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Bulletin

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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Headlines

Canada- Social Systems Evidence provides policymakers and stakeholders with better access to research evidence

Funded by McMaster University, Social Systems Evidence (SSE) is a new website that provides a repository of research syntheses concerning government programs, services and products in the areas of community and social services, culture, gender, economic development, education, and transportation.

France – Government adopts the 2018-2022National Health Strategy

The national strategy, adopted in autumn 2017, will be implemented in national plans and in programs and projects defined by regional health agencies (ARS) on each territory. It focuses on four priority areas: the development of a health promotion policy; the fight against unequal access to health; quality, safety and pertinence of care; and innovation to transform the system by reasserting the role of users.

UK - New Framework launched to define the role of Advanced Clinical Practitioners in healthcare

Health Education England (HEE), in partnership with the National Health Service (NHS), has launched a comprehensive national framework for the further development of Advanced Clinical Practitioners (ACPs). The framework includes new standards for ACPs, whose roles include enhancing capacity and capability within multi-professional teams, improving clinical continuity, and providing high-quality care for patients.

USA - National Health Care Spending in 2016

New research shows that American healthcare spending increased by 4.3% in 2016, reaching $3.3 trillion. The share of GDP devoted to health care is now 17.9%. However, US health spending is now decelerating after growth in previous years associated with coverage expansions under the Affordable Care Act (ACA).

International - Half the world lacks access to essential health services, 100 million still pushed into extreme poverty because of health expenses

Half of the world’s population cannot obtain essential health services, according to the WHO. The report says nearly 100 million people are pushed every year into extreme poverty (surviving on $1.90 or less daily) because of direct costs for health care.

Upcoming Events

Canada - Shaping the Future of Canada’s Health Systems

The 2018 CAHSPR conference takes place from May 28 to 31, in Montreal. A key focus is on how recent developments such as the focus on population health, the increase in patient input, and new technologies and data sources can influence the healthcare system and disrupt the status quo.

USA - 2018 National Health Policy Conference

Reconciliation, Regulation and Regular Order is the theme of the 2018 conference, taking place in Washington, DC on February 5 and 6. The event is geared to health care decision makers and policy experts and presents the latest evidence to inform decisions around immediate policy priorities in United States health care.

Reports and Issue Portfolios

Canada - Lessons learned from the deployment of Lean management in Québec’s health and social service establishments

Leçons apprises d’un déploiement de l’approche Lean dans des établissements de santé et de services sociaux au Québec Between 2012 and 2016, the Québec Ministry of Health and Social Services carried out a program aimed at supporting an accelerated deployment of the Lean management approach adapted to health and social services. Nineteen institutions with various vocations took part in this process. This article describes lessons learned from this experiment.

Canada - Fostering development of nursing practices to support integrated care when implementing integrated care pathways: what levers to use?

The role of nurses in care integration is a particular focus of health system reform. In this study at a Québec health and social services centre (HSSC), researchers interviewed 37 nurses and managers to identify strategies that support nursing practices aligned with care integration requirements. Findings suggest that clinical and organizational processes should be reconceived along with organizational resources and structures.  

Europe - Headline Indicators for Structured Monitoring of Health System Performance in Europe

Published by EuroHealth, this article proposes using a prioritized set of indicators identified from 43 health system performance assessments (HSPA) to inform comparative analysis of policy impacts. The set of 95 indicators were assessed for relevance to HSPA domains of access, efficiency, equity and quality of care. Indicators to monitor performance on key public health objectives in were identified.

France: improving the efficiency of the health-care system

France’s health-care system offers high-quality care according to a new report from the OECD. Average health outcomes are good, public satisfaction with the health-care system is high, and average household out-of-pocket expenditures are low. As in other OECD countries, technology is expanding possibilities for life extension and quality, and spending is rising steadily, while an ageing population requires substantially more and different services. The main challenges are to promote prevention and cost-efficient behaviour by care providers, tackle the high spending on pharmaceuticals, strengthen the role of health insurers as purchasing agents and secure cost containment.

Switzerland - Development of a monitoring instrument to assess the performance of the Swiss primary care system

Conducted under the auspices of the Swiss Primary Care Active Monitoring (SPAM) program, this study developed an instrument to describe the performance and efficacy of Switzerland’s primary care system. Selecting 56 primary and 80 secondary indicators, the new instrument was deemed capable of effectively monitoring primary care within the Swiss health system’s complex blend of private and public health providers.

UK - Falling short: Why the NHS is still struggling to make the most of new innovations

In recent years, significant resources have gone into understanding why Britain’s National Health Service (NHS) is often slow to adopt innovations despite strong evidence of benefit. This briefing by the Nuffield Trust consultancy pins the problem on an approach to innovation that is overly supply-driven and top-down, a lack of timely generation of evidence, and the silo-based structure within NHS organizations that restricts the broader adaptation of research and development.

International - How Much Do OECD Countries Spend on Prevention?

Using data from across the 35 member-countries of the OECD, this study examines differences in spending on prevention at both aggregate and detailed levels. Time series data is scrutinized alongside developments in policy and public health to try to identify drivers behind the observed trends in spending on prevention. Policy implications and directions for improvement are discussed.

International - Whole-system approaches to improving the health and wellbeing of healthcare workers: A systematic review

Commissioned by the UK’s Department of Health, this systematic review analyzes 11 international healthy workplace interventions. It recommends five interventions featuring whole-system change programs to improve staff health and wellbeing in the health sector. All interventions include the identification of and response to local need, engagement of staff at all levels, and the involvement, visible leadership, and up-skilling of management and board-level staff.

International - New perspectives on global health spending for universal health coverage

This WHO report summarizes the latest data on global health spending, while incorporating a new classification scheme for health expenditures from the revised System of Health Accounts. This framework enables the presentation of detailed information on the role of governments, households and donors in funding health services, as well as the financing arrangements through which funds are channelled and spent.

International - Measuring patient experiences (PREMS). Progress made by the OECD and its member countries between 2006 and 2016

Released by the OECD, this paper synthesizes developments in the measurement and monitoring of patient-reported experience measures (PREMs) in member-countries between 2006 and 2016. The report finds that most OECD countries measure patient experience at a national level but suggest there are opportunities to expand PREMs data collection in different domains for international reporting across the OECD. 

International - Evidence use in decision-making on introducing innovations: a systematic scoping review with stakeholder feedback

This scoping review looks at how evidence informs healthcare decision-making on innovation. The study is based on 24 international studies along with focus groups to incorporate stakeholder feedback from British health professionals. Processes at many levels are found to influence the use of evidence in decision-making around innovation, and us of evidence is encouraged by interaction between different levels. Political processes at all levels shape the selection and use of evidence.