Editorial
More Market Competition in Healthcare?
The long-term impact of globalisation on the European single market is undeniable. Although competitive forces deliver benefits to consumers, the globalisation trend also causes displacement as companies shift production and employment to lowwage economies. The market for healthcare services is somewhat different however. The one-to-one nature of treatment, from both the patient and provider perspective, l...
News
News from the European Association of Hospital Managers
Scientific Committee Meeting in Brussels Meeting in Brussels on 7 March 2008, the EAHM Scientific Committee welcomed a new member, Mr. José Manuel Aldamiz Echevarria of Spain. Mr. Echevarria succeeds his compatriot, Mr. Manel Peiro. The EAHM took the opportunity to thank Mr. Peiro for his outstanding work on the committee and the dedication he has shown over the years. The proceedings focused on t...
Europe
Confusion Surrounds Health Services Directive The proposal for a framework directive for crossborder healthcare in the EU has still not been published. Its initial publi cation date had been foreseen for 19 De cember 2007. It was shelved on 19 December due to internal disagreement with in the European Commission. Several Commissioners' cabinets have reservations about the proposal, as well as criticism f...
EU Affairs
Author: Rory Watson Migration The challenges faced by countries with insufficient numbers of trained personnel due to the phenomenon of medical migration was one of the main themes to emerge from the conference on the future of the health sector organised by the European Federation of Public Service Employees (Eurofedop) in Brussels in early March. “Of course, this is a problem. We do not see it...
News Members
France «CHU, Hôpital de Tous Les Défis» (University hospital, facing all challenges ) In 2008, all French university hospitals will celebrate their fifty years of existence. Medical reforms by Robert Debré and the crea tion of university hospitals in 1958 have given a major impulse to the modernisation of French medicine and medical research. Reference hospitals, regional hospitals, they are...
Survey
Trends in European Hospital Management: Results of the Survey of European Hospital Managers
Author: Dr. Carsten Frank Hutt This is the second part of the analysis of the study “Trends in European Hospital Management”. As you know, this study is the result of a collaboration between E-Hospital and Emergent Actio. The first part dealt with the interpretation of answers to questions on the size of a hospital vis-a-vis its competitiveness, the impact of information technology on medical q...
Globalization
Globalization in Medicine: Who Wins, Who Loses?
Author: Prof. Dr. med. Ottmar Leiß Internist and Gastroenterologist Gastroenterologische Gemeinschaftspraxis, Mainz, Germany Email: [email protected] According to the philosopher Odo Marquard (1), “The dominant trend of modern global change is towards uniformity. Distinctions are being neutralised. It is only through this process that the hard sciences can deliver globally verifiable results; it is only t...
Migration of Polish Doctors: The Situation Since 1 May 2004
Author: Maciej Duszczyk Institute of Social Policy, Warsaw University, Poland Email: [email protected] For the last few years, discussions surrounding employment migration of medical staff have been intense and ongoing in Poland. At times, members of the medical community have used the threat of emigration against the ruling authorities in order to secure salary increases. The issue of threats to the P...
New Cerdanya Hospital: A Shared Border Project
Authors: Xavier Conill is a member of the Fundació Clínic per a la Recerca Biomèdica in the filed of innovation of health systems and he is the secretary of the Fundació Privada Hospital Transfronterer de la Cerdanya Email: [email protected] Cristina Rodriguez is a consultant in the health field and takes part in the joint management of the Cerdanya’s Hospital project. Jordi Boix is...
Crossborder Healthcare In Europe: Towards a European Healthcare System
Author: Prof. Dr. August Österle, Research Institute for Healthcare and Management and Health Economics,Institute for Social Policy, Vienna University of Economics, Austria Email: [email protected] The European integration project is built on free movement of people, goods, services and capital. However, trust in regionally available healthcare provisions, free or low-cost access at t...
Elderly Care
The Importance of Understanding IT Values in Elderly Care: IT Systems Developed in Sweden
Author: Karin Hedström, Swedish Business School at Örebro University, Örebro, Sweden Email: [email protected] Elderly care is one area where information technology (IT) is rapidly gaining ground. An increase in the number of elderly people, and a demand for more advanced help and support, together with a desire to make it possible for the elderly to live in their own houses for as long as possi...
Governance and Geriatrics: Geriatric Unit at the Pau Hospital (France)
Authors: Dr François de la Fournière, Geriatric Internist, Pau Hospital, France Email: [email protected] Professor Pierre Peyré, Université de Pau et des Pays de l’Adour Régine Barthet, Health manager, Pau Hospital Can hospitals deal with an ageing popula tion and a rising prevalence of Alz heimer’s disease? The new governance structure, Hospital 2007, strives to mee...
Developing A Rapid Assessment Clinic for Older People: Innovations in Practice
Author: Sister Arlene Wellman, RACOP, Royal Berkshire and Battle Hospitals NHS Trust, United Kingdom Email: [email protected] The Royal Berkshire and Battle Hospitals NHS Trust was originally based across two geographical sites and was consolidated onto one site in 2005. The Elderly Care Day Hospital (ECDH) transferred to the consolidated site in May 2005. The EDCH had...
Med Tech
MRSA Management: A Cost Efficiency Problem in Crossborder Hospitals?
Authors: Dr. E. Nulens, Medical Microbiology, Algemeen Ziekenhuis Sint-Jan, Brugge, Belgium Dr. Ellen Stobberingh, Medical Microbiology, University Hospital Maastricht, the Netherlands Email: [email protected] There is a great variation in prevalence of Meticillinresistant Staphylococcus Aureus (MRSA) in different countries in Europe, with the lowest rates in the Scandinavian countries and in the...
Country Focus:Solvenia
The Slovenian Health and Hospital System
Author: Ana Polanc, Public Relations Adviser, Ministry of Health, Ljubjlana, Slovenia Email: [email protected] Slovenia is a country with 2 million citizens. Since 1991 it has been a democratic republic, with the full name of the Republic of Slovenia. Slovenia covers 20,273 square kilometres, and its capital is Ljubljana. The official language is Slovenian, and Italian and Hungarian in areas popu...
Slovenia and eHealth
The six health programme priorities of the Slovenian Ministry of Health are: health improvement and preventive activities; the formulation of national policies and strategies for enabling and promoting healthy lifestyles; healthcare; organisation of the healthcare system; healthcare financing and development of a model for monitoring and assessing quality in the healthcare system. The ehealth objecti...
French
Editorial
Willy Heuschen EAHM Secrétaire Général Rédacteur en Chef Plus De Concurrence Dans Les Soins de Santé? La mondialisation marque indubitablement le marché européen de façon durable. Malgré certaines conséquences positives de la concurrence pour le consommateur, il faut néanmoins deplorer les pertes d’emploi dues à la délocalisation vers des pays moins coûteux. Le marché des s...
AEDH News
Comité Scientifique – Réunion à Bruxelles Lors de sa dernière réunion du 7 mars 2008 à Bruxelles, le comité scientifique de l’AEDH a accueilli un nouveau membre: José Manuel Aldamiz Echevarria, d’Espagne, remplace son concitoyen Manuel Peiro. L’AEDH se réjouit de l’arrivée de ce nouveau membre, mais souhaite également saisir l’occasion de remercier très sincèrement Monsieur Peiro...
Executive Summaries
Mondialisation Médicale – Qui y Perd, Qui y Gagne? Par le Prof. Dr Ottmar Leiss La rationalisation, l’uniformité et la technologisation encouragent la transformation des hôpitaux en centres de services médicaux. Du point de vue du patient, l’évolution récente a eu de nombreuses conséquences positives. L’objectivisation des services médicaux renforce l’autonomie des patients et d...
German
Editorial
Mehr Marktwettbewerb in der Gesundheitlichen Versorgung? Die Globalisierung prägt zweifelsohne den europäischen Binnenmarkt nachhaltig. Neben den Wettbewerb fördernden Vorteilen für Verbraucher gilt auch mitunter der Abbau von Arbeitsplätzen durch Verschiebung in Billigländer zu beklagen. Auf dem Markt der gesundheitlichen Versorgung liegen die Fakten etwas anders. Durch die personengebundene...
EVKD News
Wissenschaftlicher Beirat – Sitzung in Brüssel In seiner letzten Sitzung am 7. März 2008 in Brüssel hat der Wissenschaftliche Beirat der EVKD ein neues Mitglied begrüßt: Herr José Manuel Aldamiz Echevarria, Spanien, übernimmt den Platz seines Landsmanns Herrn Manel Peiro. Die EVKD freut sich über diesen Neuzugang, hat aber auch die Gelegenheit genutzt, Herrn Peiro für dessen hervorragende Arbe...
Executive Summaries
Globalisierung in der Medizin – Wem Nützt, Wem Schadet Sie? Von Prof. Dr. Ottmar Leiß Rationalisierung, Vereinheitlichung und Technisierung begünstigen die Krankenhaus-Transformation vom Hospital in ein Medizinisches Leistungszentrum. Vom Standpunkt des Patienten hat der Fortschritt viel Gutes gebracht. Die Versachlichung der ärztlichen Dienstleistung stärkt die Autonomie des Patienten und‚ en...