Santé et Services sociaux Québec.
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This section features items which have recently appeared in the Observatoire international de la santé et des services sociaux (OISSS) monitoring bulletin.

International - Healthy working time arrangements for healthcare personnel and patients: a systematic literature review 

04/18/2019

Long work hours in healthcare settings are often said to lead to poor patient outcomes because of adverse impacts on employee abilities and health. This systematic review of 52 studies investigates whether employee health is at the nexus of a relationship between working time arrangements and patient safety. Results show that studies in which providers found work schedules onerous also generally found detrimental results for patient safety....
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Keyword(s) : International, Health care managementDelicious Digg Facebook Stumble Upon Twitter 

International - Factors Affecting the Adoption of Connected Objects in e-Health: A Mixed Methods Approach 

04/18/2019

Using a combination of qualitative and quantitative research methods, this study investigated factors affecting the adoption of connected objects (COs) in e-health. After conducting semi-structured interviews, a research model was tested on a sample of 226 professionals in an online survey. Findings indicated that perceived convenience and social influence affect CO adoption, providing insight into how to successfully launch connected devices....
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Keyword(s) : International, e-healthDelicious Digg Facebook Stumble Upon Twitter 

UK - Developing and evaluating a tool to measure general practice productivity: a multimethod study 

04/18/2019

Ways to measure the performance of general practices remain limited. The present study developed a new productivity measure, the General Practice Effectiveness Tool (GPET). The 50 practices participating in the yearlong study entered data on 52 indicators monthly and received automated feedback on changes in effectiveness over time. Reaction to GPET's usefulness was varied: its average rating was 4 out of 10....
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Keyword(s) : UK, ProductivityDelicious Digg Facebook Stumble Upon Twitter 

UK - Staffing on Wards. Making decisions about healthcare staffing, improving effectiveness and supporting staff to care well 

04/18/2019

Published by the National Institute for Health Research (NIHR), this review of hospital ward staffing in the National Health Service (NHS) provides a detailed snapshot of staffing strategy, policy, organization and practice. Focusing primarily on the ward roles of registered nurses, the review also considers other professions, including medical staff, specialist nurses, physiotherapists and pharmacists. Three prior NIHR-funded studies are highlighted to provide more depth....
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Keyword(s) : UK, Health care workersDelicious Digg Facebook Stumble Upon Twitter 

Europe - Tools and Methodologies to Assess the Efficiency of Health Care Services in Europe 

04/18/2019

The European Union (EU) Expert Group on Health Systems Performance Assessment (HSPA) produced this report to explore healthcare efficiency measurement and assessment across EU countries. It finds considerable variation in how countries conceptualize and measure healthcare efficiency. Measurement methodologies are still at a developmental stage in many countries, with data constraints limiting the scope of analysis to hospital care. Few standardized indicators currently exist....
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Keyword(s) : Europe, Efficiency, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Europe - Can people afford to pay for health care? New evidence on financial protection in Europe 

04/18/2019

Examining data from 24 countries on unmet need and financial hardship, this WHO report assesses whether people in Europe can afford to pay for healthcare. The report shows that catastrophic health spending is concentrated among poor households, and summarizes actions to strengthen coverage policies. Gaps in coverage arise from the poor design of three policy areas: population entitlements, benefits packages and user charges....
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Keyword(s) : Europe, Affordability, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Canada - Resolving wicked problems: key factors and resources 

04/18/2019

Public policy questions that involve complex social issues such as climate change or health inequalities are sometimes referred to as 'wicked problems' because they are difficult to define, offer no apparent solutions, affect an array of other problems and are resistant to intervention. This document highlights key factors and resources for dealing with wicked problems and offers practical examples for addressing them....
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Keyword(s) : Canada, Public policiesDelicious Digg Facebook Stumble Upon Twitter 

Canada - Do Incentive Payments Reward The Wrong Providers? A Study Of Primary Care Reform In Ontario, Canada 

04/18/2019

This Ontario study used administrative databases to examine an “access bonus” payment designed to incentivize primary care access and minimize primary care visits outside of capitation practices. The study found that the access bonus flowed disproportionately to physicians outside large cities and to those whose patients made fewer visits. The authors say this indicates a lack of alignment between the payments and their intended purpose....
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Keyword(s) : Canada, Ontario, Primary care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Australia - A study of macro-, meso- and micro-barriers and enablers affecting extended scopes of practice: the case of rural nurse practitioners in Australia 

04/18/2019

In Australia's rural areas, nurse practitioners (NP) take on extra roles to address health service gaps. This study explores the perceptions of 20 rural NPs about the barriers and enablers experienced within their extended scope of practice. Data analysis was guided by a socio-institutional lens combining macro-, meso- and micro-perspectives and focusing on structural factors, community attitudes, and daily routines. Regulatory barriers were the biggest concern....
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Keyword(s) : Australia, Health care workersDelicious Digg Facebook Stumble Upon Twitter 

International - 1 in 4 health care facilities lacks basic water services – UNICEF, WHO 

04/18/2019

UNICEF has published a global survey of sanitation and hygiene in healthcare facilities. It finds that one in four lack basic water services, affecting two billion people internationally. Many facilities have no safe way to dispose of biomedical waste. Currently, about 17 million women give birth each year in places that lack running water....
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Keyword(s) : InternationalDelicious Digg Facebook Stumble Upon Twitter