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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.

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 

Europe - Evidence synthesis for health policy and systems: a methods guide 

11/02/2018

This guide to methods for synthesizing evidence from health policy and systems research examines quantitative, qualitative and mixed method synthesis strategies. It also provides practical guidance for engaging decision-makers in evidence synthesis and fostering the uptake of findings in policy and practice. Suggestions are included for framing a synthesis question, assessing context-sensitive evidence, understanding complexity, addressing health equity, and selecting appropriate synthesis approaches....
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Keyword(s) : Europe, MethodologiesDelicious Digg Facebook Stumble Upon Twitter 

Europe - Will population ageing spell the end of the welfare state? A review of evidence and policy options 

11/02/2018

Released by the European Observatory on Health Systems and Policies, this briefing reviews evidence on health and long-term care costs associated with aging populations to better understand escalating cost pressures due to changing demographics. It focuses on selected policy areas that either support the health and activity of older people or reinforce sustainable care systems more broadly in the context of population aging....
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Keyword(s) : Europe, AgeingDelicious Digg Facebook Stumble Upon Twitter 

China - The Luohu Model: A Template for Integrated Urban Healthcare Systems in China 

11/02/2018

In 2015, the southern city of Luohu introduced a new integrated care system that linked five hospitals with 23 community clinics and specialized medical institutions. China’s government has since encouraged other cities to emulate the highly successful Luohu model. This paper studies Luoho’s integration process, analyzes its core mechanisms, and evaluates the integration of policy development....
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Keyword(s) : China, Integration, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Canada - Scan of Mental Health Strategies 

11/02/2018

This document provides an overview of mental health and wellness strategies in Canada, with a particular emphasis on the promotion of mental health and the prevention of mental illness. The scan is presented in the form of three comparative tables: provincial and territorial mental health strategies; suicide prevention strategies; and Indigenous-specific mental health and wellness strategies....
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Keyword(s) : Canada, Mental health, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Canada - Aligning Outcomes and Spending. Canadian Experiences with Value-Based Healthcare 

11/02/2018

Value-based healthcare (VBHC) is a delivery model in which provider financing and budgets are based on patient health outcomes instead of the volume of services, processes, and products. This briefing reviews surveys, case studies and the scientific literature to explore the application of VBHC in health care across Canada. It focuses on the use of VBHC in new care models, innovative digital technology, and care integration....
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Keyword(s) : Canada, Value, suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Austria - Austria Health system review, 2018 

11/02/2018

Published by the European Observatory on Health Systems and Policies, this snapshot of Austria’s health system in 2018 highlights recent reforms to improve governance, increase healthy life expectancy, and improve quality and efficiency of service delivery. Overall, Austria has one of the most effective health systems in Europe, with coverage, access, patient satisfaction and mortality rates significantly better than the European Union average....
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Keyword(s) : Austria, PerformanceDelicious Digg Facebook Stumble Upon Twitter 

USA - Stakeholders Identify Actions for Providers, Patients & Research Community to Advance Patient-Centered Care 

11/02/2018

This report summarizes the ideas to advance patient-centred care generated by 70 patients and patient advocates, researchers, clinicians, healthcare system leaders and other stakeholders convened by the AcademyHealth think tank in May 2018. Participants focused on community engagement, caregiver training, improving workforce diversity and transparency, and investing in patient-centred implementation research....
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Keyword(s) : USA, Patient careDelicious Digg Facebook Stumble Upon Twitter 

USA - Electronic medical records show promise in reducing unnecessary testing 

11/02/2018

A study at Boston Medical Center was successful in reducing unnecessary diagnostic testing through use of an electronic medical record (EMR)-based intervention. The researchers designed new EMR recommendations that alert providers to best practice information in order to prevent the overutilization of chest x-rays, routine daily labs, red blood cell transfusions and urinary catheters. ...
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Keyword(s) : USA, EfficienceDelicious Digg Facebook Stumble Upon Twitter 


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