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.

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 

UK - Securing the future: funding health and social care to the 2030s 

06/01/2018

According to this article, UK healthcare funding will need to increase by at least 3.9% annually over the next decade to meet the needs of the country’s aging population. Although government has clamped down on health spending through cuts and privatization, the article says tax increases will be necessary to secure the future of health and social care into the 2030s....
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Keyword(s) : UK, Health care financingDelicious Digg Facebook Stumble Upon Twitter 

Europe - Organization and financing of public health services in Europe: country reports (2018) 

06/01/2018

Describing the public health services of nine European countries, this study explores organization and financing along with training and workforce concerns. Covering England, France, Germany, Italy, the Netherlands, Slovenia, Sweden, Poland and Moldova, the study illustrates two different approaches to public health services: integration with curative health services (as in Slovenia or Sweden), or organization and provision through a separate parallel structure (Moldova and Poland)....
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Keyword(s) : Europe, Health care financing, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Canada - Modernizing Canada’s Healthcare System through the Virtualization of Services 

06/01/2018

In Canada, investments in digital health currently amount to several billion dollars. This article suggests using the Quadruple Aim (QA) framework devised by the Institute for Healthcare Improvement (IHI) to further modernize care delivery using virtual services. The QA framework focuses on improved population health, patient and provider satisfaction, and reduced costs. The article proposes 10 strategies to improve virtual services in Canadian health care....
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Keyword(s) : Canada, ICT, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

USA - 2018 Scorecard on State Health System Performance 

06/01/2018

The US states of Hawaii, Massachusetts and Minnesota are this year’s top-ranked performers in the 2018 Scorecard on State Health System Performance. The scorecard assesses 40 measures of access to health care, quality of care, health outcomes, and income-based disparities. The scorecard also reveals that 28 states are losing ground on measures related to life expectancy....
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Keyword(s) : USA, PerformanceDelicious Digg Facebook Stumble Upon Twitter 

UK - New system launched to help measure and prevent medication errors 

06/01/2018

The National Health Service (NHS) has launched a system to track the contribution of medication errors to hospital admissions. The system will use a series of indicators that link prescribing data from primary care to hospital admissions. The first indicators introduced will focus on the role of prescription errors in admissions for gastrointestinal bleeding....
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Keyword(s) : UK, MedicationDelicious Digg Facebook Stumble Upon Twitter