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Capital Investment for Health: Case Studies from Europe

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Capital Investment for Health: Case Studies from Europe European on Health Systems and Policies CAPITAL INVESTMENT FOR HEALTH Case studies from Europe Bernd Rechel Jonathan Erskine Barrie Dowdeswell Stephen Wright Martin McKee Observatory Studies Series No 18 Capital investment for health Th e European Observatory on Health Systems and Policies supports and promotes evidence- based health policy-making through comprehensive and rigorous analysis of health systems in Europe. It brings together a wide range of policy-makers, academics and practitioners to analyse trends in health reform, drawing on experience from across Europe to illuminate policy issues. Th e European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Offi ce for Europe, the Governments of Belgium, Finland, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the World Bank, the London School of Economics and Political Science and the London School of Hygiene & Tropical Medicine. Capital investment for health Case studies from Europe Bernd Rechel, Jonathan Erskine, Barrie Dowdeswell, Stephen Wright, Martin McKee Keywords: HEALTH INFRASTRUCTURE – economics INVESTMENTS HEALTH ECONOMICS HEALTH FACILITIES PLANNING EUROPE © World Health Organization 2009, on behalf of the European Observatory on Health Systems and Policies All rights reserved. Th e European Observatory on Health Systems and Policies welcomes requests for permission to reproduce or translate its publications, in part or in full. Address requests about publications to: Publications, WHO Regional Offi ce for Europe, Scherfi gsvej 8, DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Offi ce web site (http://www.euro.who.int/pubrequest). Th e designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the European Observatory on Health Systems and Policies concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. Th e mention of specifi c companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the European Observatory on Health Systems and Policies in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by the European Observatory on Health Systems and Policies to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. Th e responsibility for the interpretation and use of the material lies with the reader. In no event shall the European Observatory on Health Systems and Policies be liable for damages arising from its use. Th e views expressed by authors, editors, or expert groups do not necessarily represent the decisions or the stated policy of the European Observatory on Health Systems and Policies. ISBN 978 92 890 4178 2 Printed in the United Kingdom Contents About the authors vii Foreword xi Acknowledgements xiii List of abbreviations xv List of tables, fi gures and boxes xvii Chapter 1 Introduction 1 Barrie Dowdeswell, Bernd Rechel, Stephen Wright, Jonathan Erskine, Martin McKee Chapter 2 The Alzira model: Hospital de la Ribera, Valencia, Spain 11 Carlos Trescoli Serrano, Manuel Marin Ferrer, Alberto de Rosa Torner Chapter 3 Coxa Hospital, Tampere, Finland 27 Barrie Dowdeswell, Erkki Vauramo Chapter 4 The John Paul II Hospital in Krakow, Poland, and the use of 41 European Union grant funds Mieczysław Pasowicz, Agnieszka Latocha-Chaber, Marcin Kautsch, Karolina Durajczyk, Zyta Turek Chapter 5 The New Karolinska Solna Hospital, Stockholm, Sweden 57 Barrie Dowdeswell, Birgitta Thellman Beck, Erik Gjötterberg Chapter 6 Martini Teaching Hospital, Groningen, Netherlands 75 Jack GAM Thiadens, Rutger J Kriek, Gerrit H Afi nk, Arnold CM Burger, Nico J Oosterom Chapter 7 Strategic planning of health facilities in Northern Ireland 89 John Cole vi Capital investment for health Chapter 8 Orbis Medical Park, Sittard, Netherlands 111 Henny van Laarhoven, Jonathan Erskine Chapter 9 The Private Finance Initiative in the English health sector 123 Anneloes Blanken, Geert Dewulf, Mirjam Bult-Spiering Chapter 10 Rhön-Klinikum Group, Germany 143 Barrie Dowdeswell Chapter 11 St Olav’s Hospital, Trondheim, Norway 159 Arve-Olav Solumsmo, Ragnhild Aslaksen Chapter 12 Strategic asset planning: An integrated regional health care 173 system, Tuscany, Italy Jonathan Erskine, Mario Romeri, Simona Agger, Dario Rosini Index 186 About the authors Gerrit H Afi nk is Managing Director at AT Osborne. Simona Agger is coordinator of European projects at the Italian Ministry of Labour, Health and Social Policies and Board member of the European Health Property Network (EuHPN). Ragnhild Aslaksen is Chief Architect in Helsebygg Midt-Norge and a Lecturer at the Faculty of Architecture at the Technical University in Trondheim. Anneloes Blanken is a PhD candidate at the Department of Construction Management & Engineering, University of Twente, Netherlands. Mirjam Bult-Spiering is Assistant Professor at the Department of Construction Management & Engineering, University of Twente, Netherlands. Arnold CM Burger is Architect at Burger Grunstra Architects. John Cole is Chief Executive of Health Estates in Northern Ireland. Geert Dewulf is Professor of Planning and Development at University of Twente, Netherlands. Barrie Dowdeswell is Director of Research at the European Centre for Health Assets and Architecture. Karolina Durajczyk has been working at the John Paul II Hospital in Krakow. Jonathan Erskine is Researcher at the Centre for Integrated Health Care Research, School for Medicine and Health, Durham University, and Executive Director of the European Health Property Network (EuHPN). Erik Gjötterberg is Administrative Director at the New Karolinska Solna University Hospital in Stockholm, Sweden. Marcin Kautsch is Lecturer and Researcher at the Institute of Public Health, Jagiellonian University Medical College, Krakow. Rutger J Kriek is Project Manager of Constructions at AT Osborne. viii Capital investment for health Agnieszka Latocha-Chaber coordinated the activities of the John Paul II Hospital relating to EU-funded projects between 2003 and 2008. Manuel Marin Ferrer has been Chief Executive of Health Department 11 in Valencia region since 2007. Martin McKee is Professor of European Public Health at the London School of Hygiene & Tropical Medicine, United Kingdom, and Research Director at the European Observatory on Health Systems and Policies. Nico J Oosterom is Director of Facilities at Martini Teaching Hospital, Groningen. Mieczysław Pasowicz is Director of the John Paul II Hospital in Krakow, Board Member of the International Health Forum Gastein, Board Member of the European Association of Hospital Managers, and President of the Polish Association of Hospital Directors. Bernd Rechel is Researcher at the European Observatory on Health Systems and Policies and Honorary Lecturer at the London School of Hygiene & Tropical Medicine, United Kingdom. Mario Romeri is Head of Staff at the General Directorate of Florence University Hospital (AOU Careggi) and Secretary of the National Board for Regional Health Policies Coordination and Aff airs. Dario Rosini is Head of the Managerial Control Offi ce of Florence University Hospital (AOU Careggi) and Professor of Business Organization Studies at Florence University. Arve-Olav Solumsmo has been in charge of information and public relations at the Mid-Norway Hospital Project since 2003. Birgitta Th ellman Beck is CEO of Stockholm Care AB. Jack GAM Th iadens was CEO at the Martini Teaching Hospital, Groningen, from 1998–2008. At the time of publication he is consultant/interim manager and associate partner of health care at Berenschot Group, Utrecht. Alberto de Rosa Torner was Chief Executive of Health Department 11 in Valencia region in 1999–2007. Carlos Trescoli Serrano was Medical Director at the Hospital de la Ribera, Valencia, in 2001–2007. Zyta Turek has been working at the John Paul II Hospital in Krakow. Henny van Laarhoven is Managing Director of Orbis Medical Park. About the authors ix Erkki Vauramo is Professor at the Institute of Healthcare Engineering, Management and Architecture (HEMA) at Helsinki University of Technology. Stephen Wright is Executive Director of the European Centre for Health Assets and Architecture. Foreword Th e European Observatory on Health Systems and Policies supports and promotes evidence-based health policy-making through comprehensive and rigorous analysis. Its collaborator in this two-part study (the European Health Property Network) is a network of government agencies dedicated to understanding and advising on the role of the estate in health care. My own organization – the Dutch Centre for Health Assets (part of TNO, the Dutch national research and development agency) – is a partner within the European Centre for Health Assets and Architecture, which has taken on the research functions of the European Health Property Network and shares responsibility for bringing this study to a conclusion. When decision-makers
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