RESUMO
The objective of this article is to compare the development of hospital systems in USA with multi-hospitals or other hospital association formulas that currently exist in Catalonia. Our purpose is to check if the theory, that has influenced the development of these hospital systems in US is consistent with the hospital systems in Catalonia, specifically in the cases of: Consorci Hospitalari de Catalunya, Unió Catalana d'Hospitals, future Consorci d'Hospitals de Barcelona, among others. In addition we analyze the consequences that would appear if the Public Hospital Network of Catalonia (xarxa hospitalaria d'utilització pública: XHUP) (1) is considered as a hospital system; that is, considering this Hospital Network as a hospital system in coexistence with other preexistent hospitals, could take advantage in the financial management as well as in the introduction in the market simulation systems to stimulate the efficiency in the provision of public hospitals.
Assuntos
Sistemas Multi-Institucionais/organização & administração , Humanos , Sistemas Multi-Institucionais/economia , Sistemas Multi-Institucionais/provisão & distribuição , Espanha , Estados UnidosAssuntos
Sistemas Multi-Institucionais/provisão & distribuição , Serviços Contratados/estatística & dados numéricos , Coleta de Dados , Tomada de Decisões , Instituições Associadas de Saúde/estatística & dados numéricos , Hospitais com Fins Lucrativos/organização & administração , Hospitais Filantrópicos/organização & administração , Modelos Estatísticos , Afiliação Institucional , Estados UnidosRESUMO
The development of competitive markets for health services as a cost containment strategy and the attendant shift to the provision of services through large-scale organizations are having a profound effect on academic health sciences centers. At the University of Minnesota, where this transition is firmly in place, the teaching programs based at the University of Minnesota Hospital and Clinic are threatened as health maintenance organizations and similar provider systems restrict referrals to these institutions and limit lengths of stay. Moreover, large-scale provider organizations are becoming more influential in determining the content of the training programs. The University of Minnesota Health Sciences Center is attempting to improve its competitive position in health care delivery and reshape its teaching programs to reflect this new environment through strategic planning.
