Santé et Services sociaux Québec.
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This section features items which have recently appeared in the Observatoire international de la santé et des services sociaux (OISSS) monitoring bulletin.

International - An empirical tool for estimating the share of unmet need due to healthcare inefficiencies, suboptimal access, and lack of effective technologies 

02/22/2019

Concern about conditions that impose the greatest disease burden has led to a focus on the measurement of unmet need. However, current measures ignore the burden that could be eliminated by using healthcare technologies more effectively. In response, this study developed an empirical tool that separates unmet need from met need and then estimates the share of unmet need attributable to healthcare inefficiencies, suboptimal access, and ineffective technologies....
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Keyword(s) : International, health care needsDelicious Digg Facebook Stumble Upon Twitter 

International - Decentralisation in the health sector and responsibilities across levels of government. Impact on spending decisions and the budget 

02/22/2019

This OECD paper is based on a survey of member governments, asking about health system decentralization. Results show that in most OECD countries, sub-national governments control healthcare supply and delivery, though not always financing and policy. Local governments have little power....
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Keyword(s) : International, Health care management, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

International - Performance measurement systems in the health sector and their budgetary implications 

02/22/2019

This OECD paper summarizes a survey of member governments on health sector performance measurement systems (PMSs) and their impact on budgets and spending. The survey shows that many OECD countries rely on centralized PMSs to steer the supply of healthcare services and monitor hospital provider performance. Health performance systems are geared more towards improving performance than cost cutting....
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Keyword(s) : International, Performance, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Operating theatres: opportunities to reduce waiting lists 

02/22/2019

Over the past five years, waiting times for elective surgeries have increased in the UK. This report for the National Health Service (NHS) proposes improving operating theatre productivity by increasing efficiency and utilizing existing operating list capacity. The authors discuss theatre productivity metrics and data, and make a series of recommendations, including streamlining surgical admission processes and minimizing delays between procedures....
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Keyword(s) : UK, Wait timesDelicious Digg Facebook Stumble Upon Twitter 

Japan - OECD Reviews of Public Health: Japan. A Healthier Tomorrow 

02/22/2019

Japan's public health system is the subject of this OECD report, which highlights areas of strength and weakness, and makes recommendations. It examines public health system architecture in view of population health challenges, especially those relating to the country's large elderly population. It also focuses on the extensive health check-ups program, the cornerstone of Japanese public health's secondary prevention strategy....
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Keyword(s) : Japan, HealthDelicious Digg Facebook Stumble Upon Twitter 

Europe - What quantitative and qualitative methods have been developed to measure the implementation of a life-course approach in public health policies at the national level? 

02/22/2019

While the life-course approach to health is a pillar of policymaking, strategies for its use and evaluation are lacking. This WHO report reviews life-course approaches in public health interventions and national strategies to inform policymakers involved in developing measurement frameworks. For example, a life-course approach at population level could report on existing interventions in key life-course stages using survey platforms and quantitative data....
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Keyword(s) : Europe, Public healthDelicious Digg Facebook Stumble Upon Twitter 

China - China’s new policy for healthcare cost-control based on global budget: a survey of 110 clinicians in hospitals 

02/22/2019

To contain runaway expenditure, China’s healthcare reforms emphasize control of the sector's global budget, which has led to cost-control actions at hospital level that sometimes include limiting examinations, surgeries, drugs and admissions. This study explores the effects of the cost-control policy by surveying 110 clinicians across the country, most of whom held negative views of cost-control actions....
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Keyword(s) : China, Health care costsDelicious Digg Facebook Stumble Upon Twitter 

Canada - Health Care Reform Options for Alberta 

02/22/2019

This article published by the Fraser Institute proposes and discusses seven healthcare reform options for Alberta. These are: to expand capacity with private providers; encourage competition between hospitals via activity-based funding; increase efficiency with a centralized surgical registry; remove restrictions on private delivery of medically necessary services; allow dual-practice for physicians; revisit public system coverage; and require individuals to share treatment costs....
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Keyword(s) : Canada, Alberta, Suggestion d'ouvrageDelicious Digg Facebook Stumble Upon Twitter 

Canada - Integrating Primary Care, Home Care, and Community Health Services in Ontario 

02/22/2019

Exploring healthcare reform under Ontario's previous Liberal government, this paper focuses on the 2016 Patients First Act that abolished Community Care Access Centres (CCACs) and transferred their duties to Local Health Integration Networks (LHINs) to improve continuity of care. The paper finds that significant issues remain unaddressed, including the role of LHINs in working with physicians and hospital boards....
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Keyword(s) : Canada, Ontario, Primary careDelicious Digg Facebook Stumble Upon Twitter 

International - 2019 Global Health Care Outlook 

02/22/2019

Published by Deloitte, this 2019 outlook reviews the current state of the global healthcare sector and explores trends and issues impacting healthcare providers, governments, payers, patients and other stakeholders. It also outlines suggestions for these actors as they seek to redefine the healthcare ecosystem and looks at examples from other sectors....
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Keyword(s) : InternationalDelicious Digg Facebook Stumble Upon Twitter