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.

International - The promise and peril of universal health care 

09/07/2018

Summarizing international and national efforts to promote and implement universal health coverage (UHC), this article offers a comprehensive review of approaches to UHC and discusses the many differing national contexts, challenges and barriers affecting its implementation and organization around the world. The financial cost of massively expanding access to healthcare continues to be the most formidable barrier to achieving UHC....
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Keyword(s) : International, UniversalityDelicious Digg Facebook Stumble Upon Twitter 

UK - Self-management capability in patients with long-term conditions is associated with reduced healthcare utilisation across a whole health economy: cross-sectional analysis of electronic health records 

09/07/2018

Analyzing 12,270 electronic health records, this study quantified the association between self-management capability in patients with long-term conditions, and healthcare utilization across the UK health sector. It found that higher levels of patient self-management capability are associated with lower utilization of general practitioners (GPs), emergency rooms (ERs) and hospitals, as well as a less wasteful use of resources across primary and secondary care....
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Keyword(s) : UK, Health care utilisationDelicious Digg Facebook Stumble Upon Twitter 

International - The macroeconomic implications of healthcare 

09/07/2018

Outside their crucial role supporting human health, publicly funded healthcare systems also have major macroeconomic implications, including feedback effects on public revenues, expenditures, labour markets and private investment. This paper by Dutch researchers argues that a proper consideration of the macro implications of publicly funded healthcare systems should be an important aspect of health spending decisions, and efficiency and quality strategies....
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Keyword(s) : International, Health systemDelicious Digg Facebook Stumble Upon Twitter 

Spain - Spain. Health system review 

09/07/2018

This review of Spain’s health system finds that public healthcare spending (71% of total health spending) is once again on the rise, further strengthening the primary care sector. While structural measures are needed to improve resource allocation, technical efficiencies, and the provision of patient-centred care, life expectancy in Spain continues to be the highest in the European Union (EU)....
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Keyword(s) : Spain, Health system, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

International - Crossing the Global Quality Chasm: Improving Health Care Worldwide 

09/07/2018

Internationally, between 5.7 and 8.4 million deaths occur each year because of poor quality healthcare (10% to 15% of annual global mortality). This study by the US National Academies of Sciences, Engineering, and Medicine examines the global impacts of poor quality healthcare and recommends ways to improve quality while expanding universal health coverage (UHC), particularly in underdeveloped low-income countries with limited healthcare structures and resources....
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Keyword(s) : International, QualityDelicious Digg Facebook Stumble Upon Twitter 

International - An international comparison of long-term care funding and outcomes: insights for the social care green paper 

09/07/2018

In 2017, Age UK commissioned a comparative analysis exploring long-term care service structures, funding mechanisms, and outcomes in Italy, Spain, France, Germany and Japan to see what lessons could be learned and applied in the UK. Analysis showed that the UK had the largest private sector involvement, lowest public funding, strictest means testing and poorest outcomes of all the long-term care models studied....
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Keyword(s) : International, Long-term care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

Italy - Real and predicted mortality under health spending constraints in Italy: a time trend analysis through artificial neural networks 

09/07/2018

This retrospective study employed computerized neural networks to analyze mortality trends and health spending in Italy over the past 20 years and investigate correlations with funding constraints experienced by the national health system since the economic crisis of 2008. The study found that overall mortality was higher than the predicted trend, a scenario that may be partially attributable to the healthcare funding constraints put in place....
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Keyword(s) : Italy, Health spendingDelicious Digg Facebook Stumble Upon Twitter 

Norway - A Scoping Review of Facilitators of Multi-Professional Collaboration in Primary Care 

09/07/2018

Multi-professional collaboration (MPC) is essential for the delivery of effective and comprehensive care services. This Norwegian scoping review of 19 studies reports on the organizational, relational and contextual facilitators of collaboration between general practitioners (GPs) and other primary care professionals. It finds that advancements in work practices benefit from an initial system-level foundation with a focus on local management and MPC leadership....
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Keyword(s) : Norway, Collaboration, Primary care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

International - Launch of new global estimates on levels of physical activity in adults 

09/07/2018

New data published in The Lancet Global Health show that more than one in four adults globally (28% or 1.4 billion people) are physically inactive. However this can be as high as one in three adults inactive in some counties....
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Keyword(s) : International, StatisticsDelicious Digg Facebook Stumble Upon Twitter 

USA - Hospital Rating Tools Should Allow Patients to Customize Rankings to Meet Their Individual Needs 

09/07/2018

A RAND Corporation analysis appearing in the New England Journal of Medicine (NEJM) argues that hospital rating and ranking tools should be modified to include quality measures that reflect individual needs. Modelling shows that hospital quality reports tailored to the ‘average’ patient are not a good fit for most people under care....
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Keyword(s) : USA, Ratings, HosipitalsDelicious Digg Facebook Stumble Upon Twitter