systems) (Professor of Sociology of Health and Healthcare Systems)

Copyright information

© 2015 Antonio Durán and Richard B. Saltman

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Cite this chapter

Durán, A., Saltman, R.B. (2015). Governing Public Hospitals. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_27

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