Public Hospital Systems
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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. Booknews 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)
AcknowledgmentsContributorsIIntroductionComparative Analysis and Mutual Learning3IIThe New York City and Paris Public Hospital Systems: An Overview1HHC and AP: System-Wide Comparisons112Louis Mourier and Coney Island Hospitals: A Comparative Analysis of Hospital Staffing and Performance29IIIThe New York City Health and Hospitals Corporation (HHC)3Historical Evolution of HHC594The HHC's Ambulatory Care Initiative845Private Faculty Practice Plans at HHC1216Internal Budgeting at HHC1377Quality Assurance at HHC149IVThe Paris Assistance Publique (AP)8The Turnaround: The Transformation of AP from a Charitable Institution to a Regional University Hospital System1639Planning for the Hospitals of AP in Paris18210The Committee on the Evaluation and Diffusion of Medical Technologies (CEDIT) at AP19811The Role of AP in Medical Education and Its Affiliation with The Paris Medical Schools214VPerspectives on the Future12Alternative Futures for HHC22113Alternative Futures for AP241
