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The Changing Role of the Hospital in European Health Systems
  • Edited by Martin McKee, London School of Hygiene and Tropical Medicine , Sherry Merkur, European Observatory on Health Systems and Policies , Nigel Edwards, The Nuffield Trust , Ellen Nolte, London School of Hygiene and Tropical Medicine
  • Assisted by Jonathan North, European Observatory on Health Systems and Policies
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Book description

Hospitals today face a huge number of challenges, including new patterns of disease, rapidly evolving medical technologies, ageing populations and continuing budget constraints. This book is written by clinicians for clinicians and hospital managers, and those who design and operate hospitals. It sets out why hospitals need to change as the patients they treat and the technology to treat them changes. In a series of chapters by leading authorities in their field, it challenges existing models, reviews best practice from many countries and presents clear policy recommendations for policymakers and hospital administrators. It covers the main patient groups and conditions as well as those departments that make modern effective care possible, in imaging and laboratory medicine. Each chapter looks at patient pathways, aspects of workforce, required levels of specialisation and technology, and the opportunities and challenges for optimising the delivery of services in the hospital of the future. This title is also available as Open Access on Cambridge Core.


The changing role of the hospital in European health systems gives an accurate picture of the changes taking place. Particularly well illustrated by key fields of transformation, it helps the reader clarify the complex landscape of hospital care.

Pascal Garel - Chief Executive, European Hospital and Healthcare Federation (hope)

Recent experience shows that advances in medical and information technology, far from making hospitals obsolete, increase our dependence on them and they are here to stay. While the conclusion of this  thoughtful volume is that it is impossible to know what the hospitals of the future will look like, the authors nonetheless highlight the main societal and technological influences that will shape them.  Those responsible for our future planning, if their crystal ball is hazy, could do no better than consult this lucid account of these key factors.

Sir Ian Gilmore - Director, Liverpool Centre for Alcohol Research

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