Intended for healthcare professionals


UK hospitals are better managed than counterparts in Canada, France, Germany, and Italy but not the US, report says

BMJ 2010; 341 doi: (Published 27 October 2010) Cite this as: BMJ 2010;341:c6081
  1. Matthew Limb
  1. 1London

Hospitals in the United Kingdom are “better managed” than their counterparts in several European countries and Canada, new research concludes. It also says that private sector organisations perform best overall across the countries.

Measures such as greater competition and producing more clinically trained managers could improve management and clinical outcomes still further, the report suggests.

The management consultancy McKinsey & Company assessed management practices in nearly 1200 hospitals in seven countries in a joint project with the London School of Economics and Political Science (LSE).

It found that the UK “delivers strong management practice” relative to its health expenditure, outscoring Canada, France, Germany, and Italy. It ranked closely with Sweden, while the United States was rated highest overall, although it spends substantially more on health per head of population than the other countries.

The report’s lead author, Stephen …

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