How to evaluate the capacity of hospital systems in a very long term international comparative perspective? Hospital beds per inhabitant in Catalonia 1900s-2010s

著者

  • Paloma Fernández Pérez Universitat de Barcelona

DOI:

https://doi.org/10.1344/jesb2021.1.j087

キーワード:

Hospital Beds per Capita, Well Being, Healthcare, Catalonia, Hospitals

要旨

This article proposes that the number of hospital beds available in a territory can be used as a comparative tool to gain a perspective on the very long term evolution of the historical capacity of hospital systems worldwide. The article presents: 1) the issues stemming from a lack of sources and comparative data available internationally before 1960; 2) data for the early 20th century for Barcelona and other cities of the world,; 3) data on hospital beds for various countries since the 1960s, with attention to data for Catalonia,; 4) data for the number of hospital beds per 1000 inhabitants for the past few decades in Catalonia, and a comparison with other autonomous communities and countries. The sources are the League of Nations, Yearbooks for Barcelona, the National Statistics Institute of Spain (Instituto Nacional de Estadística, INE), IDESCAT, the World Health Organisation (WHO) and the OECD. The article provides research data that confirm that the beginning of the modern increase in the number of hospital beds per capita in Catalonia started as the rest of the Western world in the first third of the 20th century. Such growth was maintained throughout the 20th century up until the 1980s. After the 1980s, in Barcelona as in the rest of the world, there was a process of reducing hospital beds per capita. This has therefore created the possibility of hospital services being overwhelmed very quickly in the instance of a widespread health emergency.

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Author Biography

Paloma Fernández Pérez, Universitat de Barcelona

Ph.D. in History U.C.Berkeley. Professor of Economic and Business History, Universitat de Barcelona. Family businesses (theory and history), Business History, Networks in Entrepreneurship. Most recent books on large family businesses in Latin America and Spain, forthcoming in FBBVA in Spanish, and Edward Elgar Publishers in English

References

Armstrong, David.1998. “Decline of the Hospital: reconstructing institutional dangers.” Sociology of Health and Illness 20(4): 445-457.

Ajuntament de Barcelona, Institut d’Estadística i Política Social. 1923. Anuari estadístic de la ciutat de Barcelona . Tomo XVII-Anys 1918-1919-1920. Barcelona: Establiment Editorial Albert Martín. http://hdl.handle.net/11703/97077.

Ajuntament de Barcelona, Departament d’Estadística. 2016. The demographic moviment in Barcelona. Year 2014. Barcelona: Ajuntament de Barcelona. http://www.bcn.cat/estadistica/angles/dades/inf/dem/dem14/t208.htm. Accesed June 16, 2016.

Barceló Prats, Josep, and Josep M. Comelles Esteban. 2016. “La economía política de los hospitales locales en la Cataluña moderna.” Asclepio 68(1):127-143. doi: 10.3989/asclepio.2016.06.

Barceló Prats, Josep, and Josep M. Comelles. 2017. “La adaptación de los hospitales catalanes a la legislación benéfica del Estado liberal (1798-1914).” In Al servicio de la salud humana: la Historia de la Medicina ante los retos del siglo XXI, edited by Alfons Zarzoso, Alfons and Jon Arrizabalaga, 503-508. Ciudad Real: Sociedad Española de Historia de la Medicina.

Carreras, Albert, and Xavier Tafunell. 2005. Estadísticas Historicas de España. Bilbao: Fundación BBVA. https://www.fbbva.es/wp-content/uploads/2017/05/dat/DE_2006_estadisticas_historicas.pdf.

Chan-Yeung, Moira M.W. 2018. A Medical History of Hong Kong: 1842-1941. Hong Kong: The Chinese University of Hong Kong Press.

Comelles Josep M., Elisa Alegre-Agís, and Josep Barceló Prats. (2017). “Del hospital de pobres a la cultura hospitalo-céntrica. Economía política y cambio cultural en el sistema hospitalario catalán.” Kamchatka. Revista de Análisis Cultural 10, 57-85. doi: 10.7203/KAM.10.10420.

Conde, Victor.2001. “Los últimos 20 años de los centros sanitarios en España.” Arbor CLXX, 670 (Octubre 2001), 247-275

Corbella i Corbella, Jacint. (2006). Història de l'Hospital Clinic de Barcelona. Un centenari: 1906-2006. Barcelona: Grupo Ars XXI de Comunicación, S.L.

Donzé, Pierre-Yves. 2007. L´ombre de César: les chirurgiens et la construction du système hospitalier vaudois (1840-1960). Lausanne: BHMS.

Donzé, Pierre-Yves. 2017. Histoire des politiques hospitalières en Suisse romande. Neuchatel: Éditions Alphil-Presses Universitaires Suisses.

Donzé, Pierre-Yves. 2019. “Architects and knowledge transfer in hospital systems: the introduction of Western hospital designs in Japan (1918-1970).” Business History 61(3): 538-557.

Donzé, Pierre-Yves, and Paloma Fernández Pérez, eds. 2019. “Health Industries in the Twentieth Century.” Business History 61(3): 385-403. doi: 10.1080/00076791.2019.1572116.

EFPIA-European Federation of Pharmaceutical Industries and Associations. 2014. The Pharmaceutical Industry in Figures: Key Data 2014. Brussels: EFPIA.

Espuelas, Sergio. 2013. The evolution of public social spending in Spain, 1850-2005. Madrid: Bank of Spain, Economic History Studies 63.

Espuelas, Sergio. 2015. “The inequality trap. A comparative analysis of social spending between 1880 and 1930.” The Economic History Review 68(2): 683-706. doi: 10.1111/1468-0289.12062.

Fernández Pérez, Paloma. 2017. “Empresa, medicina i farmàcia en perspectiva històrica.” Gimbernat 68: 191-226.

Fernández Pérez, Paloma. 2018. “Modelos de gestión hospitalaria en España (1900-1930). El Hospital de la Santa Creu i Sant Pau en perspectiva comparada.”. In Vilar, Margarita and Pons, Jerònia (2018). Un siglo de hospitales entre lo público y lo privado (1886-1986), edited by Margarita Vilar and Jerònia Pons, 139-178. Madrid: Marcial Pons.

Fernández Pérez, Paloma. 2019. “Healthcare industries and services.”, In The Routledge Companion to the Makers of Global Business, edited by Teresa da Silva Lopes, Christina Lubinski and Heidi J.S. Tworek, 349-362. London: Routledge.

Fernández Pérez, Paloma. 2021. Emergence of Modern Hospital Organization and Management in the World, 1900s-1930s. Bingley: Emerald Publishing (forthcoming).

Fernández Pérez, Paloma, and Ferran Sabaté. 2019. “Entrepreneurship and management in the therapeutic revolution: The modernisation of laboratories and hospitals in Barcelona, 1880–1960. ” Investigaciones de Historia Económca 15(2): 91-101. doi: 10.1016/j.ihe.2017.09.001.

.

Human Mortality Database. 2016. Accessed June 20. http://www.mortality.org/hmd/ESP/STATS/E0per_1x10.txt.

IDESCAT. 2020. “Centres i Llits hospitalaris (1981-2017)”. Accessed June 19. https://www.idescat.cat/pub/?id=hospe&n=78&lang=es&t=200400-198900.

League of Nations.1932. International Health Year-Book 1930: Reports on the Public Health Progress of Thirty-Four Countries and Colonies in 1929. Geneva.

Martin , Franklin H., and William J. Mayo. 1922. South America from a Surgeon´s Point of View. New York, Chicago: Fleming H. Revell Company.

Ministerio de Instrucción Pública y Bellas Artes, Dirección General del Instituto Geográfico y Estadístico. 1922. Anuario Estadístico de España. Año VII. 1920. Madrid: Imprenta de los Sobrinos de la Sucesora de M. Minuesa de los Ríos. https://www.ine.es/inebaseweb/treeNavigation.do?tn=14270&tns=14300#14300

Ministerio de Sanidad del Gobierno de España. 2020. “Sanidad en Datos 2018.” Retrieved June 17. https://www.mscbs.gob.es/estadEstudios/sanidadDatos/tablas/tabla22.htm (17/06/2020)

Morales Pérez, Antonio. 1908. Apuntes referentes al Hospital Clínico. Barcelona: Vda Domingo Casanovas, and Gimbernat. http://hdl.handle.net/2445/12115.

Ministerio de Trabajo, Comercio e Industria, Dirección General de Estadística. 1922. Censo de la población de España según el empadronamiento hecho en la península e islas adyacentes el 31 de diciembre de 1920. Madrid: Talleres de la Dirección General del Instituto Geográfico, Imprenta Hijos de M.G. Hernández. https://www.ine.es/inebaseweb/libros.do?tntp=71807#.

Newsholme, Arthur, and John Adams Kingsbury. 1934. Red Medicine. Socialized Health in Soviet Russia. London: William Heinemann (Medical Books) Ltd.

OECD-Organization for Economic Co-operation and Development. 2013. Health at a Glance 2013. OECD indicators. París: OECD Publising. doi: 10.1787/health_glance-2013-en.

OECD.stat. 2017. “Health”. Accessed January 15th. 2020. http://stats.oecd.org/.

OECD-Organization for Economic Co-operation and Development. 2019. Health at a Glance 2019. OECD Indicators. París: OECD Publishing. doi: 10.1787/4dd50c09-en.

PAHO-Pan American Health Organization. 2013. Accessed January 15th, 2020. https://www.paho.org/data/index.php/en/

PAHO-Pan American Health Organization. Various years. Health in the Americas. Accessed between 2018 and 2019. . https://www.paho.org/salud-en-las-americas-2012/index.php?option=com_content&view=article&id=10:archives&Itemid=121&lang=es.

Pérez Castroviejo, Pedro. 2002. “La formación del sistema hospitalario vasco: administración y gestión económica 1800-1936.” Transportes, Servicios y Telecomunicaciones 34: 73-96.

Pons, Jerònia and Margarita Vilar. 2019. “The genesis, growth and organizational changes of private health insurance companies in Spain (1915-2015).” Business History 61( 3-4): 558-580. doi: 10.1080/00076791.2017.1374371.

Prados de la Escosura, Leandro. 2003. El progreso económico de España 1850-2000. Bilbao: Fundación BVA.

Presidencia del Consejo de Ministros, Dirección General del Instituto Geográfico, Catastral y de Estadística. 1932a. Anuario Estadístico de España. Año XVI. 1930. Madrid: Sucesores de Rivadeneyra (S.A.) Artes Gráficas. https://www.ine.es/inebaseweb/treeNavigation.do?tn=43032&tns=50589#50589.

Presidencia del Consejo de Ministros, Dirección General del Instituto Geográfico, Catastral y de Estadística. 1932b. Censo de la población de España según el empadronamiento hecho en la península e islas adhacentes y costa occidental de África el 31 de diciembre de 1930. Madrid: Talleres del Instituto Geográfico y Catastral.

Stevens, Rosemary. 1989. In Sickness and in Wealth: American Hospitals in the Twentieth Century. New York: Basic Books.

Sabaté i Casellas, Ferran. 2015. Política i sanitat a Catalunya (segles XIX i XX). Barcelona: Publicacions de l´Arxiu Històric de les Ciències de la Salut-Col.legi Oficial de Metges de Barcelona..

The Kings Fund. 2020. “The Number of Hospital Beds.”Accessed June 10. https://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/hospital-beds.

Vilar, Margarita, and Jerònia Pons. 2016. The Construction of the Network of Public Hospitals and Outpatient Clinics in Spain 1880-1960. Documentos de Trabajo de la Asociación Española de Historia Económica 1609 (April). https://econpapers.repec.org/paper/ahedtaehe/1609.htm.

Vilar, Margarita and Jerònia Pons eds. 2018. Un siglo de hospitales entre lo público y lo privado (1886-1986). Madrid: Marcial Pons.

World Bank. 2020. “Statistics 2020”. Accessed November 1rst. https://datos.bancomundial.org/indicador/SH.MED.BEDS.ZS?view=chart.

WHO-World Health Organization. 2017. Core Health Indicators in the WHO European Region 2017. Copenhagen: World Healht Organization, Regional Office for Europe. http://www.euro.who.int/__data/assets/pdf_file/0005/346325/CHI_EN_WEB.pdf?ua=1.

WHO-World Health Organization. 2020. “The Global Health Observatory, Indicators, Hospital Beds per 10,000 inhabitants per country and Nurses and Midwives per 10,000 inhabitants per country.” Accessed May 6. https://www.who.int/data/gho/data/indicators.

WHO-World Health Organization. 2020. “Global Health Expenditure Database.” Accesed April 29. https://apps.who.int/nha/database.

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出版済

2021-01-11

How to Cite

Fernández Pérez, Paloma. 2021. 「How to Evaluate the Capacity of Hospital Systems in a Very Long Term International Comparative Perspective? Hospital Beds Per Inhabitant in Catalonia 1900s-2010s」. Journal of Evolutionary Studies in Business 6 (1):182-226. https://doi.org/10.1344/jesb2021.1.j087.