This book discusses current health care challenges and new strategies for innovative solutions in this area from an interdisciplinary perspective of health care management, business economics, and medicine. It presents the idea of a 'boundaryless hospital', a conceptual model of a patient-centric, value-based health network that overcomes typical sectorial, organizational, and geographical boundaries and offers greater efficiency and better quality outcomes for patients.

Effective health care for a growing and aging population is a major challenge for economies all over the world. New breakthroughs in medical technology and pharmaceuticals as well as digitization provide scope for more efficiency and for a better quality of health care. Novel organization forms and management concepts are key for coping with the increasing cost pressure observed in most health care systems. The contributions in this volume present innovative strategies for developing and implementing the concept of a boundaryless hospital. They highlight experiences from various countries and with different treatments.

The book project was initiated and carried out by the Center for Advanced Studies in Management (CASiM), the interdisciplinary research center of HHL Leipzig Graduate School of Management for business administration in the 21^st century.

Prof. Dr. Dr. h.c. mult. Horst Albach, Professor Emeritus, Humboldt-Universität zu Berlin, Prof. Dr. Dr. h.c. mult. Heribert Meffert, Professor Emeritus and Director Emeritus of the Marketing Center Münster at the University of Münster, Prof. Dr. Andreas Pinkwart, Dean of HHL Leipzig Graduate School of Management and Holder of the Stiftungsfonds Deutsche Bank Chair of Innovation Management and Entrepreneurship at HHL, and Prof. Dr. Prof. h.c. Dr. h.c. Ralf Reichwald, Professor Emeritus of Excellence, Technische Universität München, and Academic Director of the Center for Leading Innovation & Cooperation (CLIC) at HHL, are the founders and academic directors of the Center for Advanced Studies in Management (CASiM), an interdisciplinary research center of HHL Leipzig Graduate School of Management devoted to key research topics of business administration for the 21st century.
Prof. Dr. Dr. Wilfried von Eiff, Professor of Health Care Management at HHL Leipzig Graduate School of Management, is the Academic Director of the Center for Health Care Management and Regulation at HHL and Director of the Center for Hospital Management, a research institute affiliated to the University of Münster.

1;Preface;6 2;Contents;10 3;Part I: Challenges and Opportunities of Health Care Management in the Twenty-First Century;12 3.1;Network Management: Strategic Option for the Boundaryless Hospital;13 3.1.1;1 Initial Situation;14 3.1.2;2 The Boundaryless Hospital and the Value Chain in Health Care;15 3.1.3;3 Networks in Medicine and the Health Business: Rational Network Design;17 3.1.4;4 Restrictions of an Effective Network Design;19 3.1.5;5 Types of Networks and Their Purposes;19 3.1.6;6 Factors Constraining Network Design;21 3.1.7;7 Forms of Organization;21 3.1.7.1;7.1 King-Pin and Resident Principle;21 3.1.7.2;7.2 C+C Model;22 3.1.8;8 Selected Examples of Network Cooperation;22 3.1.8.1;8.1 The Portal Clinic as an Element of a Referral Physicians Network;22 3.1.8.2;8.2 Integrated Cross-Sectoral Supply Models as a Strategic Option;23 3.1.8.2.1;8.2.1 Contracts of Integrated Care;23 3.1.8.2.2;8.2.2 The Integrated Care Net: Supply with Managed Care Character;23 3.1.8.3;8.3 Networks in Emergency Care;24 3.1.8.4;8.4 Medical Clusters;26 3.1.8.5;8.5 The Campus Concept;27 3.1.9;9 Conclusion;28 3.1.10;References;29 3.2;Cancer Care: New Value Chains Challenge German Hospital Structures-A Comprehensive Cancer Center Perspective;31 3.2.1;1 Introduction: Challenges and Opportunities;32 3.2.1.1;1.1 Barriers in the German Health Care System;32 3.2.1.2;1.2 Cancer Genomics Changes Medical Practice;32 3.2.1.3;1.3 Economic Trends in Ambulatory Oncology;34 3.2.2;2 Potential Solutions;36 3.2.2.1;2.1 Cross-Sectional Organization Design in Oncology;36 3.2.2.2;2.2 The Future Lies in Networking;38 3.2.2.3;2.3 Clinical Trial Management: The Backbone of Innovation;39 3.2.2.4;2.4 Standardized Care and Interdisciplinarity;41 3.2.3;3 Practical Experience;42 3.2.3.1;3.1 Comprehensive Cancer Centers as Hubs of Regional Care Networks;42 3.2.3.2;3.2 Palliative Medicine and Psychosocial Care;43 3.2.3.3;3.3 Psycho-Oncology;44 3.2.3.4;3.4 Oncological Training Therapy;44 3.2.3.5;3.5 Cancer Registries;44 3.2.4;4 Summary and Outlook;46 3.2.5;References;47 3.3;Health Care Under Market Conditions: An Ethical Analysis;51 3.3.1;1 Introduction;52 3.3.1.1;1.1 Problems;52 3.3.1.2;1.2 Background;53 3.3.1.3;1.3 Contribution, Method, and Limits of Ethical Analysis;54 3.3.2;2 An Examination of the (Collective) Ethical Foundation of Providing Sufficient Resources for Health Care on the Three Levels ...;55 3.3.2.1;2.1 The Macro or Resource-Raising Level;55 3.3.2.1.1;2.1.1 Responsibility;55 3.3.2.1.2;2.1.2 Solidarity;56 3.3.2.2;2.2 The Meso or Resource-Distributing Level;57 3.3.2.3;2.3 The Micro or Resource-Allocating Level;57 3.3.2.4;2.4 Tensions on All Three Levels;58 3.3.2.5;2.5 Social System or Market?;59 3.3.2.6;2.6 On the Logic of the Difference Between Raising Resources and Profit;59 3.3.3;3 An Analysis of the (Individual) Ethical Basis of Securing Medical Ethos Under the Condition of Economic Efficiency;60 3.3.3.1;3.1 Protection of Life, the Patient´s Benefit, and Respect for Autonomy-Based Self-Determination;60 3.3.3.2;3.2 The Problems of DRGs;61 3.3.4;4 An Inquiry into the Logic of the Relation Between Prioritization and Rationing from an Ethical Point of View;61 3.3.4.1;4.1 Levels and Addressees of Prioritizations;62 3.3.4.2;4.2 Is Compatibility of Medical Ethos and Economic Conditions Possible?;63 3.3.5;5 Summary;64 3.3.6;References;65 4;Part II: Seizing the Opportunities Across Countries and Subdisciplines;67 4.1;Pathways Towards Health Care Systems with a Chronic-Care Focus: Beyond the Four Walls;68 4.1.1;1 Introduction;69 4.1.2;2 Current Provision of Health Care in Hospitals;72 4.1.2.1;2.1 Hospital Discharges and Size of Hospitals;73 4.1.2.2;2.2 Average Length of Stay;74 4.1.3;3 Chronic Care Models and the Role of Hospitals;77 4.1.4;4 International Experiences with Chronic Care and the Evolution of Hospitals;81 4.1.5;5 Conclusion;84 4.1.6;References;86 4.2;The Importance of Time in Developing a Boundaryless Hospital: An Example from Northern Portugal;90 4.2.1;1 Introdu