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.

Belgium - Cost Sharing and Protection Mechanisms in Health. Examples of Hypothetical Simulations: Results 

04/04/2019

Patient cost sharing and social protection mechanisms are features of Belgium's health insurance system. These include co-payments, coinsurance, and a maximum billing scheme. This technical report uses micro-simulation modeling to evaluate the budgetary and distributional consequences of recent government proposals to change cost sharing and social protection mechanisms. The report has 54 sections, each with tables summarizing specific findings....
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Canada - Wait times for joint replacements and cataract surgery growing in much of Canada 

04/04/2019

According to CIHI, 30% of patients in the 10 Canadian provinces who required a joint replacement (hip and knee) or cataract surgery in 2018 did not have the procedure done within recommended wait times. Data on trends is available at CIHI’s online Wait Times tool, organized by province and procedure....
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Keyword(s) : Canada, Wait timesDelicious Digg Facebook Stumble Upon Twitter 

Canada - Advance Health Care Directives: A New Brunswick Guide 

04/04/2019

This guide was produced by the Public Legal Education and Information Services of New Brunswick. It aims to educate the public on new provincial legislation that enables individuals to set out their future healthcare wishes and ensure these are known to healthcare professionals. The guide explains who can create a health care directive, how to create it, where to keep it, and how to update it or revoke it....
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Keyword(s) : Canada, New BrunswickDelicious Digg Facebook Stumble Upon Twitter 

Canada - Alberta launches MyHealth Records 

04/04/2019

Alberta's government has released a new online tool called MyHealth Records that gives adults access to downloadable personal health records, including immunizations, medications and results from 50 common laboratory tests. Users must sign up for the service and obtain a MyAlberta Digital ID, a secure form of identification for online verification....
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Canada - The Patient’s Medical Home (PMH) 2019 vision charts the future of family practice 

04/04/2019

The College of Family Physicians of Canada’s Patient’s Medical Home (PMH) 2019 vision is designed to help family practices respond to the evolving needs of communities. It emphasizes collaboration, accessibility, continuity and social accountability. The PMH 2019 vision provides a baseline for care standards with a focus on optimizing technology and the use of electronic medical records....
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Keyword(s) : Canada, Family medicineDelicious Digg Facebook Stumble Upon Twitter 

Australia - Mental health services in Australia 

04/04/2019

Published as downloadable reports since 2011, this latest edition of Mental Health Services in Australia (MHSA) provides the most recent data available on the national response of the health service system to the mental healthcare needs of Australians. MHSA is updated progressively throughout each year as data becomes available. $9.1 billion was spent on mental health in 2016–17. Use of restrictive practices in mental health facilities continues to fall....
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International - Incentivising competition in public services 

03/21/2019

Looking at how policymakers incentivize competition in public services, this study finds that in health care, separating provision from funding is common internationally. The American model of competition between vertically integrated insurers and healthcare providers is an exception. In many systems, internal markets tend to consolidate on both the insurer and provider sides. Research into provider mergers suggests they cause increased prices in hospitals, with limited consumer benefits....
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Keyword(s) : International, competition, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

USA - Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models. Materials for a Report to Congress 

03/21/2019

Across the US, healthcare sites have embraced technology-enabled collaborative learning and capacity-building (TECL-CB) models that connect rural or remote generalist providers with specialist teams. This report examines the data on American TECL-CB models, which now address a wide range of conditions. Most show positive effects, although patient outcomes remain less documented than provider outcomes....
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USA - The Shared Principles of Primary Care: A Multistakeholder Initiative to Find a Common Voice 

03/21/2019

This article summarizes the Patient Centred Medical Home paradigm, developed more than a decade ago. The authors assert that its seven essential principles — primary care that is person-centred, continuous, comprehensive, integrated, team-based, equitable, accessible and high-value — will do the most to help the dynamic and iterative process of consensus-building currently underway among stakeholders in the US....
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UK - Payments and contracting for integrated care. The false promise of the self-improving health system 

03/21/2019

For 30 years, the National Health Service (NHS) has attempted to devise incentive schemes to improve health system performance. Recently, the NHS proposed payment schemes to incentivise integrated care delivery, including population budgets and rewards for performance. This paper casts doubt on their success, arguing there are difficulties in applying incentives developed for accountable care in insurance-based health systems to tax-funded systems with state-owned providers....
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Keyword(s) : UK, Integrated careDelicious Digg Facebook Stumble Upon Twitter