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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.

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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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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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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International - Delivering Quality Health Services: A Global Imperative for Universal Health 

08/09/2018

As countries around the world institute universal health coverage, there is growing acknowledgement that optimal health care requires a deliberate focus on quality. Published by the OECD, this document describes how to develop, refine and execute national quality policies and strategies, and supplies 22 recommendations for improving and sustaining quality of care....
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Keyword(s) : International, Health care, Quality, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Identifying options for funding the NHS and social care in the UK: international evidence 

08/09/2018

Identifying options for health and social care funding in the UK, this paper explores how 16 other high-income countries have implemented changes to meet systemic challenges. Most of these countries have public health systems but rely more on private funding for social care. Internationally, funding reforms tend to be incremental and catalyzed by economic circumstances rather than demand for care....
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UK - How good is the NHS? 

08/09/2018

Comparing the UK National Health Service (NHS) with its international peers, this report shows that treatment wait times are in line with similar countries and that the NHS is relatively efficient, with lower than average administrative costs and widespread usage of cheaper medicines. However, patient outcomes remain poorer than the international average, with higher mortality rates for cardiovascular disease, cancer and stroke....
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France - Healthcare establishments - 2018 edition 

08/09/2018

Les établissements de santé - édition 2018 This annual publication provides a summary of data on healthcare establishments in France. It offers key figures on hospital activity and capacity, personnel and remuneration. Quality and safety indicators are detailed alongside financial results. Information is presented in 35 thematic sections, with tables and charts....
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Europe - Medicines Reimbursement Policies in Europe 

08/09/2018

This WHO report reviews reimbursement policies for medicines across Europe, finding that while most countries provide coverage for inpatients, outpatients usually pay a share of a medicine's price, imposing a significant financial burden for those with lower incomes. The report identifies ways to make medicines more affordable, including priority setting, consideration of vulnerable populations, regular evaluations, and strategic policy measures....
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Europe - What is the experience of decentralized hospital governance in Europe? 

08/09/2018

Published by the WHO, this brief explores experience with decentralized hospital governance in 10 European countries (Denmark, England, Finland, France, Germany, Italy, Netherlands, Scotland, Spain and Sweden). It finds examples of systems with decentralized hospital governance collaborating to overcome equity and efficiency concerns, but notes that the importance of institutional and political contexts makes it difficult to transfer successful models from one country to another....
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Keyword(s) : Hospital, Governance, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Australia - Mapping primary care in Australia 

08/09/2018

Australia has high quality primary care by international standards, but this report finds that too many Australians continue to lack access because of costs or because they live in rural and remote areas. The report calls for a comprehensive national primary care framework; agreements between the federal government, Australia's states and Primary Health Networks (PHNs) to improve system management; and new funding, payment and organizational arrangements....
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