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 - The Generation of Integration: The Early Experience of Implementing Bundled Care in Ontario, Canada 

11/29/2018

Integrated healthcare models bundle services and encourage interprofessional and organizational collaboration to counter fragmented healthcare delivery and rising system costs. In this study, authors interviewed program stakeholders to provide examples of integration strategies in six Ontario pilot programs, suggest contexts that lend themselves to integration initiatives, and explore the generation of integration through the dynamic interplay of contexts, mechanisms, structures and subjects....
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Europe - Health system performance assessment – Integrated Care Assessment 

11/29/2018

Commissioned by the European Union (EU), this study reviews integrated care performance in the 28 EU countries and tests a performance assessment framework. Analyzing 71 integrated care policies and 550 initiatives, the review finds that the characteristics, depth and breadth of IC penetration vary considerably across Europe. The study's Integrated Care Performance Assessment Framework contains 58 indicators to track integrated care outcomes and patient experiences....
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Canada - How Equity-Oriented Health Care Affects Health: Key Mechanisms and Implications for Primary Health Care Practice and Policy 

11/29/2018

Equity oriented health care (EOHC) is care that addresses the cumulative effects of trauma, violence, poverty and racism on people's lives and health and offers culturally safe and contextually-tailored care. This study of 395 patients in British Columbia and Ontario empirically demonstrates that providing EOHC predicts improved health outcomes for people living in marginalized conditions. This is achieved by enhancing patients’ comfort and confidence in their care and their own confidence in preventing and managing health problems, which, in turn, improved health outcomes (depressive symptoms, PTSD symptoms, chronic pain, and quality of life)....
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France -Agnès Buzyn launches 'My Health 2022' 

11/29/2018

On November 19, 2018, the French government released its plan for changes to France's health system. The 'My Health 2022' strategy redesigns the system's financing model, structuring of local networks and training for health professionals, while increasing funding for digital technologies and eHealth. Legislation concerning the changes will be introduced in parliament in early 2019....
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Canada - 2018 Cancer System Performance Report 

11/29/2018

The Canadian Partnership Against Cancer's annual report examines Canada's cancer system to show what’s working and where improvements are needed. The report finds that while many Canadians are still being diagnosed with preventable cancers and waiting too long for diagnostic tests, more people are surviving cancer than ever before....
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Canada - Canada’s drug spending growth outpaces that for hospitals and doctors 

11/29/2018

According to the Canadian Institute for Health Information (CIHI), drug spending in Canada is now outpacing other major areas of health spending. Canada is expected to spend $33.7 billion on prescribed drugs in 2018, an estimated annual increase of 4.2% compared with increases of 4.0% and 3.1% for hospitals and doctors, respectively....
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Europe – Mental health problems costing Europe heavily 

11/29/2018

This OECD Europe report says greater efforts in the treatment of mental illness would improve the lives of millions of Europeans and contribute to strengthening the economy. The report estimates the total costs of mental ill health in Europe at over 600 billion euros ($900 billion Cdn), more than 4% of GDP....
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Australia - Similar treatment – but costs vary greatly across hospitals 

11/29/2018

In Australia, the cost of treating patients varies significantly between hospitals, according to a report from the Australian Institute of Health and Welfare (AIHW). The report shows that some hospitals spend up to $6,400 to deliver ‘average’ services for acute patients that cost as little as $3,300 in other hospitals. Looking at metropolitan hospitals, the authors find that while some hospitals have reduced their average costs of delivering care by between 4% and 9% since 2012, others saw increases of the same order....
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Canada - Ontario’s health care system under increased strain 

11/19/2018

Many parts of Ontario’s health care system are under increased strain, according to Measuring Up 2018, Health Quality Ontario’s 12th yearly report on the performance of the province’s health system. The report’s key findings emphasize the backlog in different parts of the health system, underscoring the hospital overcrowding issue....
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UK - Understanding the Performance and Potential of Specialist Hospitals 

11/15/2018

The National Health Service (NHS) is considering expanding its network of specialist hospitals, a policy shift applauded in this research, which finds that specialist hospitals are innovation leaders that improve quality standards, attract highly-qualified staff and deliver better outcomes. The authors make recommendations concerning the acceleration of innovation adoption and spread, along with lessons learned for non-specialist hospitals and the NHS overall....
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