%0 Journal Article %T The European hospitals’ functioning determinants with special emphasis on the human resources issue %A Dubas-Jakóbczyk, Katarzyna %A Domagała, Alicja %J Public Health and Governance %V 2012 %R 10.4467/20842627OZ.13.016.1164 %N Volume 10, Issue 3 %P 143-153 %K health care costs, hospitals, health care reform, hospital services, human resources for health %@ 1731-7398 %D 2013 %U https://ejournals.eu/en/journal/zdrowie-publiczne-i-zarzadzanie/article/uwarunkowania-funkcjonowania-szpitali-we-wspolczesnej-europie-ze-szczegolnym-uwzglednieniem-zasobow-kadrowych %X The aim of the article is to present the scope of determinants influencing hospitals’ functioning in contemporary Europe with emphasize put on the health sector human recourses issue. Multiplicity of the functions realized by the hospitals units relates to the plurality of determinants which influence their present situation as well as long-term transformation processes. The determinants can be categorized into three main groups: these related to the demand side of the hospital services, their supply and determinants being the results of the social and economic changes. Regardless of the differences existing between health systems in specific countries – all European countries are facing similar problems of increasing health care costs, strong need of efficiency improvement and deficits of medical staff. In case of the hospital sector the key issue is number of beds reduction and transformation of the hospitals’ organizational form