title: European trends and challenges.
abstract: In 1996 HOPE produced a discussion paper on the future role of hospitals, not so much in order to defend hospitals against widespread negative images in the cost calculation reforms, sometimes replacing the former hospital centrism by an even exaggerated hospitalocynism. The HOPE paper stimulates hospitals to consider trends in society, in healthcare and medicine and in patient expectations and it concludes by inviting them to transform the "bed-centred hospital into a health centre as part of a wider healthcare network". In doing this, hospitals are confronted with major paradoxes in the turbulent "changes" and so-called changes healthcare and hospital policy are going through all over Europe. I just summarise some three of them: change vs being changed? cost vs investment? compete vs co-operate?
authors.forename: Kris
authors.initials: K
authors.lastname: Schutyser
mesh_terms: D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000639:trends; D004465:Economic Competition; D005060:Europe; D006779:Hospitals, Public / Q000458:organization & administration / Q000639:trends*; D006801:Humans; D009936:Organizational Innovation; D012380:Role; D012922:Social Change