Remodelling hospitals and health professions in Europe : medicine, nursing, and the state / Mike Dent.

Format:

Book

Author/Creator:

Dent, Mike, 1944-

Language:

English

Subjects (All):

Medical care--Europe.

Medical care.

Social medicine.

Nursing.

Europe.

Nursing--Europe.

Social medicine--Europe.

Physical Description:

xvi, 208 pages : illustrations ; 23 cm

Place of Publication:

Basingstoke, Hampshire ; New York : Palgrave Macmillan, 2003.

Summary:

Remodelling Hospitals and Health Professions in Europe brings together a comparative study of health care organization medicine and nursing in a timely and challenging way. First, it provides an overview of health care systems across Europe and an explanation for their differences. Second. it questions the relationships between medicine, nursing and the state and how this systematically varies across Europe in a way that to a large extent correlates to underlying political, social and cultural differences. These differences include civic culture, clientelism and gender, and the author systematically explores the relationship between state organization and professionalism contrasting medicine and nursing across Europe the analysis is based on a synthesis of the sociology of the professions, organizational analysis and health policy and explains why neo-liberalism and new public management has had an impact across Europe, but in ways that emphasize divergence over convergence.

Contents:

1 Reorganising Hospital Medicine and Nursing in Europe 1

The changing policy context 1

The organisation of the book and selection of countries 6

A note on the methods of inquiry 7

2 European Hospitals, Medicine, Nursing and Management 9

Welfare state regimes and health care systems 9

The medical and nursing professions 12

European hospitals, organisations and New Public Management 31

3 The Netherlands and Sweden: Quality Control 43

The health systems, hospitals and the reforms in Netherlands and Sweden 45

Professional organisation of medicine and clinical governance 55

Hospital nursing, professional aspirations and management 66

4 The United Kingdom and France: Etatiste Traditions 76

Hospitals and health systems: UK and France 78

Hospital doctors, the medical profession and governmentality 85

Quality assurance and clinical governance 92

Hospital nurses: extended roles and professional boundaries 98

Conclusions: the UK and French state and nursing 109

5 Germany and Italy: Federalism and Regionalism 111

Health care reforms, hospital doctors and organisational change in Germany and Italy 112

Nurse work and professional organisation 132

Germany and Italy: comparisons and conclusions 140

6 Poland and Greece: Transition or Embeddedness? 143

Healthcare reforms and hospital doctors 146

Nursing: gender, familialism and clientelism 165

7 Conclusions: Figuring Out the State of Professionalisation within European Health Care 170

Patients, nurses and doctors in Europe 172.

Notes:

Includes bibliographical references (pages 185-200) and indexes.

ISBN:

0333760670

OCLC:

51984824