Is bigger better ? Concentration in the provision of secondary care.
NHS managers have been subject in recent years to considerable pressure to increase concentration and trust mergers.
This pressure has been justified by a belief that larger hospitals lead to lower average costs and better clinical outcomes.
Evidence form research does not support any general presumtion that larger hospitals benefit from economies of scale or that service concentration leads to improved outcomes for patients.
Service planners would do well to give more prominence to the importance of ensuring that hospital services are local and easily accessible.
Mots-clés Pascal : Hôpital, Economie santé, Organisation, Royaume Uni, Europe, Analyse avantage coût, Homme, National health service
Mots-clés Pascal anglais : Hospital, Health economy, Organization, United Kingdom, Europe, Cost benefit analysis, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0514558
Code Inist : 002B30A05. Création : 18/05/2000.