DEVELOPING A COMPREHENSIVE MODEL FOR FORTHCOMING REFORMS OF UNIVERSITY HOSPITALS

Abstract

This paper is devoted to developing institutional arrangements viable for forthcoming reforms of university hospitals in Latvia. The aim of the article is to provide a Latvian university hospital governance approach, taking into consideration the regulation of state-owned enterprises and its relevance for public hospitals. Comparative analysis was used examining the significant factors for institutional arrangements of university hospitals to be considered during future developments based on the research of relevant legislation, policy documents, OECD reviews and WHO's evaluations. Proposals for semi-autonomous hospital governance improvement by the creation of a Supervisory Board and a new organizational form of hospitals were developed. The necessity of future research for creation of regional healthcare network organisations for Latvian healthcare system was considered.