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Titlebook: Understanding Hospitals in Changing Health Systems; Antonio Durán,Stephen Wright Book 2020 The Editor(s) (if applicable) and The Author(s)

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Antonio Durán,Stephen Wright,Paolo Belli,Tata Chanturidze,Patrick Jeurissen,Richard B. Saltman in the healthcare field. While many institutions and industries have recognized the significance of both technologies, few have implemented and executed them in the health sector when it comes to the management of patients’ medical records. By leveraging Patients’ Health Records (PHR) data, the pur
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Conclusions,urces, necessarily including relevant models of care. Ownership and the payment mechanism are important contingencies. We need more systematic ways to make decisions about how to direct these institutions.
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Business Models and Hospitals, “value-added processes” (medicine as factory production) and “facilitated networks” (users as producers). “Disruptive innovation” may not be as powerful in healthcare as other industries, nor drive care settings to networks. Metrics are lacking, but it is likely that separability of processes will be important even if hybrid models remain.
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Hospitals in Different Environments: A Messy Reality,-focused on hospitals which were intensely bureaucratized and over-specialized, and fell behind Western practices and evidence-based medicine. This time dependence has made it difficult for ex-Communist systems to reform.
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Why Is Reform of Hospitals So Difficult?,g organizations; there is professional dysfunction, with de facto control by clinicians over professional management; and political dysfunction occurs because of the politically sensitive nature of hospitals. These dysfunctions are compounded by the complexity of modern healthcare, market failure and anxiety of various participants.
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Decision Analysis,nect to the wider health system. The focus of serious quantitative analyses should instead be in the domain of modelling investment appraisal. Models of business should be expressed as business cases, at whole system level, and via optimisation approaches—learning from other process industries.
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