| Titre : | What is the experience of decentralized hospital governance in Europe ? Ten case studies from Western Europe on institutional and accountability arrangements |
| Auteurs : | European observatory on Health Systems and Policies (Copenhagen, DNK) ; Bernd Rechel ; Antonio Duran ; Richard Saltman |
| Type de document : | Rapport |
| Editeur : | Geneva [CHE] : World Health Organization - WHO, 2018 |
| Collection : | Policy brief , num. 28 |
| ISBN : | 1997-8073 |
| Description : | 34p. / tabl. |
| Langues: | Anglais |
| Mots-clés : | Hôpital ; Management hospitalier ; Hôpital privé ; Europe ; Hôpital public ; Etude comparée ; Administration hospitalière ; Planification sanitaire ; Décentralisation ; Financement ; Organisation hospitalière ; Autonomie ; Politique hospitalière ; Décideur politique ; Etude cas |
| Résumé : | [BDSP. Notice produite par IRDES 97FR0xDB. Diffusion soumise à autorisation]. Hospitals with greater autonomy are perceived to be more flexible in meeting the needs of the local population. However, there is a tension between the potential to improve responsiveness and flexibility via greater decentralization and the potential efficiency gains and geographical equity derived from centralization. This policy brief explores the experience with decentralized hospital governance in 10 European countries (Denmark, England, Finland, France, Germany, Italy, Netherlands, Scotland, Spain and Sweden) and finds that there are interesting examples of authorities in systems with decentralized hospital governance collaborating to overcome equity and efficiency concerns, but that the specific institutional and political contexts make it difficult to transfer successful models from one country to another. |
| En ligne : | http://www.euro.who.int/fr/about-us/partners/observatory/publications/policy-briefs-and-summaries/what-is-the-experience-of-decentralized-hospital-governance-in-europe |
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