EN-USObservatoire international en santé et services sociauxNouvelles de l'observatoire international en santé et services sociauxhttp://www.msss.gouv.qc.ca/ministere/observatoire-sss/International - How can we evaluate the cost-effectiveness of health system strengthening? A typology and illustrationshttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?International-How-can-we-evaluate-the-cost-effectiveness-of-health-system-strengthening-A-typology-and-illustrationsThis paper analyzes how strengthening health systems can improve economic efficiency in health services. The authors model three types of strengthening (investing in the efficiency of a shared service delivery platform; relaxing the capacity constraints of a shared platform; and providing an entirely new shared platform). The models extend conventional cost-effectiveness analysis to identify a balance between investing in health system strengthening and expenditures on specific interventions.

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Thu, 29 Nov 2018 3:16:20 -0500
International - Values of Integrated Care: A Systematic Reviewhttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?International-Values-of-Integrated-Care-A-Systematic-ReviewA better understanding of the factors driving decision-making, collaboration, and governance processes in integrated care networks is urgently needed. To gain more insight into these topics, this study by Dutch researchers developed and defined a set of underlying values of integrated care. The practical application of these values is discussed and an agenda for future research proposed.

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Thu, 29 Nov 2018 3:15:41 -0500
The Netherlands - Competition in the Dutch Health care systemhttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?The-Netherlands-Competition-in-the-Dutch-Health-care-systemProviding an overview of The Netherlands' health system, this article describes its basis in competition between private health insurers and providers. Mandatory private insurance provides broad coverage determined by government, and consumers have a choice of insurers, who compete on price, service and choice of providers. The authors note that market failures have led to progressively tighter government regulation of both the insurance market and healthcare provision.

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Thu, 29 Nov 2018 3:15:06 -0500
UK - Barriers and enablers for clinicians moving into senior leadership roleshttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?UK-Barriers-and-enablers-for-clinicians-moving-into-senior-leadership-rolesThe Faculty of Medical Leadership and Management (FMLM), the parent body of Great Britain's medical royal colleges and faculties, undertook a review of factors that facilitate or impede the movement of National Health Service (NHS) clinicians into senior management roles. The report calls for a concerted strategy that emphasizes structured talent management, and makes recommendations concerning organizational culture, career planning, incentives and regulation.

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Thu, 29 Nov 2018 3:14:21 -0500
UK - Shifting the centre of gravity: making place-based, person-centred health and care a realityhttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?UK-Shifting-the-centre-of-gravity-making-place-based-person-centred-health-and-care-a-realityThis report reviews recent efforts by the National Health Service (NHS) to institute localized, integrated person-centred care. It includes six case studies of local integrated care initiatives and a national evidence review of good practice as examples of key actions NHS organizations should take. The report finds that the biggest challenge continues to be the severe financial pressure currently facing all parts of the NHS.

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Thu, 29 Nov 2018 3:13:39 -0500
Europe - Inequalities in access to healthcare - A study of national policieshttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?Europe-Inequalities-in-access-to-healthcare-A-study-of-national-policiesExploring inequalities in access to health care in European countries, this European Union (EU) report shows that important inequities persist both between and within countries. Sizeable vulnerable populations, especially women, minorities and the poor, continue to face multiple hurdles to accessing care and obtaining quality care. The report makes 20 recommendations concerning service availability, health coverage and insurance, system financing and initiatives for vulnerable populations.

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Thu, 29 Nov 2018 3:12:58 -0500
Canada - The Generation of Integration: The Early Experience of Implementing Bundled Care in Ontario, Canadahttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?Canada-The-Generation-of-Integration-The-Early-Experience-of-Implementing-Bundled-Care-in-Ontario-CanadaIntegrated healthcare models bundle services and encourage interprofessional and organizational collaboration to counter fragmented healthcare delivery and rising system costs. In this study, authors interviewed program stakeholders to provide examples of integration strategies in six Ontario pilot programs, suggest contexts that lend themselves to integration initiatives, and explore the generation of integration through the dynamic interplay of contexts, mechanisms, structures and subjects.

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Thu, 29 Nov 2018 3:12:20 -0500
Europe - Health system performance assessment – Integrated Care Assessmenthttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?Europe-Health-system-performance-assessment-Integrated-Care-AssessmentCommissioned by the European Union (EU), this study reviews integrated care performance in the 28 EU countries and tests a performance assessment framework. Analyzing 71 integrated care policies and 550 initiatives, the review finds that the characteristics, depth and breadth of IC penetration vary considerably across Europe. The study's Integrated Care Performance Assessment Framework contains 58 indicators to track integrated care outcomes and patient experiences.

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Thu, 29 Nov 2018 3:11:34 -0500
Canada - How Equity-Oriented Health Care Affects Health: Key Mechanisms and Implications for Primary Health Care Practice and Policyhttp://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?Canada-How-Equity-Oriented-Health-Care-Affects-Health-Key-Mechanisms-and-Implications-for-Primary-Health-Care-Practice-and-PolicyEquity oriented health care (EOHC) is care that addresses the cumulative effects of trauma, violence, poverty and racism on people's lives and health and offers culturally safe and contextually-tailored care. This study of 395 patients in British Columbia and Ontario empirically demonstrates that providing EOHC predicts improved health outcomes for people living in marginalized conditions. This is achieved by enhancing patients’ comfort and confidence in their care and their own confidence in preventing and managing health problems, which, in turn, improved health outcomes (depressive symptoms, PTSD symptoms, chronic pain, and quality of life).

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Thu, 29 Nov 2018 3:10:48 -0500
France -Agnès Buzyn launches 'My Health 2022'http://www.msss.gouv.qc.ca/ministere/observatoiresss/index.php?France-Agnes-Buzyn-launches-My-Health-2022On November 19, 2018, the French government released its plan for changes to France's health system. The 'My Health 2022' strategy redesigns the system's financing model, structuring of local networks and training for health professionals, while increasing funding for digital technologies and eHealth. Legislation concerning the changes will be introduced in parliament in early 2019.

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Thu, 29 Nov 2018 3:10:13 -0500