This book offers a business history of modern hospitals in the 20th century. Presenting case studies from around the world, it examines the long-term institutional and historical evolution of hospital organization and management models, applying a business history approach to do so. Drawing on reports from international organizations and other historical data, it explores the evolution, path dependencies, actors and institutions that have shaped the diversity of hospital organization and management models. At the same time, it analyzes the historical origins of major problems faced by today’s hospitals, such as cost-inefficiencies, lack of specialized human capital, etc. The contributing authors cover topics such as the history of hospital finance and accounting, hospital price regulation, entrepreneurship models, hospital privatization, and hospital governance. The book will appeal to scholars and students of economic and business history, and to anyone interested in the history of hospitals.

No One Was Turned Away is a book about the importance of public hospitals to New York City. At a time when less and less value seems to be placed on public institutions, argues author Sandra Opdycke, it is both useful and prudent to consider what this particular set of public institutions has meant to this particular city over the last hundred years, and to ponder what its loss might mean as well. Opdycke suggests that if these public hospitals close or convert to private management--as is currently being discussed--then a vital element of the civic life of New York City will be irretrievably lost. The story is told primarily through the history of Bellevue Hospital, the largest public hospital in the city and the oldest in the nation. Following Bellevue through the twentieth century, Opdycke meticulously charts the fluctuating fortunes of the city's public hospital system. Readers will learn how medical technology, urban politics, changing immigration patterns, economic booms and busts, labor unions, health insurance, Medicaid, and managed care have interacted to shape both the social and professional environments of New York's public hospitals. Having entered the twentieth century with high hopes for a grand expansion, Bellevue now faces financial and political pressures so acute that its very future is in doubt. In order to give context to the Bellevue experience, Opdycke also tracks the history of a private facility over the same century: New York Hospital. By noting the points at which the paths of these two mighty institutions have overlapped--as well as the ways in which they have diverged--this book clearly and persuasively highlights the significance of public hospitals to the city. No One Was Turned Away shows that private facilities like New York Hospital have generally provided superb care for their patients, but that in every era they have also excluded certain groups. This exclusion has occurred for various reasons, such as patients' diagnoses, their social characteristics, behavior, or financial status--or simply because of a lack of unoccupied beds. Fortunately, however, year in and year out, Bellevue and its fellow public facilities have acted as the city's medical safety net. Opdycke's book maintains that public hospitals will be as essential in the future as they have been in the past. This is a thoughtful and well-written study that will appeal to anyone interested in the history of medicine, public policy, urban affairs, or the City of New York.

The Emergence of Modern Hospital Management and Organisation in the World 1880s-1930s analyzes core themes from a business history perspective to reach a new understanding about the history of modern large scale healthcare institutions, from the United States to China, with particular attention to Spain.

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Doyle examines the role of local and national politics on hospitals. Ultimately, Doyle argues that social and economic diversity created a number of models for future health care which rested on a combination of voluntary and municipal provision.