Hospital care - functions, organization, financing. Assessment of hospital performance. Current state and trends in hospital care in developed countries and in Bulgaria.
Hospital health care is an essential part of health care service.
Definition:
According to Miller a hospital is “an institution which provides beds, meals, and constant nursing care for its patients while they undergo medical therapy at the hands of professional physicians. In caring out these services, the hospital is striving to restore its patients to health.”
Basic hospital activities:
- diagnostics and treatment of diseases when the purpose of the treatment cannot be achieved inthe conditions of non stationary care
- natal care
- rehabilitation
- diagnostics and consultations requested by a doctor, or a dental doctor or by other medical establishments;
- transplantation of organs, tissues and cells;
- medical cosmetic services;
- clinical tests of medicines and medical equipment according to the legislation acting in the country;
- educational and scientific activity
Financing of the Hospital Sources of financing of a hospital can be:
- Public health insurance funds
- Republican and municipal budgets
- Private health insurance funds
- Local & foreign corporate bodies & individuals
Types of hospitals:
- According to the function hospitals for:
- 1. active treatment
- 2. long term treatment
- 3. rehabilitation
- According to the specialization:
- 1. multi.profile hospitals
- 2. specialised hospitals
- According to the profit:
- 1. non-profit hospitals
- 2. private for-profit hospitals
Structure:
- clinics or departments with/without beds
- medical diagnostic and medical technical laboratories
- hospital pharmacy
- consulting rooms
- units for administrative economic and servicing activities
Financing:
- public health insurance funds
- republican and municipal budgets
- private health insurance funds
- local and foreign corporate bodies and individuals