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Krankenh User Im Spannungsfeld Zwischen Versorgungsauftrag Krankenhausplanung Und Wettbewerb

Author: Jens-Uwe Fldner
Publisher: Diplomica Verlag
ISBN: 3842886993
Size: 25.56 MB
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Ausgangspunkt der Diskussion um den Versorgungsauftrag eines Krankenhauses ist regelm„áig die bedarfsgerechte Versorgung der Bev”lkerung mit station„ren Krankenhausleistungen. šbertragen auf den gesamten Krankenhaussektor bedeutet dies, dass idealerweise jeder Brger bis zum Erreichen des n„chsten Krankenhauses die gleiche Zeit aufwenden msste. Vor dem Hintergrund des sich verst„rkenden Wettbewerbs und steigenden Kostendrucks scheint das Versorgungsziel einer r„umlichen Erreichbarkeit an Bedeutung zu verlieren. An dieser Stelle wird das vorhandene Kollisionspotenzial zwischen staatlicher Regulierung und wettbewerbsorientierter Leistungserbringung deutlich aufgezeigt. Somit ist die korrekte Interpretation des Versorgungsauftrags unter den Pr„missen der staatlichen Gew„hrleistungsverantwortung aber auch des medizinischen Fortschritts von essentieller Bedeutung und sollte bei der strategischen Positionierung im Gesundheitsmarkt unbedingt die notwendige Beachtung finden. Ziel der Darstellungen soll es also sein, die Problemfelder zwischen bestehenden Rechtsvorschriften, unklarer ordnungspolitischer Vorgaben und der gewnschten und geforderten Flexibilit„t bei der Leistungserbringung abzubilden, aber auch gleichzeitig die M”glichkeiten und Chancen fr die Krankenh„user aufzuzeigen, welche sich aus der ver„nderten Rechtslage ergeben.

Public Accountability And Health Care Governance

Author: Paola Mattei
Publisher: Springer
ISBN: 1137472995
Size: 48.87 MB
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This book deals with the critical empirical void created by the speed at which healthcare restructuring has taken place in Europe. Chapters explore the political uncertainty and budgetary pressures which have led governments increasingly to turn to New Public Management (NPM)-style reforms to attempt to balance the financial viability of public health structures, with democratic imperatives to maintain socially just outcomes. The authors of this volume consider how governments have therefore shifted identities from principal care providers to contractual monitors, setting targets increasingly directed toward third-party managers in quasi-markets and the private sector. Drawing upon extensive data from Germany, Norway, the Netherlands, and Israel, the contributions explore the often unexpected policy outputs and outcomes engendered by such reforms.

Germany

Author: Andrea Schulte-Peevers
Publisher: Lonely Planet
ISBN: 1740599888
Size: 55.62 MB
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Five expert authors, 143 days of research, 140 maps. Tailored itineraries and tips from locals help you discover Germany's surprises. Content updated daily: visit lonelyplanet.com

The Associational Economy

Author: Philip Cooke
Publisher: Oxford University Press
ISBN: 0198296592
Size: 40.45 MB
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The Associational Economy focuses on the ways firms are rediscovering the importance of regions in their quest to improve competitiveness through innovation. Evidence from firm and governance practices in four European regions supports more general arguments of the emergence of an `associational' economy based on partnership, networking, and collective learning.

Primary Health Care Concepts And Challenges In A Changing World

Author: E. Tarimo
Publisher: Stationery Office/Tso
ISBN:
Size: 59.88 MB
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Since the concept of primary health care (HPC) was defined and given international recognition at the Alma Ata conference in 1978, primary health care has become the main focus for the promotion of world health. Sixteen years after this historic turning point, the experience of many countries in implementing primary health care has brought further development of the concept and raised new questions and challenges. Several calls for clarifcation of the principles of primary health care have been made to ensure their validity for the 1990s. This publication explores these issues.

War State And Society In W Rttemberg 1677 1793

Author: Peter H. Wilson
Publisher: Cambridge University Press
ISBN: 9780521483315
Size: 74.63 MB
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This book examines the role of war and the development of the smaller German territories in the seventeenth and eighteenth centuries through the example of the duchy of WÜrttemberg. It reappraises traditional interpretations of German history that emphasize the role of Prussia and play down the significance of the smaller states. This is also the first comprehensive investigation of the relationship between developments within such territories and the structure of the Holy Roman Empire of which they formed a part. It reveals the Empire as a flawed but functioning political system and sheds new light on the reasons for its collapse in 1806.

The Thirty Years War

Author: Peter Hamish Wilson
Publisher: Harvard University Press
ISBN: 9780674036345
Size: 16.37 MB
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A deadly continental struggle, the Thirty Years War devastated seventeenth-century Europe, killing nearly a quarter of all Germans and laying waste to towns and countryside alike. In a major reassessment, Wilson argues that religion was not the catalyst,but one element in a lethal stew of political, social, and dynastic forces that fed the conflict--a conflict that ultimately transformed the map of the modern world.