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Observatoire international sur la santé et les services sociaux

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USA - Accounting for the Rise of Health Spending and Longevity

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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USA - Nurse Practitioner–Physician Comanagement: A Theoretical Model to Alleviate Primary Care Strain

American nurse practitioners (NPs) are increasingly managing patient care as clinicians. This paper surveys 156 prior studies to develop a new model of clinical co-management between NPs and physicians. The model has three elements: effective communication, mutual respect, and clinical alignment of care. The paper also describes the legal and organizational barriers that continue to inhibit NP practice in the US.

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Europe - Organization and financing of public health services in Europe: country reports (2018)

Describing the public health services of nine European countries, this study explores organization and financing along with training and workforce concerns. Covering England, France, Germany, Italy, the Netherlands, Slovenia, Sweden, Poland and Moldova, the study illustrates two different approaches to public health services: integration with curative health services (as in Slovenia or Sweden), or organization and provision through a separate parallel structure (Moldova and Poland).

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