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.

International - Private health insurance in Germany and Chile: two stories of co-existence, segmentation and conflict 

09/20/2018

This study compares mixed public/private healthcare insurance systems in Germany and Chile. It finds that in both countries the choice of coverage has spurred private insurers to select for risks, which compromises equity of funding, heightens the financial risks of public insurers, and reduces incentives for private insurers to operate efficiently. Both countries have now committed to reforming their insurance systems to address these problems....
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Keyword(s) : International, Private insuranceDelicious Digg Facebook Stumble Upon Twitter 

International - The private healthcare market and the sustainability of an innovative community nurses programme based on social entrepreneurship - CoNSENSo project 

09/20/2018

CoNSENSo is a European Union (EU) project to develop a community nursing model to support active aging in Europe’s remote mountain areas. The sustainability of the approach relies on social entrepreneurship in the healthcare market. This research, undertaken in Italy’s Piedmont region, highlights conditions for successful implementation, and finds that the private supply of healthcare services can support active aging in mountain areas....
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Keyword(s) : International, Private sectorDelicious Digg Facebook Stumble Upon Twitter 

International - The role of the assistant practitioner in the clinical setting: a focus group study 

09/20/2018

While assistant practitioners (APs) work in many clinical settings, they are sometimes underutilized because of poorly defined roles. Undertaken in the UK, this study organized focus groups of APs and registered nurses (RNs) to explore the issue. Results highlighted a blurring of boundaries between APs and RNs, with many tasks undertaken by both....
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Keyword(s) : International, Health care workersDelicious Digg Facebook Stumble Upon Twitter 

UK - Valued care in mental health: Improving for excellence 

09/20/2018

Mental health care in the UK is currently diffuse and decentralized. This study, undertaken in partnership with nine mental health organizations, proposes a national model, based on organizations' experience with improvement initiatives, to support the continuous improvement of services. The aim is to offer a practical resource that provides examples of good practice and co-production to be utilized across the entire delivery system....
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Keyword(s) : UK, Mental healthDelicious Digg Facebook Stumble Upon Twitter 

USA - Access Management in Primary Care. Perspectives from an Expert Panel 

09/20/2018

Undertaken by an expert panel of patients, providers, policymakers, purchasers, researchers, product makers and payers, this Rand Company report defines optimal access in primary healthcare organizations and identifies eight priorities for improving access. First among them is routinely evaluating the degree to which patient telephone calls are answered promptly and routed appropriately....
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Keyword(s) : USA, Primary careDelicious Digg Facebook Stumble Upon Twitter 

UK - Paying for Efficiency: Incentivising same-day discharges in the English NHS 

09/20/2018

Since 2010, hospitals in the English National Health Service (NHS) have received more remuneration for same-day discharge patients than for overnight stays. This study analyzed data for patients treated for 191 same-day discharge conditions between 2006 and 2014. It finds that the payment policy had a statistically significant positive effect in about a third of conditions. Results were more mixed for emergency conditions....
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Keyword(s) : UK, Efficiency, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Private Provision of Publicly Funded Health Care: The Economics of Ownership 

09/20/2018

The private ownership of organizations providing services to the public National Health Service (NHS) is controversial in the UK, especially with regard to private hospitals. The purpose of this paper is to provide a non-partisan view of the ‘ownership debate’ through the lens of economic value. The paper discusses the organization of production, theories of behaviour and motivation, and the role of incentives and payments....
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Keyword(s) : UK, Private sector, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Spain - Evolution of public hospitals expenditure by healthcare area in the Spanish National Health System: the determinants to pay attention to 

09/20/2018

In Spain, hospitals represent the largest share of overall public healthcare expenditures, which is administered by Autonomous Communities. Hospital spending has increased at a faster than total spending since 2001. This study, published in BMC Health Services Research, finds that hospital spending increases relate mainly to utilization, and not price factors. It also finds significant variation between Accountable Communities in the devolved Spanish health system....
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Keyword(s) : Spain, ExpendituresDelicious Digg Facebook Stumble Upon Twitter 

International - Lancet Commission Stresses Need for High-Quality Health Systems for SDGs 

09/20/2018

The Lancet Global Health Commission (LGHC), a group of academics and policymakers from 18 countries, has published recommendations on ways to develop health systems capable of reaching sustainable development goals (SDGs). Health systems dedicated to high quality care that can respond to changing population needs are required to produce better health outcomes and greater social value....
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Keyword(s) : International, Quality, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Government response to the Health and Social Care Committee’s report on integrated care 

09/20/2018

The UK government has issued a response to recommendations made by Parliament’s Health and Social Care Committee in its recent report on integrated care in the National Health Service (NHS). The response sets out how government intends to address the recommendations as part of its long-term plan for the NHS. This includes annual funding increases of an average 3.4% each year to 2023/24 and continued promotion of Sustainability and Transformation Plans, along with Integrated Care Providers responsible for both quality of care and health outcomes for a defined population. ...
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Keyword(s) : Integrated careDelicious Digg Facebook Stumble Upon Twitter