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Theroleofthehospitalinachangingenvironment

The role of the hospital in a changing environmentMartin McKee1& Judith Healy2 Hospitals pose many challenges to those undertaking reform of health care systems. This paper examines the evolvingrole of the hospital within the health care system in industrialized countries and explores the evidence on which policy-makers might base their decisions. It begins by tracing the evolving concept of the hospital, concluding that hospitalsmust continue to evolve in response to factors such as changing health care needs and emerging technologies. The sizeand distribution of hospitals are matters for ongoing debate. This paper concludes that evidence in favour ofconcentrating hospital facilities, whether as a means of enhancing effectiveness or efficiency, is less robust than isoften assumed.

Theroleofthehospitalinachangingenvironment Martin McKee1 & Judith Healy2 Hospitals pose many challenges to those undertaking reform of …

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