Public Hospital Systems

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1992 Hardcover 814774229. Brand New; BRAND NEW.

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With sixteen hospitals and almost 10,500 beds, the New York City Health and Hospitals Corporation(HHC) is the largest municipal hospital system in the United States. With forty-seven hospitals and almost thirty-three thousand beds, the Paris Hospital Corporation, Assistance Publique-Hopitaux de Paris(AP), is three times as large, the biggest municipal hospital system in France.

This book compares these two vast systems. It analyzes staffing, outpatient and inpatient care, the desirability of private faculty practice plans, budgeting, quality assurance, and the role of medical education in these two very different systems. In addition, it reviews how both HHC and AP plan to adapt their systems over the next decade and beyond. Aging populations, the development and diffusion of new medical technologies, and the growth of hospitals and physicians throughout the 1960s and 1970s have led to massive increases in health care costs in both the United States and in France. Both New York City and Paris have suffered the shock of the AIDS epidemic. Detailed, informed, and authoritative, this book will stand for years as the standard comparative study of two large municipal hospital systems.

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Editorial Reviews

Scholars of public health and services compare the largest municipal hospital systems in the US and in France. (Paris' system is three times the size of New York's.) Analyzes such aspects as staffing, inpatient and outpatient care, education, funding, the impact of AIDS, and plans for the next decades. No index; slim bibliographies. Annotation c. Book News, Inc., Portland, OR (
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Product Details

  • ISBN-13: 9780814774229
  • Publisher: New York University Press
  • Publication date: 2/1/1992
  • Pages: 288
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.00 (d)

Meet the Author

Victor G. Rodwin is Director, Advanced Management Program for Clinicians(AMPC); and Associate Professor, Robert F. Wagner Graduate School of Public Service, New York University.

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Table of Contents

I Introduction
Comparative Analysis and Mutual Learning 3
II The New York City and Paris Public Hospital Systems: An Overview
1 HHC and AP: System-Wide Comparisons 11
2 Louis Mourier and Coney Island Hospitals: A Comparative Analysis of Hospital Staffing and Performance 29
III The New York City Health and Hospitals Corporation (HHC)
3 Historical Evolution of HHC 59
4 The HHC's Ambulatory Care Initiative 84
5 Private Faculty Practice Plans at HHC 121
6 Internal Budgeting at HHC 137
7 Quality Assurance at HHC 149
IV The Paris Assistance Publique (AP)
8 The Turnaround: The Transformation of AP from a Charitable Institution to a Regional University Hospital System 163
9 Planning for the Hospitals of AP in Paris 182
10 The Committee on the Evaluation and Diffusion of Medical Technologies (CEDIT) at AP 198
11 The Role of AP in Medical Education and Its Affiliation with The Paris Medical Schools 214
V Perspectives on the Future
12 Alternative Futures for HHC 221
13 Alternative Futures for AP 241
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