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Observatoire international sur la santé et les services sociaux

Nouveautés

Canada - Antibiotics prescribed more often in Canada than in other OECD countries

According to new data from the Canadian Institute for Health Information (CIHI), antibiotics are prescribed more frequently in Canada than in other OECD countries. In 2015, more than 25 million courses of antibiotics were prescribed — almost one prescription for every Canadian aged 20 to 69.

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UK - Towards an effective NHS payment system: eight principles

Following consultation with National Health Service (NHS) providers, this report identifies eight guiding principles that a payment system should meet to support high quality care. The eight principles are: clear purpose; realistic expectations; national consistency with local flexibility; appropriate aligned incentives; high quality data; balance of design complexity and ease of use; independent oversight; and time to embed and evaluate systems.

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UK - Does hospital competition improve efficiency? The effect of the patient choice reform in England

This paper focuses on the UK’s 2006 relaxation of constraints on patient choice of hospital to investigate the effect of hospital competition on dimensions of efficiency, including indicators of resource management and costs. Findings suggest that competition has had mixed effects on hospital efficiency, increasing the proportion of day cases and reducing the number of untouched meals but also leading to a greater number of cancelled elective operations.

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Nouveautés

Spain - Effect of having private health insurance on the use of health care services: the case of Spain

This paper analyzes the effect of private health insurance on public healthcare utilization in Spain. The authors use techniques based on propensity score methods and the latest micro-data from the Spanish National Health Survey (SNHS). Results show that Spaniards with additional private health insurance use the country’s public health system less than peers without private coverage.

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Canada - Emergency room waits continue to increase

New data from the Canadian Institute for Health Information (CIHI) shows that time spent in emergency departments (EDs) waiting to be admitted to the hospital is increasing. The data shows that 90% of admissions following ED visits were completed within 32.6 hours in 2016, a 3.3-hour increase from 29.3 hours in 2015.

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Canada - Blurred Lines. Private Membership Clinics and Public Health Care

Published by the University of Alberta’s Parkland Institute, this report looks at private membership clinics (PMCs) in Alberta that charge annual fees for combined physician and complementary practitioner care. Finding little public data available, the report analyzes Alberta Health audits of PMCs. It concludes that membership clinics skirt the boundaries of provincial and federal health legislation in order to maximize profits and maintain exclusivity.

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