Editorial

The future of health establishments is one of the overriding preoccupations on the minds of all European citizens. This issue transcends the differences in models of care organisation throughout Europe. For many it is astonishing to realise that this question was almost completely ignored in the recent debates preceding the European Parliamentary elections even though there is no shortage of topics...

News

The European Association of Hospital Managers (EAHM) invites you to attend their latest seminar, which takes place in Düsseldorf, Germany on November 20th 2009. The Context and Purpose of the Seminar Most countries in Europe have evolved to a mixed system with 2 or 3 types of hospitals: Public, private not-for profit and private for profit hospitals.   Hospital managers in the different countries...

Luxembourg Association News The Entente des Hôpitaux Luxembourgeois has moved to new offices. The new address is 5, rue des Mérovingiens au Z.A. Bourmicht à L- 8070 Bertrange.   During their General Assembly on June 30th 2009 Mr. Paul Junck has been elected as new President and Dr. Raymond Lies as Vice President, succeeding respectively Mr. Ernest Frieden and Mr. Henri Hinterscheid. UK Online...

Commission Steps up Action on Neurodegenerative Conditions The Commission has recently adopted concrete proposals to deal with Alzheimer’s disease, dementias and other neurodegenerative conditions. There are currently over seven million people with Alzheimer's disease and related disorders in Europe and it is predicted that this number will double in the next 20 years. Europe must plan, invest and...

A ground breaking agreement between healthcare employers and employees will give medical staff greater protection against injuries from needle sticks and other sharp objects when at work. With over one million such injuries every year in Europe, these are one of the most common health and safety threats staff, particularly in hospitals, face. They can cause infections, trauma and serious illnesses...

Weathering the Recession

The economic recession that began in December 2007 has challenged U.S. hospitals on nearly every level. Revenue has dropped as patients forgo elective procedures and those with high insurance deductibles struggle to pay their portion of the bill. Access to capital has diminished while investment losses have depressed balance sheets and further reduced liquidity. As the amount of charity care hospitals...

Ireland has been commonly regarded as one of the countries hardest hit by the recession. Is the situation really as bleak as everyone is making out? (E)Hospital spoke to someone from the Irish healthcare workforce who preferred to remain anonymous in order to give as frank an account as possible- surely this is an indication of testing times for Irish healthcare… On asking just how bleak the situation...

AuthorSilvia Ondategui-Parra, MD, MPH, MScAssociate Hospital DirectorTeknon Medical CenterBarcelona, [email protected]: Adjunct Assistant ProfessorBoston University School of MedicineBoston, USAThe fundamental principle of economic analysis is that choices have to be made between alternative uses of resources, as there is a finite pool of resources with which to provide all medical...

The all too familiar get-out clause of “ but that’s not in my job description” could soon be a thing of the past in the NHS. This common phrase can be heard in any given workplace and the hospital sector is no different. We are talking specifically about hospital doctors and their role in financial matters. For many doctors it is very simple- it is their duty to deal with patients, to save lives, while...

Cultural Integration

A patient’s children believe it is their right to see their father’s general practitioner to discuss the results of his recent investigations for weight loss; they are adamant that, if found to have cancer, their father should not be informed.   A woman calmly tells her doctor that she cannot sign consent form for the emergency laparoscopy being hurriedly organised to investigate her abdominal pain;...

In recent years the NHS has struggled to retain sufficient numbers healthcare workers, leading to a shortage  of medical staff. To combat this skills deficiency, the NHS set targets to attract 7,500 more consultants, 2,000 new GPs and 20,000 more nurses by March 2004. The Royal College of Physicians in particular noted that this shortage was due to early retirement deals and the European Working Time...

Management

Background Several studies have demonstrated that the role of hospitals is changing; services formerly provided by hospitals are now provided by other kind of facilities, like community healthcare centres or ambulatory settings (also named outpatient clinics, policlinics, poliambulatory); further it is becoming more and more clear that hospitals are not closed systems but that there are connections...

Coronary heart disease (CHD) and the impact it has on society will to continue to increase, as the average age of the population rises. Advances in prevention and treatment have increased survival rates in patients with CHD. Continuing interventions for patients already diagnosed with CHD impacts on further coronary events they may experience and ultimately impacts on their mortality. Many patients...

Medtech

Evidence-based research demonstrates that overcrowding in emergency departments causes ambulance diversion, increased hospital lengths of stay, medical errors, increased patient mortality, financial losses to hospital and physician, and medical negligence claims. Many hospitals still do not anticipate and prepare for the next day’s volume and admission through the emergency department. And yet, contrary...

Country Focus: Italy

The Italian National Health Service (INHS) was established in 1978 to grant universal access to a uniform level of care throughout Italy, financed by general taxation.   The INHS provides universal coverage and free healthcare at point of delivery to all Italian and European Union citizens. In spite of this, there are considerable variations in coverage and service quality between the richer and...

The Italian healthcare system is changing. Like most other European countries, the system is suffering from a lack of resources. Italy is also experiencing the regionalisation of healthcare management, which in turn brings its own problems. Focus is shifting from inpatient towards primary care and cost rationalisation is fast becoming a new trend. This article will discuss these four main developments...

L 'A.N.M.D.O. is the National Association of Physicians and Hospital Management in Italy. The President is Dr. Gianfranco Finzi of the University Hospital St. Orsola-Malpighi in Bologna. The Association was formed in Turin on March 21 1946, when the Constitutive Act of the Association was signed by Prof. Foltz and Prof. Giorgetto Pino Negri.   The Association is divided into two sections: union and...

French

L’Hopital Et La Crise Le devenir des établissements de santé est une préoccupation forte de l’ensemble des citoyens européens qui transcende largement les differences des modèles d’organisation des soins existant au sein de l’Union. Pour autant, il est étonnant de constater que cette question a été presque totalement absente des récents débats qui ont précédé les élections au Parlement europ

Vers Une Cooperation Équilibree Des Acteurs Publics Et Prives L’Association européenne des directeurs d'hôpitaux « European Association of Hospital Managers (EAHM) » vous invite à assister à leur prochain séminaire qui se tiendra à Düsseldorf en Allemagne le 20 Novembre 2009.   La plupart des pays européens ont évolué vers un système hospitalier mixte. On distingu

Des Stratégies Pour Surmonter la Recession Par Richard L. Gundling La récession économique a été difficile pour les hôpitaux américains et européens à presque tous les niveaux mais un bon nombre de ses gestionnaires financiers ne s’avouent pasvaincus face à cette crise financière, reconnaissant que les mesures qu'ils prennent aujourd'hui pour réduire les coûts, maximiser leurs revenus et conserver...

German

Unsere Krankenhauser Und Die Krise Die Zukunft des Gesundheitswesens beschäftigt wohl alle Bürger in Europa. Dieses Problem geht über die Unterschiede zwischen den Organisationsmodellen der Gesundheitsfürsorge in ganz Europa hinaus. Für viele ist es sehr überraschend zu erkennen, dass diese Frage in den jüngsten Debatten, die den Wahlen zum Europäischen Parlament vorausgingen, fast zur

“Hin Zu Einer Ausgewogenen Kooperation Zwischen Öffentlichen Und Privaten Akteuren“ Die European Association of Hospital Managers (EAHM) lädt zur Teilnahme ihres aktuellsten Seminars, wel - ches am 20. November 2009 in Düsseldorf stattfindet.   Kontext und Sinn dieses Seminars In den meisten europäischen Ländern hat sich ein gemischtes System mit zwei oder drei Krankenhaustypen entwickelt: öffe...

Strategien, um die Rezession zu überstehen Von Richard L. Gundling Die wirtschaftliche Rezession hat die US-Amerikanischen und europäischen Krankenhäuser auf nahezu jeder Ebene gefordert – und doch bleiben viele Finanzdirektoren der Spitäler standfest, im Wissen, dass die Schritte, die sie heute zur Kostensenkung, Gewinnmaximierung und Erhaltung des Cashflows einleiten, ihre Krankenhäuser im Endeffekt...


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