Authors: Victor Rodwin, Charles Brecher (Editor), Dominique Jolly (Editor), Raymond J. Baxter
ISBN-13: 9780814774229, ISBN-10: 0814774229
Format: Hardcover
Publisher: New York University Press
Date Published: February 1992
Edition: (Non-applicable)
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.
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.
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 (booknews.com)
Acknowledgments | ||
Contributors | ||
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 |