Santé et Services sociaux Québec.
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All the news from the newsletter

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

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

12/07/2017

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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Keyword(s) : UK, CompetitionDelicious Digg Facebook Stumble Upon Twitter 

UK - Some assembly required: implementing new models of care. Lessons from the new care models programme 

12/07/2017

In 2015, the National Health Service (NHS) selected 50 local vanguard sites to implement innovative models of care. This report draws on the experiences of those leading the vanguard sites over the past three years to set out lessons for systematic improvement across local health and care services. It emphasises the value of local co-creation and extensive testing of new care models....
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Keyword(s) : UK, Innovation, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

France - The future of health insurance. Assure the efficacy of spending and encourage responsible use of resources 

12/07/2017

This thematic public report by the French Auditor General seeks to shed light on the collective choices that must be made in order to preserve solidarity in health care. The Auditor gathered findings and survey results from many areas of care, and held a brainstorming seminar to explore anticipated progress in medicine and the organization of care. These investigations indicate that large-scale efforts are needed to increase the efficiency and coherence of health insurance in the country....
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Keyword(s) : France, Health insuranceDelicious Digg Facebook Stumble Upon Twitter 

Europe - Public health in Europe during the austerity years 

12/07/2017

Released by the UK International Longevity Centre (ILC-UK), this report explores the relationship between European governments’ economic austerity policies and public health across Europe. Using cross-national data and evidence from individual countries, the report charts the evolution of austerity across the continent since the financial crisis of 2008, describes subsequent changes to health systems and health outcomes, and identifies channels through which austerity impacts on health....
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Keyword(s) : Europe, Public healthDelicious Digg Facebook Stumble Upon Twitter 

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

12/07/2017

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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Keyword(s) : Spain, Health insuranceDelicious Digg Facebook Stumble Upon Twitter 

UK - Review of Targets and Indicators for Health and Social Care in Scotland 

12/07/2017

Scotland’s government commissioned this independent expert review of targets and indicators in Scottish health and social care. The review considers how targets and performance indicators can lead to best outcomes, and looks at how they align with government strategy for the future of health and social care services. The review identifies key principles and recommendations for future development of targets and indicators....
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Keyword(s) : UK, IndicatorsDelicious Digg Facebook Stumble Upon Twitter 

International - Indicators and Measurement Tools for Health Systems Integration: A Knowledge Synthesis 

12/07/2017

Conducted by Brazilian and western Canadian researchers, this knowledge synthesis identifies indicator domains and tools to measure progress towards integrated care. Establishing measurement domains, the researchers reviewed 7,133 studies and identified 114 tools to measure the integration of care across 16 domains. Few tools were found in the domains of performance measurement, information systems, organizational goal alignment and resource allocation....
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Keyword(s) : International, Indicators, Integrated care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

International - Nurses in advanced roles in primary care. Policy levers for implementation 

12/07/2017

Many countries have introduced advanced roles for primary care nurses to improve access and care while reducing costs. This paper from the OECD provides an analysis of nursing reforms in 37 OECD countries. The paper notes three trends: the development of advanced practice nursing roles; the introduction of supplementary nursing roles; and increases in nursing education programs....
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Keyword(s) : International, Health care workers, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

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

12/07/2017

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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Keyword(s) : Canada, Private sectorDelicious Digg Facebook Stumble Upon Twitter 

Ireland - 120 new ANPs will drive improvements in the delivery of health services 

12/07/2017

Ireland is launching a recruitment and training program for advanced nursing practice (ANP) that will result in the creation of 700 ANP positions by 2021. The program will initially train 120 ANP professionals to work with the elderly and manage chronic diseases and unscheduled care. A consortium of colleges is overseeing the program....
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Keyword(s) : Ireland, Health care workersDelicious Digg Facebook Stumble Upon Twitter