Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization

The organizational reform of public hospitals is part of the health policy agenda worldwide as a reaction to inefficient and low quality performance in public institutions. A central theme of these reforms is the possibility of improving performanc...

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Main Authors:	Réthelyi, János M., Miskovits, Eszter, Szócska, Miklós K.
Format:	Working Paper
Language:	English en_US
Published:	World Bank, Washington, DC 2013
Subjects:	ACCOUNTABILITY ACCOUNTING ADAPTATION AUDITS BIDDING CAPITAL COSTS COMMUNITIES CORRUPTION DECENTRALIZATION DELIVERY SYSTEMS DEPRECIATION DOCTORS EMPLOYMENT ENGINEERS EQUIPMENT FEASIBILITY FINANCIAL MANAGEMENT HEALTH CARE HEALTH FOR ALL HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITALS INDUCED DEMAND INHABITANTS MANAGERS MARKETING MEDICINE MIGRATION NURSES NURSING NUTRITION PATIENTS PERFORMANCE CRITERIA PHARMACEUTICALS PHYSICIANS PRIMARY CARE PROCUREMENT PROFESSIONS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING QUALITATIVE DATA SERVICE DELIVERY TELECOMMUNICATIONS UNIVERSITIES HEALTH SYSTEMS DEVELOPMENT & REFORM HEALTH CARE SYSTEMS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE ORGANIZATIONS
Online Access:	http://documents.worldbank.org/curated/en/2002/12/3887919/organizational-reform-hungarian-hospital-sector-institutional-analysis-hungarian-hospitals-possibilities-corporatization http://hdl.handle.net/10986/13678

id	okr-10986-13678
recordtype	oai_dc
spelling	okr-10986-136782021-04-23T14:03:09Z Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization Réthelyi, János M. Miskovits, Eszter Szócska, Miklós K. ACCOUNTABILITY ACCOUNTING ADAPTATION AUDITS BIDDING CAPITAL COSTS COMMUNITIES CORRUPTION DECENTRALIZATION DELIVERY SYSTEMS DEPRECIATION DOCTORS EMPLOYMENT ENGINEERS EQUIPMENT FEASIBILITY FINANCIAL MANAGEMENT HEALTH CARE HEALTH FOR ALL HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITALS INDUCED DEMAND INHABITANTS MANAGERS MARKETING MEDICINE MIGRATION NURSES NURSING NUTRITION PATIENTS PERFORMANCE CRITERIA PHARMACEUTICALS PHYSICIANS PRIMARY CARE PROCUREMENT PROFESSIONS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING QUALITATIVE DATA SERVICE DELIVERY TELECOMMUNICATIONS UNIVERSITIES HEALTH SYSTEMS DEVELOPMENT & REFORM PUBLIC HOSPITALS HEALTH CARE SYSTEMS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE ORGANIZATIONS The organizational reform of public hospitals is part of the health policy agenda worldwide as a reaction to inefficient and low quality performance in public institutions. A central theme of these reforms is the possibility of improving performance in public settings under semiautonomous circumstances. Central and East European countries face the problem of an oversized and hospital-based health care system inherited historically from the former centralized totalitarian political system. The authors analyze the Hungarian Hospital sector in terms of recent changes and the effect of these on organizational modalities shown earlier to play a crucial role in the performance of public hospitals. Organizational theory and the "organizational modality - incentive regime" model is used to describe incongruence and general incoherence in the everyday functioning of Hungarian hospitals. Finally the possibilities and long-term effects of corporatization and marketing changes are examined according to recent political and legislative changes and a corresponding case study. 2013-05-30T14:43:45Z 2013-05-30T14:43:45Z 2002-12 http://documents.worldbank.org/curated/en/2002/12/3887919/organizational-reform-hungarian-hospital-sector-institutional-analysis-hungarian-hospitals-possibilities-corporatization http://hdl.handle.net/10986/13678 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research Europe and Central Asia Hungary
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English en_US
topic	ACCOUNTABILITY ACCOUNTING ADAPTATION AUDITS BIDDING CAPITAL COSTS COMMUNITIES CORRUPTION DECENTRALIZATION DELIVERY SYSTEMS DEPRECIATION DOCTORS EMPLOYMENT ENGINEERS EQUIPMENT FEASIBILITY FINANCIAL MANAGEMENT HEALTH CARE HEALTH FOR ALL HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITALS INDUCED DEMAND INHABITANTS MANAGERS MARKETING MEDICINE MIGRATION NURSES NURSING NUTRITION PATIENTS PERFORMANCE CRITERIA PHARMACEUTICALS PHYSICIANS PRIMARY CARE PROCUREMENT PROFESSIONS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING QUALITATIVE DATA SERVICE DELIVERY TELECOMMUNICATIONS UNIVERSITIES HEALTH SYSTEMS DEVELOPMENT & REFORM PUBLIC HOSPITALS HEALTH CARE SYSTEMS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE ORGANIZATIONS
spellingShingle	ACCOUNTABILITY ACCOUNTING ADAPTATION AUDITS BIDDING CAPITAL COSTS COMMUNITIES CORRUPTION DECENTRALIZATION DELIVERY SYSTEMS DEPRECIATION DOCTORS EMPLOYMENT ENGINEERS EQUIPMENT FEASIBILITY FINANCIAL MANAGEMENT HEALTH CARE HEALTH FOR ALL HEALTH INSTITUTIONS HEALTH INSURANCE HEALTH OUTCOMES HEALTH POLICY HEALTH REFORM HEALTH SECTOR HEALTH SERVICES HEALTH STATUS HEALTH SYSTEM HEALTH SYSTEMS HOSPITAL BEDS HOSPITAL MANAGEMENT HOSPITALS INDUCED DEMAND INHABITANTS MANAGERS MARKETING MEDICINE MIGRATION NURSES NURSING NUTRITION PATIENTS PERFORMANCE CRITERIA PHARMACEUTICALS PHYSICIANS PRIMARY CARE PROCUREMENT PROFESSIONS PUBLIC HEALTH PUBLIC HOSPITALS PUBLIC SECTOR PURCHASING QUALITATIVE DATA SERVICE DELIVERY TELECOMMUNICATIONS UNIVERSITIES HEALTH SYSTEMS DEVELOPMENT & REFORM PUBLIC HOSPITALS HEALTH CARE SYSTEMS HEALTH CARE FINANCE HEALTH CARE FINANCING HEALTH CARE ORGANIZATIONS Réthelyi, János M. Miskovits, Eszter Szócska, Miklós K. Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization
geographic_facet	Europe and Central Asia Hungary
relation	HNP discussion paper series;
description	The organizational reform of public hospitals is part of the health policy agenda worldwide as a reaction to inefficient and low quality performance in public institutions. A central theme of these reforms is the possibility of improving performance in public settings under semiautonomous circumstances. Central and East European countries face the problem of an oversized and hospital-based health care system inherited historically from the former centralized totalitarian political system. The authors analyze the Hungarian Hospital sector in terms of recent changes and the effect of these on organizational modalities shown earlier to play a crucial role in the performance of public hospitals. Organizational theory and the "organizational modality - incentive regime" model is used to describe incongruence and general incoherence in the everyday functioning of Hungarian hospitals. Finally the possibilities and long-term effects of corporatization and marketing changes are examined according to recent political and legislative changes and a corresponding case study.
format	Publications & Research :: Working Paper
author	Réthelyi, János M. Miskovits, Eszter Szócska, Miklós K.
author_facet	Réthelyi, János M. Miskovits, Eszter Szócska, Miklós K.
author_sort	Réthelyi, János M.
title	Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization
title_short	Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization
title_full	Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization
title_fullStr	Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization
title_full_unstemmed	Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization
title_sort	organizational reform in the hungarian hospital sector : institutional analysis of hungarian hospitals and the possibilities of corporatization
publisher	World Bank, Washington, DC
publishDate	2013
url	http://documents.worldbank.org/curated/en/2002/12/3887919/organizational-reform-hungarian-hospital-sector-institutional-analysis-hungarian-hospitals-possibilities-corporatization http://hdl.handle.net/10986/13678
_version_	1764424312353193984

Organizational Reform in the Hungarian Hospital Sector : Institutional Analysis of Hungarian Hospitals and the Possibilities of Corporatization

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