By Bernd Rechel, Jonathan Erskine, Barrie Dowdeswell, Stephen Wright, Martin McKee
Capital funding in eu healthiness structures has to take account of an array of demanding situations and possibilities: the demographic and epidemiological transitions linked to an growing older inhabitants; advances in scientific applied sciences and prescription drugs; emerging public expectancies; and protracted health and wellbeing inequalities.
This quantity offers eleven case reports from throughout Europe and those supply various views on present concerns on the subject of future health capital funding and methods of attempting to meet current demanding situations in addition to these of the longer term. The case reviews contain the Orbis clinical Centre, Sittard, and the Martini health facility, Groningen (both within the Netherlands); the St Olav's sanatorium in Trondheim (Norway); the hot Karolinska Solna health center in Stockholm (Sweden); the Coxa sanatorium in Tampere (Finland); the Rhön Klinikum staff (Germany); the loo Paul II health facility in Krakow (Poland); the Alzira version within the Valencia sector (Spain); local making plans in Northern eire and Tuscany (Italy); and the personal Finance Initiative (England).
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Harvard Business Review, 78(5):102–112. Coxa Hospital (2008) [web site]. html, accessed 20 August 2008). Degeling P et al. (2003). Medicine, management, and modernisation: a “danse macabre”? British Medical Journal, 326:649–652. Kivisaari S, Saranummi N, Väyrynen E (2004). VTT Research Notes 2267. Knowledge-intensive service activities in health care innovation. Case Pirkanmaa. ESPOO 2004. pdf, accessed 7 March 2009). Lehto M, Jämsen E, Rissanen P (2005). Lonkan ja polven endoproteesikirurgia – varaosien avulla liikkujaksi [Hip and knee arthroplasty – mobile with the aid of spare parts].
Patients attend hospital for review two weeks before the operation and most are operated upon on the day of arrival. The average length of stay is three days. • A total of 90% of patients are transferred for rehabilitation to primary careled facilities and services. 1%, although it should be noted that this does not account for casemix, as specialist orthopaedic hospitals in other countries also have much lower rates than general hospitals that admit unselected emergency cases. • Coxa gives its patients a type of 10-year guarantee; if a revision operation is needed during this time, the patient (or the municipality) receives it at a 50% reduction in price.
Coxa Hospital, Tampere, Finland 39 References Christensen CM, Bohmer R, Kenagy J (2000). Will disruptive innovations cure health care? Harvard Business Review, 78(5):102–112. Coxa Hospital (2008) [web site]. html, accessed 20 August 2008). Degeling P et al. (2003). Medicine, management, and modernisation: a “danse macabre”? British Medical Journal, 326:649–652. Kivisaari S, Saranummi N, Väyrynen E (2004). VTT Research Notes 2267. Knowledge-intensive service activities in health care innovation.