Abstract
The health services are a system with many elements and a myriad of relationships. This point has sufficiently been stressed in the literature. Consumers, patients, physicians, institutions and regulators interact with each other and also with the society at large. Indeed one should avoid to look at the health services as a closed system. The recent public outcry about the health care cost explosion for instance is equally influenced by the abruptly limited growth figures in the other sectors of economic life as by the health care sector figures as such. The meager results of hospital planning efforts in many western countries are not the least due to the fact that the agencies involved did not sufficiently take into account the high status and attractive employment opportunities of a hospital within its local community.
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References
J. Blanpain, L. Delesie, H. Nys, “National Health Insurance and Health Resources”, Harvard University Press, Cambridge, 1978.
L. Delesie, R. Debackere, J. Deridder, J. Leenders en H. Spinnewyn, “Alternatieve financieringswijzen voor de werkingskosten van Ziekenhuizen”, Ruhamco, Leuven, 1980, 308 p.
Other objectives have been come across lately e.g. the Dutch budgetting experiments.
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See also A. Culyer, A. Maynard and A. Williams, “Alternative systems of health care provision: An essay on motes and beams, in M. Olson (ed.),New Approaches to the Economy of Medical Care”, American Enterprise Institute Washington, 1982, p. 131.
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J. Bunker, B. Barnes, F. Mosteller, “Costs, Risks and Benefits of Surgery”, New York University Press, 1977.
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© 1984 Plenum Press, New York
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Delesie, L. (1984). Financing and Health Services Systems. In: Pannenborg, C.O., van der Werff, A., Hirsch, G.B., Barnard, K. (eds) Reorienting Health Services. Nato Conference Series, vol 15. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2685-4_9
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DOI: https://doi.org/10.1007/978-1-4613-2685-4_9
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