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Zoran Ćirić, Stojan Ivanišević, JKP Informatika Novi Sad, Bulevar cara Lazara 3, Novi Sad, Serbia
No abstract is available for this record.
Mark A. Engelhardt
IntroductionHealth is the foundation of an engaged and happy life, and modern humans have been the fortunate beneficiaries of great advances in medical technology (Collins, 2015). With each new technology, more clues become available to decipher the problems that plague our well-being. The advent of individualized information from cheaper genome sequencing, the Internet of
Marc Pilkington
No abstract is available for this record.
Gloria Molina M, M. Hernandez, César A. Carrioni
The issue of hospital autonomy has aroused considerable international interest since the mid-1990’s, especially with regard to its linkage to governmental decentralization processes and reform of the health field. Non-profit hospitals have increasingly been obliged to become more autonomous as they compete for funding with private institutions. Objective: to understand how autonomy expresses itself through key management processes in non-profit and for-profit hospitals both in Medellín, the second largest city of Colombia, and its metropolitan area. Different institutional factors—political, administrative and economic—influencing autonomy are examined. Methods: a grounded theory method was used, consisting of semi-structured interviews with managers in six hospitals. Results: findings suggest that autonomy is perceived more as an ideal to aspire to, which would enable the hospital management to make free decisions, providing services in a manner that ensures financial sustainability. In practical terms, however, the degree of administrative and financial autonomy is circumscribed by both internal organizational factors associated with hospitals characteristics and external factors associated with institutional environment.
Annette Søberg Roed, Hanne Sjuneson
The Danish health care system The Danish health care system is characterized by free and equal access to health care services. This principle has the same high priority regardless of the party in office. Free and equal access to health care services and universal coverage go hand in hand with a strong determination to control costs. Within the last fifteen years, the freedom to select the hospital of one's choice has also become a very important part of the health care system. The health care system in Denmark is mainly publicly financed through taxes, and is decentralized, with three administrative levels: state, county and municipality. The state's task in health care provision is, first and foremost, to initiate, coordinate, advise, and legislate. The counties are responsible for providing health care services within the limits set by the state. The municipalities are responsible for district nursing, public health care, school health care, and child dental treatment. The provision of health care services by municipalities and counties is negotiated every year in the national budget negotiation. The budget negotiation takes place between the government on the one hand, and the Danish regions (counties) and Local Government Denmark (LGDK) on the other. Agreements are typically in the form of recommendations for local and country tax rates and agreements on injecting capital into specific health care areas or projects, such as cancer treatment or waiting times. Introduction of activity-based financing has also been agreed on in budget negotiations.
Vladimir Milanović, Vuk Stambolović
No abstract is available for this record.