title: [The future of hospitals and the hospitals in the future].
abstract: By the end of the 20th century the vertically organized hospitals formed into a closed hierarchical system, in which the healthcare supply significantly fragmented. The existing hospitals in the current organization are not prepared for the increase in longevity, nor for the high growth in the number of chronic and long-term illnesses and the multi-morbidity since they were not designed for extended carry treatments. The fast incorporation of high-tech and very expensive technologies into healthcare generates an economic crisis. Solving the supply and economic crisis at the same time cannot be achieved without changing the structure of hospitals. Future hospitals will be organized in a network, conducting special treatments according to disease profiles. According to present knowledge, this is the only structure that allows for economies in scale, the proper spending of the ever-shrinking resources, and to ensure the effective patient care required after the changing of disorder structures and patient corporate identities. Orv. Hetil., 2016, 157(28), 1099-1104.
authors.affiliation: Service d'Orthopédie et Traumatologie, Centre Hospitalier Universitaire - Brugmann, Université Libre de Bruxelles Place Van Gehuchten 4, 1020 Bruxelles, Belgique.|Department of Orthopedic Surgery and Traumatology, Odense University Hospital and Institute of Clinical Research, University of Southern Denmark Odense, Denmark.|Académie Nationale de Médecine Paris, France.
authors.forename: S Tamás
authors.initials: ST
authors.lastname: Illés
mesh_terms: D000208:Acute Disease; D000554:Ambulatory Care Facilities; D002908:Chronic Disease; D003695:Delivery of Health Care / Q000191:economics / Q000458:organization & administration* / Q000639:trends*; D005060:Europe; D006295:Health Resources / Q000600:supply & distribution; D049671:History, 18th Century; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006699:Home Care Services; D006739:Hospital Administration / Q000639:trends; D006761:Hospitals / Q000266:history / Q000639:trends*; D006801:Humans; D020407:Internet; D008490:Medical Informatics; D009735:Nursing Homes; D011320:Primary Health Care
keywords: economic crisis; gazdasági válság; hospitals; kórházak; structural change; struktúraváltás