Articles producció científica> Infermeria

Historical roots of hospital centrism in Catalonia (1917-1980)

  • Datos identificativos

    Identificador: imarina:9162055
    Handle: http://hdl.handle.net/20.500.11797/imarina9162055
  • Autores:

    Josep Barceló i Prats
    Deborah Bekele
  • Otros:

    Autor según el artículo: Josep Barceló i Prats; Deborah Bekele
    Departamento: Infermeria
    Autor/es de la URV: Barceló Prats, Josep / Bekele, Deborah
    Palabras clave: Hospital centrism History Historia hospitals Health reform Catalonia
    Resumen: The aim of this article is to analyse the roots of the Catalonia health reform, whose first projects on reform have been documented since 1917. This historical process set-up, in Catalonia, a hospital-centric model involving three sets of regenerating and mutually reinforcing institutions: financial resources were being disproportionally distributed to hospitals, high-quality medical professionals were largely concentrated in hospitals and large outpatient departments were incorporated in hospitals, which functioned as a first point of care for many patients. Based on these premises, the intention is to contribute to the understanding of the initiatives that, during much of the 20th century, took place in Catalonia with the aim of bringing access to hospital services to the population. These same organising principles also had decisive influence on hospital planning in the rest of Spain. As such, we develop an historical approach to public policies that have been shaping the current imbalance between hospitals and primary care providers in Catalonia by combining two methodologies. On the one hand, an overview of the existing literature on this topic. On the other, an accumulation of case studies –which does not claim to be exhaustive– the result of this very research and that of other specialists in the object of study. As Catalonia still has a hospital-centric health system seeded throughout the 20th century, these findings can inform the framing of contemporary options for primary care strengthening. Without addressing these deep regenerating causes using a whole-system approach, Catalonia is unlikely to achieve a primary care orientation for health system development.
    Áreas temáticas: Strategy and management Management of technology and innovation Interdisciplinary research in the humanities Economia Development Ciencias sociales Ciencias humanas Business and management Business and international management
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    Direcció de correo del autor: josep.barcelo@urv.cat josep.barcelo@urv.cat deborah.bekele@estudiants.urv.cat
    Identificador del autor: 0000-0002-8818-0872 0000-0002-8818-0872
    Fecha de alta del registro: 2023-06-09
    Volumen de revista: 6
    Versión del articulo depositado: info:eu-repo/semantics/publishedVersion
    Enlace a la fuente original: https://revistes.ub.edu/index.php/JESB/article/view/j086
    URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Journal Of Evolutionary Studies In Business. 6 (1): 156-181
    Referencia de l'ítem segons les normes APA: Josep Barceló i Prats; Deborah Bekele (2021). Historical roots of hospital centrism in Catalonia (1917-1980). Journal Of Evolutionary Studies In Business, 6(1), 156-181. DOI: 10.1344/jesb2021.1.j086
    DOI del artículo: 10.1344/jesb2021.1.j086
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2021
    Tipo de publicación: Journal Publications
  • Palabras clave:

    Business and International Management,Development,Management of Technology and Innovation,Strategy and Management
    Hospital centrism
    History
    Historia hospitals
    Health reform
    Catalonia
    Strategy and management
    Management of technology and innovation
    Interdisciplinary research in the humanities
    Economia
    Development
    Ciencias sociales
    Ciencias humanas
    Business and management
    Business and international management
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