Hospital sectors around the world are facing tremendous changes in demography, new technology, innovation in clinical practice and the regulatory environment, making the management of hospitals extraordinarily complex. These pressures are leading to hospital re-organizations, which fall in two broad categories:
The first concerns integrations between organisations including vertical and horizontal integration leading to: integrated delivery systems, multi-hospital networks based on alliances or other informal agreements of cooperation, multi-hospital groups based on mutually desired mergers or on hostile takeovers, multi-site hospitals based on consolidations institutionally enforced by health authorities.
The second category of interventions relates to the development of new design for the internal organization of the hospital, along principles of “patiend-centred” care, valued-based healthcare and clinical service lines built around multiprofessional and multuspecialty teams.
How do managers in different countries cope with these challenges? What problems faced by hospital managers world-wide? Which changes and innovative solutions are adopted? Which ones have proved successful? What developments can fit with the specific context of UAE?