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Observatoire international sur la santé et les services sociaux


France: improving the efficiency of the health-care system

France’s health-care system offers high-quality care according to a new report from the OECD. Average health outcomes are good, public satisfaction with the health-care system is high, and average household out-of-pocket expenditures are low. As in other OECD countries, technology is expanding possibilities for life extension and quality, and spending is rising steadily, while an ageing population requires substantially more and different services. The main challenges are to promote prevention and cost-efficient behaviour by care providers, tackle the high spending on pharmaceuticals, strengthen the role of health insurers as purchasing agents and secure cost containment.

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International - How Much Do OECD Countries Spend on Prevention?

Using data from across the 35 member-countries of the OECD, this study examines differences in spending on prevention at both aggregate and detailed levels. Time series data is scrutinized alongside developments in policy and public health to try to identify drivers behind the observed trends in spending on prevention. Policy implications and directions for improvement are discussed.

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International - What are the barriers and facilitators for third sector organisations (non-profits) to evaluate their services? A systematic review

While non-profit organizations are becoming a more common provider of health services internationally, little is known about how they evaluate their own activities. This systematic review of 24 prior studies into this question determines that many healthcare non-profits struggle to evaluate their activities due to a lack of resources, poor technical capability, and challenges around the identification of evaluation systems and outcome indicators.

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UK - Against the Odds: Successfully scaling innovation in the NHS

Setting out what is known about the scale and spread of innovation in healthcare, this report describes common themes that have emerged from research and synthesizes insights from 10 case studies to provide a set of considerations for thinking about how to scale healthcare innovations in the future. The case studies are presented in full in an appendix to the report.

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Europe - Euro health consumer index 2017

The 2017 edition of the Euro Health Consumer Index (EHCI) has been released, assessing the performance of healthcare systems in 35 European countries. The EHCI analyzes national health care on 46 indicators, looking into areas such as patient rights and information, access to care, treatment outcomes, range and reach of services, and use of pharmaceuticals.

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UK - Alternatives to face-to-face GP consultations unlikely to deliver hoped-for benefits in practice

This National Health Service (NHS) study finds that alternatives to face-to-face consultations with general practitioners (GPs), such as telephone, email, online and video consultations, may not lead to reductions in GP workload. The authors describe significant barriers and resistance to implementation among both GP practice staff and patients.

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