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.

Canada - Standardising costs or standardising care? Qualitative evaluation of the implementation and impact of a hospital funding reform in Ontario, Canada 

08/23/2018

Since 2011, Ontario has phased in hospital funding reforms emphasizing quality-based procedures (QBPs) with pre-set prices per episode of care. This paper explores hospital use of a standard QBP handbook that specifies episode of care pathways, intended to reduce variation in care and cost. Based on interviews with 46 informants involved in QBP design, implementation, and in-hospital support, the paper calls for a more flexible, tailored approach rather than one-size-fits-all handbooks....
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Keyword(s) : Canada, OntarioDelicious Digg Facebook Stumble Upon Twitter 

International - The Core Dimensions of Integrated Care: A Literature Review to Support the Development of a Comprehensive Framework for Implementing Integrated Care 

08/23/2018

Presenting a review of the literature on care integration design, this research explores prerequisites to successful implementation across different international contexts. The study analyses 710 prior studies and focuses on chronic conditions (COPD, diabetes, and geriatric and mental health conditions), identifies core dimensions of integrated care and distinguishes 175 elements and factors associated with successful implementation....
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Keyword(s) : International, Integrated care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Brazil - The Brazilian health system at crossroads: progress, crisis and resilience 

08/23/2018

Published by BMJ Global Health, this paper analyzes the development of Brazil’s health system since 2000 and the effects of economic and political crises that led to the implementation of austerity policies. Examining changes to health financing, resources and service coverage, it finds that, despite expansion of universal health coverage up to 2014, significant structural problems persist in Brazil’s system....
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Keyword(s) : Brazil, Health systemDelicious Digg Facebook Stumble Upon Twitter 

Australia - Practical innovation: Closing the social infrastructure gap in health and ageing 

08/23/2018

This report from PriceWaterhouseCoopers (PWC) argues that Australia needs a health system model focused on wellbeing as much as illness and a more integrated, preventive and outcomes-focused approach to health care. The report identifies approaches to transform the current health system, improve integration, and implement a facility to fund and support new healthcare partnerships and collaborations....
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Keyword(s) : Australia, Innovation, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

USA - Tools for Supporting Social Service and Health Care Partnerships to Address Social Determinants of Health 

08/23/2018

The Center for Health Care Strategies (CHCS) has identified new strategies to facilitate partnerships between community-based organizations (CBOs) and healthcare institutions that effectively address social determinants of health. The CHCS provides a set of resources and tools to strengthen collaborative activities. They include partnership models, value articulation, and ways to accurately estimate the costs of partnering....
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Keyword(s) : Accès, PartnershipsDelicious Digg Facebook Stumble Upon Twitter 

Ireland - Minister Harris publishes Sláintecare Implementation Strategy marking important milestone towards delivering health reform 

08/23/2018

The Irish Ministry of Health has published an implementation strategy providing a framework for the planned reform of health services in the country. Reforms will include a reorganization of health services administration, a focus on community care, investments in mental health, a national clinical strategy for hospitals, and a rollout of eHealth systems and infrastructure....
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Keyword(s) : Ireland, Health policyDelicious Digg Facebook Stumble Upon Twitter 

Canada - Healthcare system needs to catch up to the requirements of the Google Generation 

08/23/2018

Findings released by the Canadian Medical Association (CMA) show that the so-called Google Generation of young adults are Canada’s most eager adopters of technologies to manage their own health. The CMA warns that to address the impact of this generation, policy changes are urgently needed to scale up technology adoption in health care....
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Keyword(s) : Canada, TechnologyDelicious Digg Facebook Stumble Upon Twitter 

Australia - New report reveals out-of-pocket costs for Medicare services 

08/23/2018

This report released by the Australian Institute of Health and Welfare (AIHW) has found that half of the country’s patients pay a contribution to non-hospital medical services. The proportion of patients with out-of-pocket costs varies considerably across the 31 Primary Health Network areas in Australia’s six states and two territories....
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Keyword(s) : Australia, CostsDelicious Digg Facebook Stumble Upon Twitter 

International - Investing in Medication Adherence Improves Health Outcomes and Health System Efficiency 

08/09/2018

Currently, it is estimated that over half of all medicines are prescribed inappropriately, and that half of all patients fail to take them correctly. This paper reviews international evidence on the magnitude of non-adherence to prescribed medicines, analyzes drivers of non-adherence, and identifies actions to reduce healthcare costs incurred by suboptimal medication use. The paper focuses on hypertension, diabetes and hyperlipidemia due to the prevalence of these diseases....
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Keyword(s) : International, MedicationDelicious Digg Facebook Stumble Upon Twitter 

International - Engaging patients to improve quality of care: a systematic review 

08/09/2018

Identifying strategies and factors that enable patient engagement in the design, delivery and evaluation of health services, this systematic review of 48 prior studies observes that levels of engagement appear to influence outcomes of service redesign. Discrete products are usually derived from low-level engagement (consultative unidirectional feedback), whereas care processes and structural outcomes are derived from high-level engagement (partnership strategies)....
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Keyword(s) : International, Quality, PatientsDelicious Digg Facebook Stumble Upon Twitter