1 Introduction: Why this book? - Antonio Duran, Stephen Wright, Paolo Belli, Tata Chanturidze, Patrick P. T. Jeurissen and Richard B. Saltman.- 2 Hospital Governance - Antonio Duran and Richard B. Saltman.- 3 Models of care and hospitals - Antonio Duran and Stephen Wright.- 4 Business models and hospitals - Stephen Wright and Antonio Duran.- 5 Hospital care: Private assets for-a-profit? - Patrick P. T. Jeurissen and Hans Maarse.- 6 Hospital Payment Systems - Paolo Belli and Patrick P. T. Jeurissen.- 7 Hospitals in different environments: a messy reality - Tata Chanturidze and Richard B. Saltman.- 8 Why is reform of hospitals so difficult? - Richard B. Saltman and Tata Chanturidze.- 9 Decision Analysis - Stephen Wright and Antonio Duran.- 10 Conclusions - Antonio Duran, Stephen Wright, Paolo Belli, Tata Chanturidze, Patrick P. T. Jeurissen and Richard B. Saltman.

“This timely book provides insight into the changing role of the ‘hospital’ in the face of technological, organizational innovation and ever-tightening health budgets.”James Barlow, Imperial College Business School, UK“The book covers aspects of hospitals in different states and contexts. Underlining the importance of business models, it presents models of care from historic and current perspectives. All authors possess deep insight into health care systems, as scholars and experts working for world-renowned health policy institutions like the World Health Organization, World Bank or European Observatory.”Siegfried Walch, Management Center Innsbruck, Austria“For an organisation like mine, representing those involved in the strategic planning of healthcare infrastructure, this book provides invaluable insights into what really matters – now and for the future – in the complex and contentious field of hospitaldevelopment.”Jonathan Erskine, European Health Property Network, NetherlandsThis book seeks to reframe current policy discussions on hospitals. Healthcare services turn expensive economic resources - people, capital, energy, materials - into care. Hospitals concentrate the use and cost of this. But paradoxically other areas of health, such as public health and primary care, attract more attention and affection, at least within the health policy community. Hospitals choose, or are assigned, to deliver certain parts of care packages. They are organised to do this via business models. These necessarily incorporate care models – the processes that patients follow. The activity needs to be governed, in the widest senses. Rational decisions need to be taken about care and resources used. This book pulls these elements together, to stimulate a debate.Antonio Durán is Alldmh Consultancy director, senior consultant for WHO, WB, EU and DfID, and Technical Adviser for the European Observatory on Health Systems. A frequent lecturer and speaker, he has recently published peer-reviewed articles, and edited a book on governing public hospitals.Stephen Wright is a freelance consultant in health policies, macroeconomics, social investment, and health finance and investment, for EU Member States, European Commission, EIB, WB and WHO. He has co-edited a number of books, and publishes and presents frequently.

Argues that the health policy community has for decades opposed the roles of primary care and population health against those of hospitals, blinding us about how to govern and resource our health sectors properly Suggests that gathering together expensive people and pieces of equipment in hospitals enables a delivery of care now and in the future which complements yet goes beyond what simpler settings can offer Develops a vision of hospitals, opening the potential to take more sensible decisions on what they should do, how big they should be and how much they should cost