Santé et Services sociaux Québec.
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The OISSS electronic monitoring bulletin is disseminated free of charge to subscribers every two weeks in French and English. The Bulletin monitors current news, upcoming events, and publications related to reforms of healthcare systems around the world, in particular in OECD countries and countries of the Americas.

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Canada - Lancet series calls on Canada for concrete action on Indigenous, global health

The Lancet has published a series of articles highlighting Indigenous health outcomes in Canada that include higher rates of chronic disease, higher infant mortality, and lower life expectancy. The journal calls for action on what it terms “a developing nation hidden inside Canada’s borders.”

Ireland - Project Ireland 2040

The Irish government has announced a wide-ranging health and social services initiative called Project Ireland 2040, which seeks to improve national outcomes in wellbeing, equality, and opportunity. Priorities include: compact growth, enhanced regional accessibility, strengthened rural communities, international connectivity, sustainable environmental management, and easy access to child care.

The Netherlands - First products Dutch Public Health Foresight study available in English

In 2017, the Dutch National Institute for Public Health (RIVM) began releasing results from the Dutch Public Health Foresight Study, which analyzes trends in population health in the Netherlands up to 2040. Three reports concerning healthcare demand, technology, and the wider determinants of health have now been translated and are available in English.

UK - Sharp drop in public satisfaction with the NHS, new analysis shows

This survey by the Nuffield Trust and The King’s Fund shows that public satisfaction with the National Health Service (NHS) dropped from 63% in 2016 to 57% in 2017, its lowest level since 2011. The four main reasons for dissatisfaction with health services were: staff shortages, long waiting times, lack of funding and government reforms.

Upcoming Events

Canada - e-Health 2018

This year’s conference takes place May 27 to 30 in Vancouver. The program includes a national update on clinician and citizen adoption of digital health technologies, along with discussion of convenience in healthcare delivery, trusted citizen identity and managing chronic disease with digital health. The meeting is hosted by Infoway, the CIHI and Digital Health Canada.

Canada - Coordinating Care across Boundaries and Borders

The Organizational Behaviour in Health Care conference takes place in Montreal from May 13 to 16, 2018. The program features a look at methods in health research, the application of Lean research in health care, professional boundaries, and primary care. Henry Mintzberg will provide a keynote address on managing the myths of health care.

Reports and Issue Portfolios

Canada - The Economic Benefits of Reducing Cardiovascular Disease Mortality in Quebec, Canada

This article, published in PLOS One, describes how different scenarios of cardiovascular disease (CVD) prevention, aimed at meeting targets set by the WHO, may impact healthcare spending in Quebec. The authors find that a 25% reduction in CVD mortality between 2012 and 2025 achieved through decreased incidence could contain the pace of healthcare cost growth towards 2050 by nearly 7 percentage points for consultations with a physician, and by almost 9 percentage points for hospitalizations. 

Europe - How to make sense of health system efficiency comparisons?

Improving health system efficiency is a compelling policy goal, especially in systems facing serious resource constraints. This policy brief from the European Observatory on Health Systems and Policies proposes an analytic framework for understanding and interpreting the most common healthcare efficiency indicators.

Europe - Synopsis Report Consultation: Transformation Health and Care in the Digital Single Market

In 2017, the European Union (EU) announced a digital health and care strategy based on three pillars: citizen access to their health records, a supportive data infrastructure, and patient-centred interoperability of healthcare data. This report provides an analysis of consultation activities connected to the strategy that involved online surveys and questionnaires answered by respondents across Europe. Results showed strong support for the EU actions.

UK - Approaches to social care funding

This paper by The King’s Fund and Nuffield Trust considers ways to fund social care for older Britons. The four options discussed include: improvements to the current system; free social care; a single budget for both health and social care; a hypothecated tax for social care; and a revised means test and cap on care costs. This last option is the platform of the UK’s ruling Conservative Party, which has not yet been implemented.

USA - The History, Evolution, and Future of Medicaid Accountable Care Organizations

Increasingly prevalent in the United States, accountable care organizations (ACOs) shift more accountability for health outcomes to providers and have shown positive results improving care and reducing costs for government programs like Medicaid. This brief highlights Medicaid ACO programs in 12 American states and examines their evolution over time. It highlights that developing and operationalizing state-wide programs can be a complex undertaking.

USA - Approaches to Cross-Sector Population Health Accountability

The US is the only developed country to spend more on health care than on social services, suggesting that opportunities to address non-clinical health risk factors go unanswered. Financial alignment across the two sectors is one promising strategy to encourage collaboration and improve population health. This paper proposes a framework for defining risk relationships and outlines two approaches for aligning incentives: parallel risk and hierarchical risk.

International - Which Policies Increase Value For Money in Health Care?

Published by the OECD, this working paper investigates how policies and institutions helped achieve better healthcare value for money across 26 OECD countries from 2000-2015. Findings showed that policies that increase the scope of goods and services covered by basic health care coverage helped achieve better value for money by moderating health spending growth and increasing life expectancy.

International - Hospital-based interventions: a systematic review of staff-reported barriers and facilitators to implementation processes

This Australian systematic review of 43 papers highlights key domains that need to be addressed by researchers and clinicians seeking to implement hospital-based, patient-focused interventions. It determines that barriers and facilitators to implementation can be grouped into three main domains: system, staff, and intervention.

International - The Impact of Supply Chain Transformation in Global Health Systems

Changing supply chain processes improves safety, quality and performance in health systems. Examining the impact of transformations to health system supply chain infrastructure in Canada, the UK and the US, the research reveals that substantial savings can be achieved through inventory optimization and waste reduction, while automation can increase clinician time for patient care.