Health Sector Innovation and Partnership: Policy Responses to the New Economic Context – OECD – 7 June 2011

Posted on June 21, 2011. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , |

Health Sector Innovation and Partnership: Policy Responses to the New Economic Context – OECD – 7 June 2011

OECD 50th Anniversary Conference on Health Reform: Meeting the challenge of ageing and multiple morbidities

Background paper by:
Richard B. Saltman, Emory University, European Observatory on Health Systems and Policies, Swedish Forum for Health Policy
Johan Calltorp, Nordic School of Public Health, Jönköping Academy for Health Improvement, Swedish Forum for Health Policy
Aad de Roo,Tilburg University

INTRODUCTION . 3
I. The Changing Economic Context  3
a. Falling rates of growth in developed countries  3
b. Potential implications of economic decline for health systems  4
c. Social implications of computer revolution for health systems 5
d. New emphasis on individual responsibility in health care  5

II. Health Sector Responses to the Changing Economic Context  5

III. Innovation in the Health Sector  6
A. A complex knowledge system  7
B. Innovation in service delivery – a weaker process  8
C. The evaluation and quality agenda  9
D. The “evidence movement” /evidence based practice/evidence informed policy and management  9

IV Organizational Responses to Increasing Numbers of Patients with Multiple Chronic Conditions 10
A. Organizational Challenges and Responses in The Netherlands’ Social Health Insurance Based System 10
1. Growing demand for integrated services  10
2. Changing the supply of services  11
a. Long term care  11
b. Integrated care at the neighborhood level  13
c. Primary care  13
d. Hospitals  15
B. Organizational Challenges and Responses in Sweden’s Tax-Funded Health System  15
C. An Organizational Response from One Not-for-Profit Provider in the United States’ Private Health Insurance Based System  17

CONCLUSION  18

REFERENCES 20

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