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Integration and Cooperation in Public Hospitals

Rehn, Eric LU (2010)
Abstract
Hospital care is a joint production involving a wide range of services; ranging from medical services to support services to hotel services. This paper, focusing on the cooperation between these services, models the internal organization of public hospitals. The analysis is based on the property rights approach to organization (aka the Grossman-Hart-Moore model) and adopts it to the realities of public hospitals. Some institutional features from the Swedish hospital sector are presented to support the analysis, but the results are general. It is found that support services should be integrated into the medical specialities and that hotel services should be outsourced by the hospital. Moreover, it is found that cooperating medical... (More)
Hospital care is a joint production involving a wide range of services; ranging from medical services to support services to hotel services. This paper, focusing on the cooperation between these services, models the internal organization of public hospitals. The analysis is based on the property rights approach to organization (aka the Grossman-Hart-Moore model) and adopts it to the realities of public hospitals. Some institutional features from the Swedish hospital sector are presented to support the analysis, but the results are general. It is found that support services should be integrated into the medical specialities and that hotel services should be outsourced by the hospital. Moreover, it is found that cooperating medical specialities should be integrated, giving support to the use of multi-skilled teams suggested by the advocates of lean health care. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Working Paper
publication status
submitted
subject
keywords
Public Hospitals, Integration, Joint Production, Property Rights Approach, Lean Health Care, Bargaining
language
English
LU publication?
yes
id
d4579535-5c4e-4e7a-a075-dc8fb239020a (old id 1627224)
alternative location
http://swopec.hhs.se/lunewp/abs/lunewp2010_006.htm
date added to LUP
2010-07-26 10:34:43
date last changed
2016-04-16 11:32:35
@misc{d4579535-5c4e-4e7a-a075-dc8fb239020a,
  abstract     = {Hospital care is a joint production involving a wide range of services; ranging from medical services to support services to hotel services. This paper, focusing on the cooperation between these services, models the internal organization of public hospitals. The analysis is based on the property rights approach to organization (aka the Grossman-Hart-Moore model) and adopts it to the realities of public hospitals. Some institutional features from the Swedish hospital sector are presented to support the analysis, but the results are general. It is found that support services should be integrated into the medical specialities and that hotel services should be outsourced by the hospital. Moreover, it is found that cooperating medical specialities should be integrated, giving support to the use of multi-skilled teams suggested by the advocates of lean health care.},
  author       = {Rehn, Eric},
  keyword      = {Public Hospitals,Integration,Joint Production,Property Rights Approach,Lean Health Care,Bargaining},
  language     = {eng},
  title        = {Integration and Cooperation in Public Hospitals},
  year         = {2010},
}