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.

Canada - 2017 CMA Workforce Survey highlights doctors' concern over patient access to care 

09/15/2017

A survey by the Canadian Medical Association (CMA) shows physicians are concerned about patients' ability to access care. Sampling 7,000 physicians across Canada, the CMA Workforce Survey found that only 48.6% rated Canadians' access to hospital elective procedures as satisfactory. A large majority (80.9%) rated access to long-term care beds as unsatisfactory....
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Keyword(s) : Canada, AccessDelicious Digg Facebook Stumble Upon Twitter 

International - Centers of excellence in healthcare institutions: what they are and how to assemble them 

08/31/2017

Centres of excellence — specialized programs within healthcare institutions that supply concentrations of expertise and resources centred on particular medical areas — afford many advantages for healthcare providers and the populations they serve. This article presents insights from the US Willis-Knighton Health System’s experience operating centres of excellence and offers guidance to healthcare establishments wishing to replicate successful processes in their own programs....
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Keyword(s) : InternationalDelicious Digg Facebook Stumble Upon Twitter 

Europe - Strengthening general practice/family medicine in Europe—advice from professionals from 30 European countries 

08/31/2017

This study is based on a survey of medical teaching professionals from 30 European countries on how to strengthen general practice and family medicine (GP/FM). It finds substantial variations among GPs/FMs across Europe with regards to governance, workforce competence and performance, and academic standing. Respondents strongly agree that securing GP/FM as an academic teaching and research discipline is essential, as is cementing GP/FM’s position as a highly regarded specialty....
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Keyword(s) : Europe, Primary care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Primary Care Home. Evaluating a new model of primary care 

08/31/2017

The Primary Care Home (PCH) program was designed to integrate general practice into the wider healthcare workforce. Based on three core characteristics (personalized care, service partnerships, and aligned drivers), PCH has been tested at 15 sites since 2015. This program evaluation has three main aims: to understand how the test sites are building PCH; to advise on promising approaches; and to share learning across sites....
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Keyword(s) : UK, Primary careDelicious Digg Facebook Stumble Upon Twitter 

UK - Transforming Health: Shifting our health systems from illness treatment and prevention to health creation 

08/31/2017

The authors of this article call for a fundamental change in our understanding of health by shifting the focus to health creation in systems at the community level that create health instead of merely mitigating illness. The article cites existing UK examples of this approach, and explains what needs to be done to reduce health inequalities by fostering community agency....
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Keyword(s) : UK, PreventionDelicious Digg Facebook Stumble Upon Twitter 

UK - Do expanded seven-day NHS services improve clinical outcomes? Analysis of comparative institutional performance from the “NHS Services, Seven Days a Week” project 2013–2016 

08/31/2017

In 2013, the Seven Days a Week Project was initiated to expand full access to the National Health Service (NHS) on weekends. This study analyzes these changes, finding that the adverse clinical outcomes associated with weekends may not be improved by the reorganization. In fact, unless there is additional financial investment, such changes may negatively impact care quality, as seen by the worsening of some outcomes....
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Keyword(s) : UK, Performance, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Canada - Canada should not allow two-tiered practicing for medically-necessary services 

08/31/2017

Comparing Canada with European nations that operate two-tiered health systems with both public and private care, this paper argues that Canada should not allow a two-tiered approach to medically necessary services. It says doing so will weaken healthcare outcomes in the public system as practitioners migrate to the private sector, leaving publicly-funded services with longer wait times and reduced quality....
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Keyword(s) : Canada, Private sectorDelicious Digg Facebook Stumble Upon Twitter 

Canada - Advancing team-based primary health care: a comparative analysis of policies in western Canada 

08/31/2017

This study compares primary health care (PHC) policies in British Columbia, Alberta and Saskatchewan to see how they inform the design and implementation of team-based PHC service delivery. The concept of team-based PHC varies widely across and within the three provinces. The study noted policy gaps related to team configuration, leadership, scope of practice, role clarity and financing of team-based care....
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Keyword(s) : Canada, Primary careDelicious Digg Facebook Stumble Upon Twitter 

Canada - Costs of health care across primary care models in Ontario 

08/31/2017

This study examines the relationship between new primary care models in Ontario and the costs of primary care and total health care. It focuses on payment mechanisms for primary care physicians (fee-for-service [FFS] and blended capitation), and finds that new primary care models are associated with lower total healthcare costs compared to the traditional FFS model, despite higher primary care costs in some models....
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Keyword(s) : Canada, Ontario, CostsDelicious Digg Facebook Stumble Upon Twitter 

Australia - Equitable resourcing of primary health care in remote communities in Australia’s Northern Territory: a pilot study 

08/31/2017

This study in Australia’s remote Northern Territory sought to identify factors that help to ensure equitable access to high quality primary health care (PHC) even in geographically isolated areas. A direct linear relationship was observed between the total cost of PHC services and population, while cost per capita decreased with increasing population. The findings provide evidence based on real costs to guide funding for remote PHC services....
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Keyword(s) : Australia, Primary careDelicious Digg Facebook Stumble Upon Twitter