Developing a Comprehensive Model for Forthcoming Reforms of University Hospitals

Pētersone, Māra; Ketners, Kārlis; Krieviņš, Dainis; Kreicberga, Ilze; Eriņš, Ingars

doi:10.15544/mts.2019.17

Cited by 4 publications

(1 citation statement)

References 20 publications

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“…Latvian AMC governance is defined in Latvian law, which provides for a two-tier structure of a management/executive board and supervisory board [83,84]. The university hospital's executive board is the primary governing body within the university hospital that falls under the supervisory board.…”

Section: Plos Onementioning

confidence: 99%

Inventory and analysis of literature on the organisation of eight European academic medical centres—A scoping review

Cardinaal

Duighuisen²,

Jeurissen³

et al. 2023

PLoS ONE

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Academic Medical Centres (AMCs) are important organisations for shaping healthcare. The purpose of this scoping review is to understand the scope and type of evidence related to the organisation of European AMCs. We selected the study population intending to obtain a demographic cross-section of European countries: Czech Republic, Germany, Latvia, the Netherlands, Poland, Spain, Sweden and the UK. We focused our search strategy on the relationship between medical schools and AMCs, the organisation of governing bodies, and legal ownership. We searched the bibliographic databases of PubMed and Web of Science (most recent search date 17-06-2022). To enrich the search result, we used Google search engines to conduct targeted searches for relevant websites. Our search strategy yielded 4,672 records for consideration. After screening and reviewing full-text papers, 108 sources were included. Our scoping review provided insight into the scope and type of evidence related to the organisation of European AMCs. Limited literature is available on the organisation of these AMCs. Information from national-level websites complemented the literature and provided a more complete picture of the organisation of European AMCs. We found some meta-level similarities regarding the relationship between universities and AMCs, the role of the dean and the public ownership of the medical school and the AMC. In addition, we found several reasons why a particular organisational and ownership structure was chosen. There is no uniform model for AMC organisations (apart from some meta-level similarities). Based on this study, we cannot explain the diversity in these models. Therefore, further research is needed to explain these variations. For example, by generating a set of hypotheses through in-depth case studies that also focus on the context of AMCs. These hypotheses can then be tested in a larger number of countries.

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Section: Plos Onementioning

confidence: 99%

Inventory and analysis of literature on the organisation of eight European academic medical centres—A scoping review

Cardinaal

Duighuisen²,

Jeurissen³

et al. 2023

PLoS ONE

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Real estate announcements monitoring dataset for Latvia 2018

et al. 2020

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Strategic Purchasing and Health System Efficiency: Prospects for Health Sector Reform in Latvia

Pētersone

Ketners

Krieviņš

et al. 2020

Wseas Transactions on Business and Economics

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Strategic purchasing is a significant part of any health policy and health financing reform, which theoretically may have an impact on optimization of cost-effective provision of health care services while simultaneously maximizing population health. The payment model has a direct impact on the delivery of health services. In Latvia, adoption of new purchasing procedures and criteria is one of the challenges that should be faced. The goal of this article is to identify the key determinants of the Latvian university ‘tertiary’ hospital behavior and, based on the international experience, propose a strategic purchasing model. In the paper, the authors use comparative analysis, empirical analysis, statistical data processing including the deductive and synthesis methods. The main proposals for future reforms and policy include decisions on selective contracting and the role of public and private service providers in the Latvian health care, with redefined access criteria based on population needs rather than historical supply, which aim at ensuring more equal access of providers. To ensure that university, quality service hospitals, are transparently rewarded with the capacity to provide appropriate research and education, re-invest in infrastructure and to reduce negative impact of fund allocation policy on treatment compliance, access and equity. Lessons for health policy reforms include a patient-purchaser interaction model with defined rights for patients and responsibilities for purchasers, a specific financing model to facilitate access to knowledge and provider decision autonomy. Analysis of strategic purchasing in several European counties demonstrates that the countries adopt various approaches thereto. However, there are certain clearly identifiable common tendencies. Various approaches to strategic purchasing used across Europe indicate that reforms should be mainly focused on strengthening purchase ability to respond to consumer needs and establish more Cost-efficient contract with provider

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Developing a Comprehensive Model for Forthcoming Reforms of University Hospitals

Cited by 4 publications

References 20 publications

Inventory and analysis of literature on the organisation of eight European academic medical centres—A scoping review

Inventory and analysis of literature on the organisation of eight European academic medical centres—A scoping review

Real estate announcements monitoring dataset for Latvia 2018

Strategic Purchasing and Health System Efficiency: Prospects for Health Sector Reform in Latvia

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