Edited by Healthcare Management Kieran Walshe and Judith Smith H Second Edition e “This is an outstanding book that provides the concepts and tools necessary to enable a healthcare managers and policy makers to build better health care systems. The book l maintains the strengths of the first edition … and adds new chapters and updated content t throughout to make the book more international and comprehensive in its coverage of h topics.” Tom Rundall,Professor of Organised Health Systems, c University of California at Berkeley, USA a “This book covers the main areas of knowledge which managers need, and gives tools for r e thinking and empirical examples relevant to current challenges. Evidence based management might not always be possible, but this book gives a way for a manager to M become research-informed and therefore more effective.” Professor John Øvretveit,Director of Research, The Karolinska Institute, Sweden a n This popular book is amongst the most comprehensive textbooks on healthcare management available. Written with healthcare managers, professionals and students in mind, it provides a an accessible guide to healthcare systems, services, organisations and management. Key areas g Healthcare covered include: ● Allocating resources for healthcare: setting and managing priorities e ● Health technologies, research and innovation m ● Internationalisation of health systems and policies Management ● Healthcare services: structure and delivery e ● Chronic disease and integrated care ● Healthcare leadership and networks: incentives, governance and performance n The new edition features an updated structure to support teaching and learning and thirteen new t chapters which draw upon a wealth of experience from leading international experts in the field. This includes references to practical policy and case study materials, chapter summaries W focusing on key points, self-assessment learning exercises, further reading and links to useful a l web-based resources. s h e Kieran Walsheis Professor of Health Policy and Management at Manchester Business School, a Director of the National Institute for Health Research Service Delivery and Organisation Research n Programme and a Board Member of the European Health Management Association. d S Judith Smithis Head of Policy at the Nuffield Trust in London, and holds Visiting Senior m Academic posts at the University of Birmingham, London School of Hygiene and Tropical i t Medicine, and Victoria University of Wellington, New Zealand. h Second Cover design Hybert Design (cid:129)www.hybertdesign.com Edition www.openup.co.uk Second Edition P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome Healthcare Management P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome Healthcare Second Edition Management Edited by Kieran Walshe and Judith Smith Open University Press P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome OpenUniversityPress McGraw-HillEducation McGraw-HillHouse ShoppenhangersRoad Maidenhead Berkshire England SL62QL email:[email protected] worldwideweb:www.openup.co.uk andTwoPennPlaza,NewYork,NY10121-2289,USA OpenUniversityPress2011 Copyright(cid:2)c KieranWalsheandJudithSmith Allrightsreserved.Exceptforthequotationofshortpassagesforthepurposesofcriticismand review,nopartofthispublicationmaybereproduced,storedinaretrievalsystem,or transmitted,inanyformorbyanymeans,electronic,mechanical,photocopying,recordingor otherwise,withoutthepriorwrittenpermissionofthepublisheroralicencefromthe CopyrightLicensingAgencyLimited.Detailsofsuchlicences(forreprographicreproduction) maybeobtainedfromtheCopyrightLicensingAgencyLtdofSaffronHouse,6–10KirbyStreet, London,EC1N8TS. AcataloguerecordofthisbookisavailablefromtheBritishLibrary ISBN10:0-33-52438-19(pb) ISBN13:978-0-33-52438-15(pb) eISBN:978-0-33-52438-22 LibraryofCongressCataloging-in-PublicationData CIPdatahasbeenappliedfor TypesetbyAptaraInc.,India PrintedintheUKbyBell&BainLtd,Glasgow Fictitousnamesofcompanies,products,people,charactersand/ordatathatmaybeused herein(incasestudiesorinexamples)arenotintendedtorepresentanyrealindividual, company,productorevent. P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome Thisbookisdedicatedtoourchildren–fromKierantoSiobhan,Ruth,Michael andDanielandfromJudithtoRichardandKathryn. P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome Contents Figures xi Tables xiii Boxes xv Contributors xvii Preface xxiii 1 Introduction:thecurrentandfuturechallengesofhealthcare management 1 JudithSmithandKieranWalshe Part 1 Health systems 2 Thepoliticsofhealthcareandthehealthpolicyprocess:implicationsfor healthcaremanagement 13 JenniferDixon 3 Financinghealthcare:fundingsystemsandhealthcarecosts 37 SuzanneRobinson 4 Allocatingresourcesforhealthcare:settingandmanagingpriorities 65 IestynWilliams 5 Research,innovationandhealthtechnologyassessment 80 JamesRaftery 6 Healthandwell-being:thewidercontextforhealthcaremanagement 96 AnnMahon 7 Globalhealthpolicy:governinghealthsystemsacrossborders 120 ScottL.Greer Part 2 Healthcare services 8 Healthcareservices:strategy,directionanddelivery 145 MirellaCacaceandEllenNolte vii P1:OTA/XYZ P2:ABC MHBK041-fm MHBK041-Walshe&Smith August4,2011 9:20 PrinterName:YettoCome viii Contents 9 Primaryhealthcare 169 JudithSmith 10 Chronicdiseaseandintegratedcare 188 VidhyaAlakesonandRebeccaRosen 11 Acutecare:electiveandemergency,secondaryandtertiary 214 AnthonyHarrison 12 Mentalhealth 235 AndrewMcCullochandMattMuijen 13 Socialcare 257 HelenDickinsonandJonGlasby Part 3 Healthcare organizations 14 Purchasinghealthcare 275 JudithSmithandJulietWoodin 15 Buildings,facilitiesandequipment 298 BarrieDowdeswellandSteveWright 16 Informaticsforhealthcaresystems 321 IainBuchan 17 Thehealthcareworkforce 337 PaulaHydeandAnneMcBride 18 Userperspectivesandinvolvement 354 ShirleyMcIver Part 4 Healthcare management and leadership 19 Leadershipandgovernance 377 NaomiChambers 20 Personalandorganizationaldevelopmentinhealthcare 401 ElaineClark 21 Managingchange 427 JeffreyBraithwaiteandRussellMannion