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Observatoire international sur la santé et les services sociaux

Nouveautés

UK - Does hospital competition improve efficiency? The effect of the patient choice reform in England

This paper focuses on the UK’s 2006 relaxation of constraints on patient choice of hospital to investigate the effect of hospital competition on dimensions of efficiency, including indicators of resource management and costs. Findings suggest that competition has had mixed effects on hospital efficiency, increasing the proportion of day cases and reducing the number of untouched meals but also leading to a greater number of cancelled elective operations.

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Europe - Evidence on mechanisms and tools for use of health information for decision-making

Published by WHO Europe, this report describes tools and mechanisms to increase the use of health information in policy development. It describes synthesis methods, information packaging, and tools for using surveillance data and modelling. The dissemination and communication tools discussed include health information-sharing platforms and social media.  

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Canada - Blurred Lines. Private Membership Clinics and Public Health Care

Published by the University of Alberta’s Parkland Institute, this report looks at private membership clinics (PMCs) in Alberta that charge annual fees for combined physician and complementary practitioner care. Finding little public data available, the report analyzes Alberta Health audits of PMCs. It concludes that membership clinics skirt the boundaries of provincial and federal health legislation in order to maximize profits and maintain exclusivity.

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Nouveautés

Spain - Effect of having private health insurance on the use of health care services: the case of Spain

This paper analyzes the effect of private health insurance on public healthcare utilization in Spain. The authors use techniques based on propensity score methods and the latest micro-data from the Spanish National Health Survey (SNHS). Results show that Spaniards with additional private health insurance use the country’s public health system less than peers without private coverage.

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Canada - Emergency room waits continue to increase

New data from the Canadian Institute for Health Information (CIHI) shows that time spent in emergency departments (EDs) waiting to be admitted to the hospital is increasing. The data shows that 90% of admissions following ED visits were completed within 32.6 hours in 2016, a 3.3-hour increase from 29.3 hours in 2015.

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Canada - Blurred Lines. Private Membership Clinics and Public Health Care

Published by the University of Alberta’s Parkland Institute, this report looks at private membership clinics (PMCs) in Alberta that charge annual fees for combined physician and complementary practitioner care. Finding little public data available, the report analyzes Alberta Health audits of PMCs. It concludes that membership clinics skirt the boundaries of provincial and federal health legislation in order to maximize profits and maintain exclusivity.

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