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The Journal of the Royal Society for the Promotion of Health, Vol. 127, No. 2, 78-86 (2007)
DOI: 10.1177/1466424007075457

Where is the pilot? The changing shapes of governance in the European hospital sector

Kristof Eeckloo

Katholieke Universiteit Leuven, Belgium

Luc Delesie

Katholieke Universiteit Leuven, Belgium, luc.delesie{at}med.kuleuven.be

Arthur Vleugels

Katholieke Universiteit Leuven, Belgium, arthur.vleugels{at}med.kuleuven.be

Hospital governance refers to the complex of checks and balances that determine how decisions are made within the top structures of hospitals. This article explores the essentials of the concept by analysing the root notion of governance and comparing it with applications in other sectors. Recent developments that put pressure on the decision-making system within hospitals are outlined. Examples from the UK, France and the Netherlands are presented.

Based on an evaluation of the current state of affairs, a research framework is developed, focusing on the determinants of governance configurations within the national healthcare systems and the wider legal and socio-economic context, as well as on the impact of governance configurations on the efficiency of the governing bodies and overall hospital performance.

The article concludes with a preview of the European Hospital Governance Project, which follows the outlines of the described research framework. New techniques of data mining that are used in this project are explained by means of a real data example.

Key Words: Data mining • Europe • health services research • hospital governance


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