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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.

Canada - Assessment of scalability of evidence-based innovations in community-based primary health care: a cross-sectional study 

11/15/2018

In 2013, the Canadian Institutes of Health Research (CIHR) funded 12 community-based primary healthcare teams to develop evidence-based innovations focused on access to care and chronic disease management. This study explores the scalability of the resulting innovations, which varied from health interventions to methodological improvements. It concludes that scalability varied widely among the innovations....
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Keyword(s) : Canada, Innovation, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Canada - Comparing Performance of Universal Health Care Countries, 2018 

11/15/2018

This Fraser Institute study compares the cost and performance of 28 universal healthcare systems in OECD countries. It suggests that Canada has one of the OECD's most expensive systems, with an overall performance that is only modest to poor in terms of access, availability of resources and quality of clinical performance....
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Keyword(s) : Canada, PerformanceDelicious Digg Facebook Stumble Upon Twitter 

Canada - The Establishment of Ontario's Local Health Integration Networks: A Conflation of Regionalization with Integration of Health Services 

11/15/2018

In 2006, the province of Ontario introduced health services regionalization with the establishment of Local Health Integration Networks (LHINs). While LHINs were designed to integrate services, this article argues that an implicit objective may have been to shift accountability away from the provincial government by increasing bureaucracy and limiting stakeholder input. To date, there has been no robust evaluation of the LHINs' impact on service integration....
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Keyword(s) : Canada, Health care integration, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Australia - Barriers and enablers of patient and family centred care in an Australian acute care hospital: Perspectives of health managers 

11/15/2018

Undertaken in an acute care public hospital in Sydney, Australia, this study explores barriers and enablers affecting patient and family-centred care. The authors interviewed 15 health managers in medicine, nursing, allied health and non-clinical services. Participants agreed that key enablers included leadership focus, supportive formal structures, and positive staff relations. Key barriers were staffing, resource and environmental constraints, along with unsupportive staff attitudes....
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Keyword(s) : Australia, Health careDelicious Digg Facebook Stumble Upon Twitter 

International - Stopping antimicrobial resistance would cost just USD 2 per person a year 

11/15/2018

Superbug infections could cost the lives of millions unless more is done to stem antibiotic resistance. According to this OECD report, three out of four such deaths could be avoided by spending $2 US per person a year on measures such as hand-washing and delaying prescription of antibiotics. Resistance is increasing most rapidly in low-income countries....
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Keyword(s) : InternationalDelicious Digg Facebook Stumble Upon Twitter 

International - Declaration of Astana charts course to achieve universal health coverage, 40 years since declaration on primary health care in Alma-Ata 

11/15/2018

On October 26, 2018, at a WHO conference in Astana, Kazakhstan, 150 countries agreed to a new global commitment to primary health care for all. The Declaration of Astana reaffirms a historic 1978 declaration in which world leaders first committed to primary healthcare at a WHO conference in the Kazakh city of Alma-Ata....
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Keyword(s) : Europe, Health coverageDelicious Digg Facebook Stumble Upon Twitter 

UK - Health Secretary launches 'Prevention is better than cure' vision 

11/15/2018

The Department of Health and Social Care has published its vision for future approaches to prevention. Plans include halving childhood obesity; increasing mental health services for pregnant women; offering whole-genome sequencing to cancer patients; and diagnosing 75% of cancers at stages 1 and 2. Predictive prevention approaches will use digital technology to offer targeted health advice....
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Keyword(s) : UK, PreventionDelicious Digg Facebook Stumble Upon Twitter 

Australia - New school-based program to support children’s mental health 

11/15/2018

Australia's government is launching a $98.6 million school-based mental health program to give teachers the tools to help students manage their mental health. The program will be rolled out in 6,000 schools and 2,000 early learning services in 2019. Teachers will have access to extensive online materials on mental health and suicide prevention....
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Keyword(s) : Australia, Event, Mental healthDelicious Digg Facebook Stumble Upon Twitter 

Norway - How does the type of remuneration affect physician behaviour? Fixed salary versus fee-for-service 

11/02/2018

Using register data from 2009 to 2013, this paper analyzes the effects of two types of physician remuneration, fee-for-service and fixed salary, on the treatment decisions of general practitioners. It finds that fee-for-service leads to an increase in consultations and a higher provision of medical services per consultation. Overall, the analysis suggests that fixed-salary remuneration leads to the under-provision of primary care....
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Keyword(s) : Norway, Healh care workersDelicious Digg Facebook Stumble Upon Twitter 

Europe - Embedding a cultural contexts of health approach across the WHO European Region 

11/02/2018

In 2015, the WHO acknowledged the significant role of cultural contexts (including value systems, traditions and beliefs) in shaping health outcomes, and implemented a Cultural Context of Health (CCH) project in Europe to study the issue. Supported by an expert group, the WHO is now clarifying CCH concepts. This report summarizes the fourth meeting of the CCH expert group held in April 2018....
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Keyword(s) : Europe, CultureDelicious Digg Facebook Stumble Upon Twitter