Tài liệu Remodelling Hospitals and Health Professions in Europe Medicine, Nursing and the State - Mike Dent

Remodelling Hospitals and Health Professions in Europe
Medicine, Nursing and the State
Mike Dent



Contents
List of Figures and Box vii
Glossary of Foreign Terms, Abbreviations and Acronyms viii
Acknowledgements xv
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
Concluding remarks 8
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
Conclusions 41
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
Conclusions 75
4 The United Kingdom and France: Étatiste
Traditions 76
Hospitals and health systems: UK and France 78
Hospital doctors, the medical profession and governmentality 85
Quality assurance and clinical governance 92
v
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
Conclusions 169
7 Conclusions: Figuring Out the State of
Professionalisation within European Health Care 170
Patients, nurses and doctors in Europe 172
Final comments 178
Notes 180
Bibliography 185
Subject Index 201
Author Index 207