Future challenges for hospitals and health care: an international perspective on the NHS 50th anniversary.
This essay reviews research and poses questions for thought or discussion about the changing character of health care services and the impact of ageing, welfare, rising demand and related trends. It then asks what it would take to make the present medical service into a real health service and to empower patients and citizens. A third section worries about recruitment, retention and the morale of health care staff, and a final section considers the options for funding health care in the next 25 years.
Light
D W
DW
University of Medicine & Dentistry of New Jersey, USA. light@mail.med.upenn.edu
D000846:Anniversaries and Special Events; D018672:Community Health Planning / Q000458:organization & administration; D004465:Economic Competition; D005102:Health Expenditures / Q000639:trends; D006292:Health Priorities; D006301:Health Services Needs and Demand / Q000639:trends; D049673:History, 20th Century; D006801:Humans; D010560:Personnel Selection / Q000639:trends; D011050:Policy Making; D011320:Primary Health Care / Q000639:trends; D011332:Privatization; D013222:State Medicine / Q000191:economics / Q000266:history* / Q000458:organization & administration*; D006113:United Kingdom