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.

New Zealand - Major review of health system launched 

06/14/2018

New Zealand’s government has announced a wide-ranging review of the country’s healthcare and disability services that will look for ways to improve, modernize, and personalize the system as it moves forward. The review will include a strong focus on primary and community based care, and issue a final report in January 2020. ...
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Keyword(s) : New Zealand, Health systemDelicious Digg Facebook Stumble Upon Twitter 

France – Agnès Buzyn presents a roadmap to meet the short- and medium-term challenges of an aging population 

06/14/2018

In France, the number of people over 85 will increase from 1.5 million today to 4.8 million in 2050. The Minister of Solidarity and Health has announced a strategy to prevent loss of autonomy; it includes reformulating home care funding, rolling out a comprehensive caregiver support plan and meeting the growing need for medical care. As well, the plan includes funding for 1000 additional temporary beds for people leaving hospital....
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Keyword(s) : France, AgeingDelicious Digg Facebook Stumble Upon Twitter 

Europe - New report reveals need for more humane, personalized approach in European Region’s long-term institutions for adults with intellectual and psychosocial disabilities 

06/14/2018

The WHO released an assessment of quality of care for adults with intellectual/psychosocial disabilities in 75 institutions across 25 European countries. Only 25% of quality scores met international standards, meaning that long-term institutional care in Europe has significant room for improvement....
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Keyword(s) : Europe, EventDelicious Digg Facebook Stumble Upon Twitter 

Australia - Public hospital admissions rising faster than private hospital admissions 

06/14/2018

This report from Australia’s Institute of Health and Welfare shows that of 11 million admissions to Australian hospitals in 2017, 6.6 million were to public hospitals and 4.4 million to private hospitals. Admissions rose 4.3% in public hospitals versus 3.6% in private....
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Keyword(s) : Australia, HospitalsDelicious Digg Facebook Stumble Upon Twitter 

UK - Sharing to improve: four case studies of data sharing in general practice 

06/01/2018

This briefing describes data-sharing approaches that enable general practitioners to collaborate in quality improvement efforts. It highlights case studies from a range of expanded or networked organizations, and demonstrates how data sharing can drive improvements in general practice....
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Keyword(s) : UK, Health informationDelicious Digg Facebook Stumble Upon Twitter 

USA - Nurse Practitioner–Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain 

06/01/2018

American nurse practitioners (NPs) are increasingly managing patient care as clinicians. This paper surveys 156 prior studies to develop a new model of clinical co-management between NPs and physicians. The model has three elements: effective communication, mutual respect, and clinical alignment of care. The paper also describes the legal and organizational barriers that continue to inhibit NP practice in the US....
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Keyword(s) : USA, Health care management, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - A fork in the road: next steps for social care funding reform 

06/01/2018

This paper pulls together financial modelling and policy analysis to identify problems with adult social care and outline options for reform. It concludes that reform will be expensive, but says the UK is now at a fork in the road, heading either to an improved means-tested system, or to one that is free at the point of use for those who need it, like the healthcare system....
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Keyword(s) : UK, Social careDelicious Digg Facebook Stumble Upon Twitter 

International - Revisiting out-of-pocket requirements: trends in spending, financial access barriers, and policy in ten high-income countries 

06/01/2018

Countries rely on out-of-pocket (OOP) health spending to different degrees and also employ varying techniques. The article examines OOP spending in 10 high-income countries (Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the UK, and the US), and analyzes its relationship to access to healthcare services. The study finds a great deal of variation in per capita OOP spending....
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Keyword(s) : International, Health care spendingDelicious Digg Facebook Stumble Upon Twitter 

Spain - Implementation of Home Hospitalization and Early Discharge as an Integrated Care Service: A Ten Years Pragmatic Assessment 

06/01/2018

Published in the International Journal of Integrated Care, this study presents a 10-year follow-up of the institution of an early discharge and homecare program for chronic care patients as part of hospital-outreach integrated care services. Conducted in Barcelona, the study finds that the program achieved lower hospital readmission and mortality rates over the decade, and reduced hospital stays by an average of 6 days per patient. The program also cost less than hospitalization....
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Keyword(s) : Spain, Integrated careDelicious Digg Facebook Stumble Upon Twitter 

UK - Transforming Integration through General Practice: Learning from a UK Primary Care Improvement Programme 

06/01/2018

This article presents learning from a UK-based improvement program that moves hospital diagnostic and treatment services into the community. It focuses on program components such as per capita funding mechanisms, monthly learning sessions between advanced programs, and formative evaluations. The program demonstrates that transformation of primary care requires careful redesign, changes in clinician and provider paradigms, and deployment of relevant infrastructure improvement methodologies....
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Keyword(s) : UK, Primary careDelicious Digg Facebook Stumble Upon Twitter