The Future Hospital in Global Health Systems: The Future Hospital as an Entity.

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2025-01-02 DOI:10.1002/hpm.3893

Sebire Nj, Adams A, Arpiainen L, Celi L, Charlesworth A, Gorgens M, Gorsky M, Magrabi F, Nagasawa Y, C Onoka, M McKee

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Abstract

Health care is changing rapidly. Hospitals are, and will remain, an essential setting to deliver it. We discuss how to maximise the benefits of hospitals in the future in different geographic and health system settings, highlighting a series of cross-cutting issues. We do this by exploring the evolving roles of hospitals and the main factors that we must consider as they adapt. These include changing population and disease profiles, the impact of evolving technology, and new concepts in hospital design and planning. Our focus is on delivering high-quality, patient-centred care while ensuring equitable access, even if strategic decisions require compromise across these functions. The COVID-19 pandemic has shown the importance of hospitals in societies while also revealing the limitations of current structures and the potential of technology to transform hospital services within the broader healthcare system. The aim of this multidisciplinary perspective is to provide an overview of pertinent issues whilst highlighting the challenges and opportunities in optimising future hospital planning, construction, design, and development in high-income (HIC) and low -and medium-income country (LMIC) settings.

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全球卫生系统中的未来医院：作为实体的未来医院。

医疗保健正在迅速变化。医院现在是，将来也将继续是提供这种服务的必要场所。我们讨论了未来在不同的地理和卫生系统环境下如何最大限度地发挥医院的效益，突出了一系列交叉问题。为此，我们探讨了医院不断变化的角色，以及医院在适应变化过程中必须考虑的主要因素。这些挑战包括不断变化的人口和疾病概况、不断发展的技术的影响以及医院设计和规划中的新概念。我们的重点是提供以患者为中心的高质量护理，同时确保公平获取，即使战略决策需要在这些职能之间做出妥协。2019冠状病毒病大流行显示了医院在社会中的重要性，同时也揭示了当前结构的局限性以及技术在更广泛的医疗保健系统内改变医院服务的潜力。这种多学科视角的目的是提供相关问题的概述，同时强调在高收入（HIC）和中低收入国家（LMIC）环境中优化未来医院规划、建设、设计和发展的挑战和机遇。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.