Edited by Healthcare Management D o w Kieran Walshe and Judith Smith n lo a H de Second Edition d b y e [ Fa c u “This is an outstanding book that provides the concepts and tools necessary to enable a lty o healthcare managers and policy makers to build better health care systems. The book f N u maintains the strengths of the first edition … and adds new chapters and updated content lt rsin g throughout to make the book more international and comprehensive in its coverage of h , C h ia topics.” Tom Rundall,Professor of Organised Health Systems, c ng m University of California at Berkeley, USA a a i U n iv e “This book covers the main areas of knowledge which managers need, and gives tools for r rsity e 5 thinking and empirical examples relevant to current challenges. Evidence based .6 2 management might not always be possible, but this book gives a way for a manager to .15 M 8.1 become research-informed and therefore more effective.” 17 ] a Professor John Øvretveit,Director of Research, The Karolinska Institute, Sweden a t [07 /1 8 /1 n 6 This popular book is amongst the most comprehensive textbooks on healthcare management ]. C o available. Written with healthcare managers, professionals and students in mind, it provides a py rig an accessible guide to healthcare systems, services, organisations and management. Key areas h g Healthcare t © covered include: M ● Allocating resources for healthcare: setting and managing priorities e cGra w ● Health technologies, research and innovation m -H ● Internationalisation of health systems and policies ill G ● Healthcare services: structure and delivery Management lob ● Chronic disease and integrated care e al Ed u ● Healthcare leadership and networks: incentives, governance and performance n catio n The new edition features an updated structure to support teaching and learning and thirteen new t Ho ld chapters which draw upon a wealth of experience from leading international experts in the field. ing This includes references to practical policy and case study materials, chapter summaries W s, LL C focusing on key points, self-assessment learning exercises, further reading and links to useful a . N web-based resources. ls ot to h be e red KDiireercatno rW oaf ltshhe eNiast iPornoafel Isnssotrit uotfe H feoar ltHhe Paoltlhic Ry easneda rMcha nSaegrevmicee nDte alitv Merayn acnhde sOtregra Bnuissaintieosns R Secsheoaorlc,h an istribute Programme and a Board Member of the European Health Management Association. d d o S r m o Judith Smithis Head of Policy at the Nuffield Trust in London, and holds Visiting Senior d m ifie Academic posts at the University of Birmingham, London School of Hygiene and Tropical d Medicine, and Victoria University of Wellington, New Zealand. ith in any w a y w ith o u Second t p e rm Cover design Hybert Design (cid:129)www.hybertdesign.com Edition issio www.openup.co.uk Second Edition n. P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia Healthcare ng m a i U n iv e Management rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h Healthcare ia n g m a i U n Second Edition iv e Management rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g Edited by Kieran Walshe and Judith Smith s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w Open University Press itho u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b OpenUniversityPress y [ F McGraw-HillEducation ac u McGraw-HillHouse lty o ShoppenhangersRoad f N MBearikdsehnirheead ursing England , Ch ia SL62QL ng m a i U email:[email protected] n iv worldwideweb:www.openup.co.uk ersity 5 andTwoPennPlaza,NewYork,NY10121-2289,USA .6 2 .1 5 8 OpenUniversityPress2011 .1 1 7 ] a Copyright(cid:2)c KieranWalsheandJudithSmith t [0 7 /1 8 Allrightsreserved.Exceptforthequotationofshortpassagesforthepurposesofcriticismand /16 review,nopartofthispublicationmaybereproduced,storedinaretrievalsystem,or ]. C o p transmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recordingor y rig otherwise,withoutthepriorwrittenpermissionofthepublisheroralicencefromthe h t © CopyrightLicensingAgencyLimited.Detailsofsuchlicences(forreprographicreproduction) M maybeobtainedfromtheCopyrightLicensingAgencyLtdofSaffronHouse,6–10KirbyStreet, cG London,EC1N8TS. raw -H AcataloguerecordofthisbookisavailablefromtheBritishLibrary ill G lo b a ISBN10:0-33-52438-19(pb) l Ed u ISBN13:978-0-33-52438-15(pb) ca eISBN:978-0-33-52438-22 tion H o ld LibraryofCongressCataloging-in-PublicationData in g CIPdatahasbeenappliedfor s, L L C TypesetbyAptaraInc.,India . No PrintedintheUKbyBell&BainLtd,Glasgow t to b e re Fhiecrteitionu(sinncaamseessotufdcioemsoprainnieesx,apmropdleusc)tsa,repenooptlien,tcehnadreadctteorsreapnrde/soerndtaatnaythreaatlminadyivbieduuasle,d distrib u company,productorevent. ted o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b y [ F a c u lty o f N u rsin g Thisbookisdedicatedtoourchildren–fromKierantoSiobhan,Ruth,Michael , C h andDanielandfromJudithtoRichardandKathryn. ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b y [ F a c u lty o f N u rsin g , C h ia n g m a i U n iv e rsity 5 .6 2 .1 5 8 .1 1 7 ] a t [0 7 /1 8 /1 6 ]. C o p y rig h t © M c G ra w -H ill G lo b a l E d u c a tio n H o ld in g s, L L C . N o t to b e re d istrib u te d o r m o d ifie d in a n y w a y w ith o u t p e rm issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome D o w n lo a d e d b Contents y [ F a c u lty o f N u rsin g Figures xi , Ch Tables xiii ian g Boxes xv ma Contributors xvii i U n Preface xxiii ive rsity 5 1 Introduction:thecurrentandfuturechallengesofhealthcare .6 2 management 1 .15 8 JudithSmithandKieranWalshe .11 7 ] a t [0 7 Part 1 Health systems /18 /1 6 ]. C 2 Thepoliticsofhealthcareandthehealthpolicyprocess:implicationsfor op y healthcaremanagement 13 rig h JenniferDixon t © M c G 3 Financinghealthcare:fundingsystemsandhealthcarecosts 37 raw SuzanneRobinson -Hill G lo 4 Allocatingresourcesforhealthcare:settingandmanagingpriorities 65 bal E IestynWilliams d u c a tio n 5 Research,innovationandhealthtechnologyassessment 80 H o JamesRaftery ld in g s, L 6 Healthandwell-being:thewidercontextforhealthcaremanagement 96 LC AnnMahon . N o t to b 7 Globalhealthpolicy:governinghealthsystemsacrossborders 120 e re ScottL.Greer distrib u te d o Part 2 Healthcare services r m o d ifie 8 Healthcareservices:strategy,directionanddelivery 145 d in MirellaCacaceandEllenNolte an y w a y w ith o u t p e rm vii issio n . P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome viii Contents D o w n lo a d e d b 9 Primaryhealthcare 169 y [ F JudithSmith a c u lty o 10 Chronicdiseaseandintegratedcare 188 f N u VidhyaAlakesonandRebeccaRosen rsin g , C 11 Acutecare:electiveandemergency,secondaryandtertiary 214 hia n AnthonyHarrison gm a i U n 12 Mentalhealth 235 iv e AndrewMcCullochandMattMuijen rsity 5 .6 2 13 Socialcare 257 .15 8 HelenDickinsonandJonGlasby .1 1 7 ] a t [0 7 Part 3 Healthcare organizations /18 /1 6 ]. C 14 Purchasinghealthcare 275 op y JudithSmithandJulietWoodin rig h t © M 15 Buildings,facilitiesandequipment 298 c G BarrieDowdeswellandSteveWright ra w -H 16 Informaticsforhealthcaresystems 321 ill G lo IainBuchan ba l E d u c 17 Thehealthcareworkforce 337 atio PaulaHydeandAnneMcBride n H o ld in 18 Userperspectivesandinvolvement 354 gs, L ShirleyMcIver L C . N o t to Part 4 Healthcare management and leadership be re d 19 Leadershipandgovernance 377 istrib u NaomiChambers ted o r m o 20 Personalandorganizationaldevelopmentinhealthcare 401 difie ElaineClark d in a n y 21 Managingchange 427 w a y JeffreyBraithwaiteandRussellMannion w ith o u t p e rm issio n .