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.

Summer season 

07/03/2018

Please note that the newsletter’s publication will be interrupted for the summer. We will resume publication on August 14, 2018....
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USA - Accounting for the Rise of Health Spending and Longevity 

06/28/2018

This study by Québec researchers investigates the rise of health spending and longevity in the US over the period 1965-2005. It estimates that technological change and more generous health insurance explain 36% of the health-spending rise. Technological change, taking the form of increased healthcare productivity, explains most of the rise in life expectancy over the study’s 40-year period....
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Keyword(s) : USA, Health spendingDelicious Digg Facebook Stumble Upon Twitter 

UK - Risk and reward sharing for NHS integrated care systems 

06/28/2018

Risk and reward sharing (RRS) allows healthcare policymakers to incentivize providers to moderate demand by sharing in savings or cost overruns. This paper traces the application of RRS, first in American accountable care organization, and then within integrated care in the UK National Health Service (NHS). It warns that the NHS must be aware of the complexities inherent in RRS as well as the benefits....
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Keyword(s) : UK, Integrated care, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Driving improvement. Case studies from 10 GP practices 

06/28/2018

Produced by the Care Quality Commission (CQC), England’s healthcare regulator, this report examines how 10 substandard general practices made changes to improve their CQC ratings and standards of care. The authors interviewed a range of people at each practice, including general practitioners (GPs), managers, nurses, staff, patients and external stakeholders, to establish common improvement strategies and practices, most of which involved leadership, training, and communication....
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Keyword(s) : UK, Innovation, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Taking the value-based agenda forward: the five essential components of value-based approaches to health and care 

06/28/2018

Against a backdrop of financial pressures, growing demand for services, and the quest to transform local delivery systems, the concept of value in the UK health system has gained increasing prominence. This paper explores how to spread the adoption of value-based health care across all of the constituent parts of the National Health Service (NHS), and explores key factors in successful adaptation....
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Keyword(s) : UK, Value, Suggested documentDelicious Digg Facebook Stumble Upon Twitter 

UK - Horizontal or Vertical: Which way to integrate? Approaches to community services integration and consequences for emergency hospital activity. A case study based on the Transforming Community Services Policy 

06/28/2018

In 2010, the UK government’s Transforming Community Services Policy required a complete break between policy/funding and provider functions in emergency hospitals. Eight years later, this case study explores the impact this choice had on the use of emergency hospital by older Britons and considers the wider implications for the National Health Service (NHS) as it develops new models of care and integrated care systems....
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Keyword(s) : UK, Integrated careDelicious Digg Facebook Stumble Upon Twitter 

Europe - Mental health, human rights and standards of care 

06/28/2018

Published by the WHO, this report rates the quality of care and protection of human rights in mental health institutions in 20 European countries. The objective of the report is to address gaps in knowledge about these institutions and identify deficiencies in care standards through the lens of the United Nations Convention on the Rights of Persons with Disabilities....
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Keyword(s) : Europe, Mental healthDelicious Digg Facebook Stumble Upon Twitter 

Canada - Organizational factors influencing successful primary care and public health collaboration 

06/28/2018

This study identifies factors in primary care and public health organizations that influence successful collaboration between the two. Findings are based on interviews with policy makers, managers and service providers. Five major organizational factors that influence collaboration were identified: clear mandates and goals; coordination and communication mechanisms; collaborative organizational culture; optimal use of resources; and collaborative approaches to programs and service delivery....
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Australia - Coordinating Mental and Physical Health Care in Rural Australia: An Integrated Model for Primary Care Settings 

06/28/2018

Based on staff interviews at a small town clinic providing primary healthcare to people using community mental health services, this article examines factors driving successful primary care integration in rural settings. It finds that the necessary processes and structures (including a booking system and team-based approach) evolved locally from supportive professional and organizational relationships. Strong collaborative relationships also led to the upskilling of local staff....
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Keyword(s) : Australia, CoordinationDelicious Digg Facebook Stumble Upon Twitter 

International - OECD Health Statistics 2018 

06/28/2018

The online database OECD Health Statistics 2018 has been released on June 28. The OECD Health Database offers the most comprehensive source of comparable statistics on health and health systems across OECD countries. It is an essential tool to carry out comparative analyses and draw lessons from international comparisons of diverse health systems....
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Keyword(s) : International, StatisticsDelicious Digg Facebook Stumble Upon Twitter