Editorial

The fundamental transformation under way in our societies continues apace. While change impinges on all aspects of life, its impact is particularly acute in the area of healthcare.   The causes and characteristics of these changes are multidimensional. On the one hand, the range of medical services is expanding in response to demographics, advances in medicine and rising consumer expectations, while...

News

Moving Health and Hospital Care Forward Within Europe On the occasion of the French Presidency of the European Union, EAHM calls for moving health and hospital care forward in Europe:   Towards evaluation of quality and safety Hospitals in Europe face challenges like increasing patient mobility and the free movement of trained staff, crossborder purchasing of healthcare services triggering incr

EHealth: Commission Launches Two Initiatives The European Commission has launched two initiatives to improve the safety and quality of care to people who require medical assistance while traveling or living abroad: a recommendation on crossborder interoperability of electronic health records (EHR) and the Smart Open Services (SOS) project.   The recommendation aims to provide member states with...

Author:Rory WatsonThe Future of the Working Time and the Crossborder Healthcare Directives European Union governments may have reached a political agreement on the implications of future working time rules on hospital employees, but the draft legislation still faces a bumpy ride before reaching the statute book.   Alejandro Cercas, the Spanish Socialist MEP, who will act as draughtsman for the...

United Kingdom NHS Booking System Failing Patients The new NHS computerized booking system is failing to provide the promised level of choice of appointment times, dates and locations, according to a study. The first ever survey of pa tients who had used the Choose and Book system found that 66% of those asked were not given a choice of date for their outpatient ap pointment and the same number were not...

Privatisation

An Interview with EAHM Secretary General Willy HeuschenMr. Heuschen, Why is it Timely to Reflect on the Developments on the Healthcare Market? WH: Rulings of the European Court of Justice in these last years have served to underline the point that member states health systems, and in particular the delivery of healthcare, do not lie outside the jurisdiction of Community law. Health systems therefore...

Author:Professor André Grimaldi,Diabetics-Metabolism Dept.,Pitié-Salpêtrière Hospital, Paris, FranceEmail:[email protected] Shock of T2A Funding healthcare by T2A (activity-based fees) has replaced the funding of hospitals via the general budget established in 1983. The goal of the general budget was to limit expenses by restricting activity. The main criticisms of the general budget

Authors:Nils Böhlke und Thorsten Schulten,Researchers at the Wirtschafts und SozialwissenschaftlichesInstitut (WSI) within the Hans Boeckler Foundation in Düsseldorf, GermanyEmail:[email protected]@boeckler.deThere is no other country in Europe that has seen such an en ormous wave of hospital privatisations over the last years of Germany. Tra ditionally the German hospital

Author:Professor Hans Maarse,Faculty of Health, Medicine and Life Sciences, University of Maastricht, the NetherlandsEmail:[email protected] available upon request [email protected] cornerstone of the ongoing reform process in the Netherlands is to introduce market competition in health insurance and health care provision to make healthcare more efficient,

Ethical Management

Authors:Piet Vanormelingen,Mediator of the Cliniques universitaires St-Luc, Brussels,AMIS PresidentEmmanuel Legrand, Mediator of the CHC and the CNRF, Liège, AMIS Vice-PresidentEmail:[email protected] Contribution to the Quality of Care The Belgian law concerning patients’ rights gave individuals the right to submit a complaint to the relevant mediator. The Royal Decree of 8 July...

Authors:Prof. Dr. Stella Reiter-Theil,area of studies: medical and health ethics, Faculty of Medicine/University HospitalBasel, Switzerland Dr. Barbara Meyer-Zehnder,area of studies: medical and health ethics, Faculty of Medicine/University HospitalBasel; Department of Anaesthesia, University Hospital Basel, SwitzerlandEmail:[email protected] is a

Med Tech

Authors:Bonny Lewis Bukaveckas, PhD, FACB –Department of Pharmacy and of Pathology,Virginia Commonwealth University, Richmond, USAPharmacogenetics has made significant progress in recent years. Advances in pharmacogenetics and information technology will benefit critical care patients most of all. An intersection of the disciplines pharmacology and genetics produces “pharmacogenetics.” The term is...

Country Focus: UK

Author:Dr. Andrew Corbett-Nolan FRSM FCQI MHSM,Chair,Institute of Healthcare Management, United KingdomEmail:[email protected] United Kingdom (UK) is comprised of En gland, Scotland, Wales and Northern Ireland and is situated within the British Isles. A constitutional monarchy gover n ed from Parliaments in London and Edinburgh, and As semblies in Cardiff and Belfast, the UK is a stab

Author:Susan Hodgetts, MIHM MBA BEd Med Chief Executive of the Institute of Healthcare Management,United KingdomEmail:[email protected] 1902, a number of senior hospital officers felt there was a need for an institution to meet the support needs for hospital administrators. In March of that year, The Hospital Officers Association was founded to:   “…promote the social and

Authors:Dr John Bullivant, Director,Good Governance Institute, United Kingdom Professor Michael Deighan,Strategic advisor to the ‘Governance between Organisations’ programme,United KingdomEmail:[email protected] is important. It is how we hold ourselves to account and give confidence to the public, staff and partners that we have an org

French

Optimisation De L’Efficacite La mutation de nos sociétés se poursuit inexorablement. Tous les domaines de la vie en sont affectés. Ceci est particulièrement vrai pour le secteur des soins de santé. Les origines de ces changements, tout comme ses caractéristiques, sont multiples et variées.   D’un côté, les spécificités démographiques, le progrès médical et les attentes et exigencies des citoyens...

Pour Faire Avancer Les Soins Sanitaires Et Hospitaliers En EuropeA l’occasion de la présidence française de l’Union européenne, l’AEDH entendfaire avancer les soins sanitaires et hospitaliers en Europe:   Vers Une Evaluation De la Qualité et De la Sécurité Les hôpitaux européens font face à des défis comme l’intensification de la mobilité du patient, la libre circulatio

Soins de Santé et Concurrence Entre Hôpitaux En Europe: Une Interview Avec le Secrétaire Général de l’AEDH, Willy Heuschen Selon Willy Heuschen, un développement du phenomena de privatisation dans la prestation et la gestion de soins de santé est probable et les PPPs sont amenés à se multiplier. Il voit cela comme une évolution favorable, car le marché des soins de santé requiert un éventail diversifié...

German

Effektivitatsverbesserung Der Wandel in unseren Gesellschaften setzt sich unaufhaltsam fort. Alle Lebensbereiche sind davon betroffen. Dies gilt besonders für den Bereich der Gesundheitsversorgung. Die Ursachen für die Veränderungen wie auch die Merkmale des Wandels sind vieldimensional. Demografie, Medizinischer Fortschritt, und die Erwartungshaltung der Menschen auf der einen Seite führen zu einer...

Das Gesundheits- Und Krankenhauswesen in Europa VoranbringenAus Anlass der französischen EU-Präsidentschaft appelliert die EVKD, das Gesundheits- und Krankenhauswesen in Europa weiterzuentwickeln.   Evaluierung von Qualität und Sicherheit Krankenhäuser in Europa sehen sich mit Herausforderungen wie der steigenden Mobilität von Patienten und des ausgebildeten Personals, mit grenzüb

Gesundheitswesen Und Wettbewerb Bei Krankenhäusern in Europa: Ein Interview mit EVKD Generalsekretär Willy Heuschen Laut Willy Heuschen sind weitere Privatisierungen bei Bereitstellung und Verwaltung von Gesundheitsdienstleistungen zu erwarten. Die Anzahl von öffentlich-privaten Partnerschaften wird sich wahrscheinlich erhöhen. Er glaubt, dass dies eine positive Entwicklung ist, da es ein gemisc


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