Public Reporting in health and long-term care to facilitate provider choice – European Observatory on Health Systems and Policies – 18 November 2014

Posted on November 20, 2014. Filed under: Patient Participation | Tags: |

Public Reporting in health and long-term care to facilitate provider choice – European Observatory on Health Systems and Policies – 18 November 2014

“Promoting and enabling choice in publicly-funded health and long-term care services has gained popularity in many countries over recent decades, as it can empower individuals and bring about improved care and outcomes as providers compete for business.

But for choice (and competition) of care provider to live up to its potential, people need good comparative information about care providers to make informed decisions.

In the policy summary authors review the literature on the measurement and reporting of quality information, provide insights to support future investment in public reporting systems, and summarize strategies aiming to increase the use of reporting by patients and users.

The policy summary is targeted at policy-makers, care providers and information developers. The evidence will be helpful for them in creating reports more likely to be used and valued by patients and users when choosing health or care providers.

This summary was published as part of a European Commission project, the European Union Cross-Border Care Collaboration (EUCBCC).”

Advertisements
Read Full Post | Make a Comment ( Comments Off on Public Reporting in health and long-term care to facilitate provider choice – European Observatory on Health Systems and Policies – 18 November 2014 )

Health behaviours and incentives – European Observatory on Health Systems and Policies – Eurohealth v.20 (2) 2014

Posted on June 19, 2014. Filed under: Public Hlth & Hlth Promotion | Tags: |

Health behaviours and incentives – European Observatory on Health Systems and Policies – Eurohealth v.20 (2) 2014

Eurohealth Observer [contents]
To nudge, or not to nudge,
Inequalities and health behaviours,
Effectiveness and ethics of health incentives,
Nudging and solidarity,
Nudging debate in the Netherlands;

Eurohealth International –
Political strategies in public health;

Read Full Post | Make a Comment ( Comments Off on Health behaviours and incentives – European Observatory on Health Systems and Policies – Eurohealth v.20 (2) 2014 )

What is the evidence on the economic impacts of integrated care? – European Observatory on Health Systems and Policies (EOHSP) – 6 June 2014

Posted on June 10, 2014. Filed under: Health Economics | Tags: , , , |

What is the evidence on the economic impacts of integrated care? – European Observatory on Health Systems and Policies (EOHSP) – 6 June 2014

News release: What is the evidence on the economic impacts of integrated care?

“This new policy summary reviews the existing evidence on the economic impact of integrated care approaches. Whereas it is generally accepted that integrated care models have a positive effect on the quality of care, health outcomes and patient satisfaction, it is less clear how cost effective they are. As the evidence-base in this field is rather weak, the authors suggest that we may have to revisit our understanding of the concept and our expectations in terms of its assessment.

Integrated care should rather be seen as a complex strategy to innovate and implement long-lasting change in the way services in the health and social-care sectors are delivered.

This policy summary (number 11) is based on a report for the European Commission to inform the discussions of the EU’s Reflection process on modern, responsive and sustainable health systems on the objective of integrated care models and better hospital management. Both authors are affiliated to RAND Europe.”

Read Full Post | Make a Comment ( Comments Off on What is the evidence on the economic impacts of integrated care? – European Observatory on Health Systems and Policies (EOHSP) – 6 June 2014 )

Matching form to function: Designing organizational models to support knowledge brokering in European health systems – European Observatory on Health Systems and Policies – 2013

Posted on January 23, 2014. Filed under: Evidence Based Practice, Health Libnship, Knowledge Translation | Tags: |

Matching form to function: Designing organizational models to support knowledge brokering in European health systems – European Observatory on Health Systems and Policies – 2013

John N. Lavis, Nasreen Jessani, Govin Permanand, Cristina Catallo, Amy Zierler, BriDGE Study Team

Extract from the key messages

“Credible, competent knowledge brokers in European health systems will ideally organize themselves so as to: inform policy-making using the best available health systems information; inform the production, packaging and sharing of health systems information based on current and emerging policy-making priorities; and employ (and continuously improve) information-packaging and interactive knowledge-sharing mechanisms that are based on a solid understanding of the policy-making context.
The BriDGE criteria can be used to assess an existing or planned organizational model.”

… continues

Read Full Post | Make a Comment ( Comments Off on Matching form to function: Designing organizational models to support knowledge brokering in European health systems – European Observatory on Health Systems and Policies – 2013 )

How can knowledge brokering be advanced in a country’s health system? – European Observatory on Health Systems and Policies – 2013

Posted on January 16, 2014. Filed under: Evidence Based Practice, Health Libnship, Knowledge Translation | Tags: |

How can knowledge brokering be advanced in a country’s health system? – European Observatory on Health Systems and Policies – 2013

Authors
John N. Lavis, McMaster University, Canada and Harvard School of Public Health, USA
Govin Permanand, Evidence and Information for Policy, WHO Regional Office for Europe, Denmark
Cristina Catallo, School of Nursing, Ryerson University, Canada and McMaster University, Canada
BRIDGE Study Team, which includes Josep Figueras, Mark Leys, David McDaid, Gabriele Pastorino and John-Arne Røttingen

“What’s the problem?
• The overarching problem is that there is a lack of attention given to ‘what to do next’ to advance knowledge brokering in many European countries’
health systems. This problem can be understood by considering four sets of interrelated issues within any given country’s health system:
– untapped potential for health systems information to inform policy-making;
– missed opportunities to take stock of the current state of knowledge brokering and to prioritize enhancements to information-packaging mechanisms, enrichments to interactive knowledge-sharing mechanisms, and adaptations to organizational models that support knowledge brokering;
– lack of alignment of support for knowledge brokering, including incentives and requirements for using promising knowledge-brokering mechanisms and models; and
– limited reach of existing efforts to advance knowledge brokering.”

… continues

Read Full Post | Make a Comment ( Comments Off on How can knowledge brokering be advanced in a country’s health system? – European Observatory on Health Systems and Policies – 2013 )

Promoting health, preventing disease: is there an economic case? – European Observatory on Health Systems and Policies – 2013

Posted on December 4, 2013. Filed under: Health Economics, Public Hlth & Hlth Promotion | Tags: |

Promoting health, preventing disease: is there an economic case? – European Observatory on Health Systems and Policies – 2013

“Executive summary

A core question for policy-makers will be the extent to which investments in preventive actions that address some of the social determinants of health represent an effi cient option to help promote and protect population health. Can they reduce the level of ill health in the population? How strong is the evidence base on their effectiveness and, from an economic perspective, how do they stack up against investment in the treatment of health problems? Are there potential gains to be made by reducing or delaying the need for the consumption of future health care resources? Will they limit some of the wider costs of poor health to society, such as absenteeism from work, poorer levels of educational attainment, higher rates of violence and crime and early retirement from the labour force due to sickness and disability?

This policy summary provides an overview of what is known about the economic case for investing in a number of different areas of health promotion and non-communicable disease prevention. It focuses predominantly on addressing some of the risk factors for health: tobacco and alcohol consumption, impacts of dietary behaviour and patterns of physical activity, exposure to environmental harm, risks to mental health and well-being, as well as risks of injury on our roads.

It highlights that there is an evidence base from controlled trials and welldesigned observational studies on the effectiveness of a wide range of health promotion and disease prevention interventions that address risk factors to health. Moreover, the cost–effectiveness of a number of health promotion and disease prevention interventions has been shown in multiple studies. Some of these interventions will be cost-saving, but most will generate additional health (and other) benefits for additional costs. ”

… continues

Read Full Post | Make a Comment ( Comments Off on Promoting health, preventing disease: is there an economic case? – European Observatory on Health Systems and Policies – 2013 )

Building resilient and innovative health systems – European Observatory on Health Systems and Policies – 2013

Posted on September 20, 2013. Filed under: Health Mgmt Policy Planning | Tags: , |

Building resilient and innovative health systems – European Observatory on Health Systems and Policies – 2013

“Eurohealth Observer – What makes health systems resilient and innovative?, Advancing public health in Europe and the US, Mental health in Europe, EU-US free-trade zone, Health at your fingertips, The future of health; Eurohealth International – Investing in Health, Improving care for multiple chronic conditions, Societal impact of health care research; Eurohealth Systems and Policies – Governed co-ordination (Austria), Transition towards universal coverage (USA), Pursuing efficiency (Lithuania); and Eurohealth Monitor. “

Read Full Post | Make a Comment ( Comments Off on Building resilient and innovative health systems – European Observatory on Health Systems and Policies – 2013 )

Clinical guidelines for chronic conditions in the European Union – European Observatory on Health Systems and Policies – 2013

Posted on September 20, 2013. Filed under: Chronic Disease Mgmt | Tags: , |

Clinical guidelines for chronic conditions in the European Union – European Observatory on Health Systems and Policies – 2013

Edited by Helena Legido-Quigley, Dimitra Panteli, Josip Car, Martin McKee and Reinhard Busse
2013, xxviii + 229 pages
ISBN 978 92 890 0021 5

“Chronic noncommunicable diseases make up a large part of the burden of disease and make a huge call on health systems’ resources. Clinical guidelines are one of the ways European countries have tried to respond and to ensure a long-term perspective in managing them and addressing their determinants. This book explores those guidelines and whether they actually affect processes of care and patients’ health outcomes. It analyses:

the regulatory basis, the actors involved and processes used in developing clinical guidelines across Europe;
innovative methods for cost-effective prevention of common risk factors, developing coordinated patient-centred care and stimulating integrated research;
the strategies used to disseminate and implement clinical guidelines in various contexts; and
the effectiveness of their utilization.

This study reviews for the first time the various national practices relating to clinical guidelines in 29 European countries (the European Union (EU), Norway and Switzerland). It shows that, while some have made impressive progress, many are still relying on sporadic and unclear processes. The level of sophistication, quality and transparency of guideline development varies substantially across the region, even when the system for producing guidelines is well established. There are nevertheless clear examples that – if shared – can assure and improve quality of care across Europe.”

… continues on the site

Read Full Post | Make a Comment ( Comments Off on Clinical guidelines for chronic conditions in the European Union – European Observatory on Health Systems and Policies – 2013 )

Governing public hospitals – European Observatory on Health Systems and Policies – 22 March 2013

Posted on March 27, 2013. Filed under: Clin Governance / Risk Mgmt / Quality, Health Mgmt Policy Planning | Tags: |

Governing public hospitals – European Observatory on Health Systems and Policies – 22 March 2013

Eurohealth

“While public ownership is a common feature in the European hospital sector, the last few decades have seen a change in the way such institutions are governed, with greater flexibility in terms of the legal form they can take and in the level of autonomy that management and supervisory boards can exercise when making institutional-level decisions. Such features often, but not exclusively, reflect developments in private-sector management practices and associated incentive structures.

At the same time, the over-riding objective of making changes to hospital governance structures is to ensure that service quality remains high or improves, that services meet the needs of the catchment population and that resources are used efficiently. This issue of Eurohealth looks at some recent developments in this area.”

… continues

full text

Read Full Post | Make a Comment ( Comments Off on Governing public hospitals – European Observatory on Health Systems and Policies – 22 March 2013 )

Home care across Europe. Current structure and future challenges – European Observatory on Health Systems and Policies – 2012

Posted on January 25, 2013. Filed under: Aged Care / Geriatrics | Tags: , |

Home care across Europe. Current structure and future challenges – European Observatory on Health Systems and Policies – 2012

Edited by Nadine Genet, Wienke Boerma, Madelon Kroneman, Allen Hutchinson and Richard Saltman
Observatory Studies Series 27
2012, xiii + 145 pages
ISBN 978 92 890 0288 2

“For every person over the age of 65 in today’s European Union, there are four people of working age but, by 2050, there will only be two. Demand for long-term care, of which home care forms a significant part, will inevitably increase in the decades to come.

Despite the importance of the issue, however, up-to-date and comparative information on home care in Europe is lacking. This book attempts to fill some of that gap by examining current European policy on home care services and strategies.

Home care across Europe probes a wide range of topics including the links between social services and health-care systems, the prevailing funding mechanisms, how service providers are paid, the impact of governmental regulation, and the complex roles played by informal caregivers. Drawing on a set of Europe-wide case studies (available in a second, online volume), the study provides comparable descriptive information on many aspects of the organization, financing and provision of home care across the continent. It is a text that will help frame the coming debate about how best to serve elderly citizens as European populations age.”

Read Full Post | Make a Comment ( Comments Off on Home care across Europe. Current structure and future challenges – European Observatory on Health Systems and Policies – 2012 )

Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012

Posted on September 12, 2012. Filed under: Health Mgmt Policy Planning, Health Policy, Public Hlth & Hlth Promotion | Tags: , , |

Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012

Edited by David V. McQueen, Matthias Wismar, Vivian Lin, Catherine M. Jones, Maggie Davies
ISBN 978 92 890 0281 3

Extract from the foreword

“Since the arrival of the new millennium, the field of health promotion has added many emerging areas related to health to its field of interest and action.

Many of these areas were, of course, anticipated in the Ottawa Charter on Health Promotion; nonetheless there has been an explosion of interest in three critical areas in recent years, namely on the social determinants of health, governance, and Health in All Policies, and more specifically “the translation of Health in All Policies from a policy principle into a policy practice”. Now we have a new and significant book that addresses these three areas in a most exciting way.

The International Union for Health Promotion and Education (IUHPE) acknowledges that many of the solutions to the most pressing health issues reside outside the health sector. It is therefore imperative to facilitate governance practices that enable improved work across sectors in government, the nongovernment sector, academic institutions and the private sector, at all territorial levels.”

Read Full Post | Make a Comment ( Comments Off on Intersectoral Governance for Health in All Policies: Structures, actions and experiences – European Observatory on Health Systems and Policies – 2012 )

Gender and health – European Observatory on Health Systems and Policies – 2012

Posted on August 2, 2012. Filed under: Health Status, Violence | Tags: , |

Gender and health – European Observatory on Health Systems and Policies – 2012

Read Full Post | Make a Comment ( Comments Off on Gender and health – European Observatory on Health Systems and Policies – 2012 )

Health system performance comparison: an agenda for policy, information and research – WHO on behalf of the European Observatory on Health Systems and Policies – 2012

Posted on May 3, 2012. Filed under: Health Policy | Tags: , , , |

Health system performance comparison: an agenda for policy, information and research – WHO on behalf of the European Observatory on Health Systems and Policies – 2012

by Peter C. Smith, Irene Papanicolas

“Policy issue
• International health system performance comparisons have the potential to provide a rich source of evidence as well as policy influence.
• Country comparisons that are not conducted with properly validated measures and unbiased policy interpretations may prompt adverse policy impacts and so caution is required in the selection of indicators, the methodologies used, and the interpretations made.”

Read Full Post | Make a Comment ( Comments Off on Health system performance comparison: an agenda for policy, information and research – WHO on behalf of the European Observatory on Health Systems and Policies – 2012 )

Perspectives on the Professional Qualifications Directive – European Observatory on Health Systems and Policies – 29 November 2011

Posted on December 20, 2011. Filed under: Health Professions, Workforce | Tags: , |

Perspectives on the Professional Qualifications Directive – European Observatory on Health Systems and Policies – 29 November 2011

An issue of Eurohealth vol 17 no 4 2011.

Articles include:
The free movement of professionals – a UK regulators’s perspective
The professional qualifications directive green paper – a UK physicians’ perspective
Regulating nursing qualifications across Europe – a case of unintended consequences

Read Full Post | Make a Comment ( Comments Off on Perspectives on the Professional Qualifications Directive – European Observatory on Health Systems and Policies – 29 November 2011 )

Governing public hospitals. Reform strategies and the movement towards institutional autonomy – European Observatory on Health Systems and Policies – 2 December 2011

Posted on December 20, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Governing public hospitals. Reform strategies and the movement towards institutional autonomy – European Observatory on Health Systems and Policies – 2 December 2011

Edited by Richard B. Saltman, Antonio Durán and Hans F.W. Dubois
Observatory Studies Series No. 25
2011, xvi + 260 pages
ISBN 978 92 890 0254 7

“Governance of public hospitals in Europe is changing. Individual hospitals have been given varying degrees of semi-autonomy within the public sector and empowered to make key strategic, financial, and clinical decisions themselves. This study explores the major developments and their implications for national and European health policy.

The study focuses on hospital-level decision-making and draws together both theoretical and practical evidence. It includes an in-depth assessment of eight different country models of semi-autonomy, in the Czech Republic, England, Estonia, Israel, the Netherlands, Norway, Portugal and Spain.

The evidence that emerges throws light on the shifting relationships between public-sector decision-making and hospital-level organizational behaviour and will be of real and practical value to those working with this increasingly important and complex mix of approaches.”

Read Full Post | Make a Comment ( Comments Off on Governing public hospitals. Reform strategies and the movement towards institutional autonomy – European Observatory on Health Systems and Policies – 2 December 2011 )

Governing public hospitals. Reform strategies and the movement towards institutional autonomy – WHO European Observatory on Health Systems and Policies – 2011

Posted on December 9, 2011. Filed under: Health Mgmt Policy Planning | Tags: |

Governing public hospitals. Reform strategies and the movement towards institutional autonomy – WHO European Observatory on Health Systems and Policies – 2011

Edited by Richard B. Saltman, Antonio Durán and Hans F.W. Dubois
Observatory Studies Series No. 25
2011, xvi + 260 pages
ISBN 978 92 890 0254 7

“Governance of public hospitals in Europe is changing. Individual hospitals have been given varying degrees of semi-autonomy within the public sector and empowered to make key strategic, financial, and clinical decisions themselves. This study explores the major developments and their implications for national and European health policy.

The study focuses on hospital-level decision-making and draws together both theoretical and practical evidence. It includes an in-depth assessment of eight different country models of semi-autonomy, in the Czech Republic, England, Estonia, Israel, the Netherlands, Norway, Portugal and Spain.

The evidence that emerges throws light on the shifting relationships between public-sector decision-making and hospital-level organizational behaviour and will be of real and practical value to those working with this increasingly important and complex mix of approaches.”

Read Full Post | Make a Comment ( Comments Off on Governing public hospitals. Reform strategies and the movement towards institutional autonomy – WHO European Observatory on Health Systems and Policies – 2011 )

Health Professional Mobility and Health Systems. Evidence from 17 European countries – WHO on behalf of the European Observatory on Health Systems and Policies – October 2011

Posted on October 20, 2011. Filed under: Health Professions, Workforce | Tags: |

Health Professional Mobility and Health Systems. Evidence from 17 European countries – WHO on behalf of the European Observatory on Health Systems and Policies – October 2011

Edited by Matthias Wismar, Claudia B. Maier, Irene A. Glinos, Gilles Dussault, Josep Figueras
ISBN 978 92 890 0247 9

Extract from the foreword

“This work contributes a great deal to the current reflection of the European Commission and Member States about the future of the European Union health workforce. The Europe 2020 Strategy for smart, sustainable and inclusive growth highlights the need to reform labour markets, upgrade skills and match them with market demand. In parallel, we also need to plan for our ageing society and the additional health care which will be needed in the future. It is estimated that by 2020 there will be a shortfall of 1 000 000 health professionals in the European Union. We need to work together with all actors, national authorities, health professionals and civil society to address this challenge.”

Read Full Post | Make a Comment ( Comments Off on Health Professional Mobility and Health Systems. Evidence from 17 European countries – WHO on behalf of the European Observatory on Health Systems and Policies – October 2011 )

Performance Measurement for Health System Improvement: Experiences, Challenges and Prospects – European Observatory on Health Systems and Policies – 2009

Posted on April 5, 2011. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

Performance Measurement for Health System Improvement: Experiences, Challenges and Prospects – European Observatory on Health Systems and Policies – 2009

Book is now free to download

First published 2009
Reprinted 2010
ISBN 978-0-521-11676-3 Hardback
ISBN 978-0-521-13348-7 Paperback

“In a world where there is increasing demand for the performance of health providers to be measured, there is a need for a more strategic vision of the role that performance measurement can play in securing health system improvement. This volume meets this need by presenting the opportunities and challenges associated with performance measurement in a framework that is clear and easy to understand. It examines the various levels at which health system performance is undertaken, the technical instruments and tools available, and the implications using these may have for those charged with the governance of the health system. Technical material is presented in an accessible way and is illustrated with examples from all over the world. Performance Measurement for Health System Improvement is an authoritative and practical guide for policy makers, regulators, patient groups and researchers.

Provides a holistic approach to the performance measurement, covering technical and policy aspects; Draws on experience of health care systems from all over the world; Non-technical language makes it accessible to a wide readership, including policy makers and representative groups.”

Read Full Post | Make a Comment ( None so far )

Health Systems in Transition – United Kingdom (England): Health System Review – European Observatory on Health Systems and Policies – 2011

Posted on March 29, 2011. Filed under: Health Policy | Tags: |

Health Systems in Transition – United Kingdom (England): Health System Review – European Observatory on Health Systems and Policies – 2011
by Seán Boyle, LSE Health and Social Care, London School of Economics and Political Science

Seán Boyle: United Kingdom (England): Health system review. Health Systems in Transition, 2011; 13(1):1–486.
ISSN 1817–6127

“The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis.”

Read Full Post | Make a Comment ( None so far )

Nordic health care systems. Recent reforms and current policy challenges – 2009

Posted on March 3, 2010. Filed under: Health Mgmt Policy Planning | Tags: |

Nordic health care systems. Recent reforms and current policy challenges
Published by Open University Press
ISBN-13: 978-0-33-523813-2
ISBN-10: 0335238130

“The Nordic model of health care systems is assumed to contain consistent features across all five Nordic countries, Finland, Sweden, Denmark, Norway and Iceland: tax-based funding, publicly owned and operated hospitals, universal access based on residency, and comprehensive coverage. The reality is considerably more complex, with great variation at the structural level in the way that institutions are designed and at the policy level in the way strategies are conceived and implemented.

This new comparative study, which also assesses the influence of the European Union on the Nordic health systems, highlights how the Nordic countries have retained the principles of universalism and equity while promoting the benefits of patient choice. These insights will be a welcome addition for health sector policy-makers and for students of health policy, not just in the Nordic countries but across Europe.

The editors:
Jon Magnussen is Professor in the Department of Public Health and Community Medicine at the Norwegian University of Science and Technology in Trondheim, Norway.

Karsten Vrangbaek is Lecturer at the University of Copenhagen, Denmark.

Richard B. Saltman is Associate Head of Research Policy at the European Observatory on Health Systems and Policies, and Professor of Health Policy and Management at the Rollins School of Public Health, Emory University in Atlanta, Georgia.”

Read Full Post | Make a Comment ( None so far )

Health in the European Union: trends and analysis – WHO on behalf of the European Observatory on Health Systems and Policies – 2009

Posted on February 9, 2010. Filed under: Chronic Disease Mgmt, Health Status, Public Hlth & Hlth Promotion | Tags: , , |

Health in the European Union: trends and analysis

ISBN 978 92 890 4190 4

“Prepared for DG Employment, Social Affairs and Equal Opportunities of the European Commission, this report investigates differences in health status within and between European countries. The relationship between living conditions, socioeconomic factors and health is discussed and analysed with the objective of stimulating a debate and policy action for creating a healthier and more equitable society.

While the goal to improve average levels of population health is important for any government, there has been an increasing focus on disparities at national and European levels. Improvements have been seen over the past few decades in both health status and living and working conditions in Europe. However, the level of heterogeneity in characteristics of living conditions has widened tremendously in the European Union and will continue to do so as it goes through the enlargement process. The diversity in living conditions has translated into diversity in patterns of health across the region. Inequalities in income, education, housing and employment affect population health, both directly (for example, good housing reduces risks associated with poor health) and indirectly through psychosocial factors (such as stress).”

The authors:   Philipa Mladovsky, Research Officer at the London School of Economics and Political Science and
European Observatory on Health Systems and Policies    et al

Read Full Post | Make a Comment ( None so far )

Capital investment for health: Case studies from Europe – 2009

Posted on November 25, 2009. Filed under: Health Economics, Health Mgmt Policy Planning, Hosp Design Planning Architecture | Tags: , |

Capital investment for health:  Case studies from Europe
Edited by Bernd Rechel, Jonathan Erskine, Barrie Dowdeswell, Stephen Wright and Martin McKee, The European Observatory on Health Systems and Policies, WHO Regional Office for Eurpoe, 2009, xviii + 185 pages  
ISBN 978 92 890 4178 2

“Capital investment in European health systems has to take account of the demographic and epidemiological transitions associated with an ageing population; advances in medical technologies and pharmaceuticals; rising public expectations; and persistent health inequalities.

This volume presents 11 case studies from across Europe of capital investment in health facilities, in the form of seven individual projects, two health systems, one corporate investor and one financing approach. They include hospitals or medical centres in the Netherlands, Norway, Sweden, Finland, Germany, Poland, and Spain, and regional planning and a financing initiative in the United Kingdom and Italy.

This book offers policy-makers, planners, architects, financiers and managers practical illustrations of how health services can be translated into capital assets and aims to expand the evidence base on how to improve the long-term sustainability of capital investment.”

Read Full Post | Make a Comment ( None so far )

Ireland: Health system review – November 2009

Posted on November 17, 2009. Filed under: Health Mgmt Policy Planning, Health Policy, Health Systems Improvement | Tags: |

McDaid D, Wiley M, Maresso A and Mossialos E. Ireland: Health system review. Health Systems in Transition, 2009; 11(4): 1 – 268
ISSN 1817-6127   European Observatory on Health Systems and Policies

“The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of reform and policy initiatives in progress or under development in a specific country. Each profile is produced by country experts in collaboration with the Observatory’s research directors and staff. In order to facilitate comparisons between countries, the profiles are based on a template, which is revised periodically.”

The European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Office for Europe, the Governments of Belgium, Finland, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the World Bank, the London School of Economics and Political Science, and the London School of Hygiene & Tropical Medicine.

Read Full Post | Make a Comment ( None so far )

Japan: Health system review. Health Systems in Transition, 2009;

Posted on November 10, 2009. Filed under: Health Status | Tags: |

Tatara K, Okamoto E. Japan: Health system review. Health Systems in Transition, 2009; 11(5): 1–164.

European Observatory on Health Systems and Policies – a partnership between the World Health Organization Regional Offi ce for Europe, the Governments of Belgium, Finland, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the World Bank, the London School of Economics and Political Science, and the London School of Hygiene & Tropical Medicine

Abstract

“The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, fi nancing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis.

Japan’s health system provides universal coverage of the population through health insurance system for employees and their families (60% of the population) and National Health Insurance (NHI) system for the selfemployed, retired and unemployed (40%). Annual expenditure is around 8% of gross domestic product (GDP) according to OECD estimates, and the main funding mechanisms are health insurance (50% of total spending), taxation (36%) and out-of-pocket payments (14%). Population health in Japan is among the best in the world, with the longest life expectancy and lowest infant mortality. The population has aged considerably, with over 21% aged 65 years or older. Recent health system reforms are related in large part to this demographic challenge, such as the introduction of an independent financing system for the oldest-old population cross-subsidized by all health insurers, better integration of preventive services into the insurance system, reforming the methods of paying hospitals and the introduction of a new system of long-term care financed through insurance and administered by municipal governments.”

Read Full Post | Make a Comment ( None so far )

The role of HTA in coverage and pricing decisions: A cross-country comparison

Posted on May 26, 2009. Filed under: Health Technology Assessment | Tags: , |

The role of HTA in coverage and pricing decisions: A cross-country comparison
Corinna Sorenson
Euro Observer: the Health Policy Bulletin of the European Observatory on Health Systems and Policies, v 11 no 1 Spring 2009

“Since the late 1970s, many European countries have established health technology assessment (HTA) systems to inform coverage and pricing decisions. These countries use HTA to systematically determine the relative ‘value for money’ provided by new technologies and to give providers and patients information to make treatment choices. This, in turn, serves to encourage the efficient and effective use of health technologies and to support innovation by identifying and rewarding high-value products.

This overview article explores the use of HTA in coverage and pricing decisions, with a focus on pharmaceuticals, in six European countries with established HTA systems – Denmark, England, France, Germany, the Netherlands and Sweden.”

Read Full Post | Make a Comment ( None so far )

How can European states design efficient, equitable and sustainable funding systems for long-term care for older people? – European Observatory on Health Systems and Policies – 2009

Posted on May 26, 2009. Filed under: Aged Care / Geriatrics, Health Economics, Health Mgmt Policy Planning | Tags: , |

How can European states design efficient, equitable and sustainable funding systems for long-term care for older people? (1015 KB pdf)
World Health Organization 2009 and World Health Organization, on behalf of the European Observatory on Health Systems and Policies 2009

..”this document is one of three reports produced by the Health Evidence Network and European Observatory on Health Systems and  Policies for the Czech EU Presidency Ministerial Conference on the Financial Sustainability of Health Systems (Prague, 10–12 May 2009):
1. Assessing the financial sustainability of health systems – Background Policy Document
2. How can health systems respond to population ageing? – Policy Brief 10
3. How can European states design efficient, equitable and sustainable funding systems for long-term care for older people?

Policy Brief 11 These reports reflect key priority areas for European health systems, and ones where learning from comparative experience is crucial to informing future policy choices.

Read Full Post | Make a Comment ( None so far )

How can health systems respond to population ageing? European Observatory on Health Systems and Policies – 2009

Posted on May 26, 2009. Filed under: Aged Care / Geriatrics, Health Economics, Health Mgmt Policy Planning | Tags: , |

How can health systems respond to population ageing? (289 KB pdf)
Bernd Rechel, Yvonne Doyle, Emily Grundy, Martin McKee
World Health Organization 2009 and World Health Organization, on behalf of the European Observatory on Health Systems and Policies 2009

..”this document is one of three reports produced by the Health Evidence Network and European Observatory on Health Systems and  Policies for the Czech EU Presidency Ministerial Conference on the Financial Sustainability of Health Systems (Prague, 10–12 May 2009):
1. Assessing the financial sustainability of health systems – Background Policy Document
2. How can health systems respond to population ageing? – Policy Brief 10
3. How can European states design efficient, equitable and sustainable funding systems for long-term care for older people?

Policy Brief 11 These reports reflect key priority areas for European health systems, and ones where learning from comparative experience is crucial to informing future policy choices.

Read Full Post | Make a Comment ( None so far )

Addressing financial sustainability in health systems – draft for consultation – European Observatory on Health Systems and Policies – May 2009

Posted on May 26, 2009. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: , |

Addressing financial sustainability in health systems – draft for consultation
Sarah Thomson, Tom Foubister, Josep Figueras, Joseph Kutzin, Govin Permanand, Lucie Bryndová
Background policy document prepared for the Czech Presidency of the European Union conference on the financial sustainability of health systems in Europe.
World Health Organization 2009 and World Health Organization, on behalf of the European Observatory on Health Systems and Policies 2009

..”this document is one of three reports produced by the Health Evidence Network and European Observatory on Health Systems and  Policies for the Czech EU Presidency Ministerial Conference on the Financial Sustainability of Health Systems (Prague, 10–12 May 2009):
1. Assessing the financial sustainability of health systems – Background Policy Document
2. How can health systems respond to population ageing? – Policy Brief 10
3. How can European states design efficient, equitable and sustainable funding systems for long-term care for older people?

Policy Brief 11 These reports reflect key priority areas for European health systems, and ones where learning from comparative experience is crucial to informing future policy choices.

Read Full Post | Make a Comment ( None so far )

Investing in Hospitals of the Future – WHO book 2009

Posted on May 22, 2009. Filed under: Hosp Design Planning Architecture | Tags: , |

Investing in Hospitals of the Future link to the book details

WHO European Observatory on Health Systems and Policies:  Observatory Studies Series, No. 16
Rechel, B., Wright, S., Edwards, N., Dowdeswell, B., McKee, M.
WHO Regional Office for Europe
ISBN-13    9789289043045 ISBN-10    9289043040

Summary

“Despite considerable investments in health facilities worldwide, little systematic evidence is available on how to plan, design and build new facilities that maximize health gain and ensure that services are responsive to the legitimate expectations of users. This book brings together current knowledge about key dimensions of capital investment in the health sector.

A number of issues are examined, including new models of long-term care, capacity planning, the impact of capital investment on the health care workforce, markets and competition, systems used for procurement and financing, the whole lifecycle of health facilities, facility management, the wider impact of capital investment on the local community and economy, how care models can be translated into capital asset solutions, and issues of therapeutic and sustainable design.

This book is of value to those interested in the planning, financing, construction, and management of new health facilities. It identifies critical lessons that increase the chances that capital projects will be successful.”

Read Full Post | Make a Comment ( None so far )

Managing chronic conditions: experience in eight countries

Posted on April 7, 2009. Filed under: Chronic Disease Mgmt | Tags: |

European Observatory on Health Systems and Policies report

One of the greatest challenges facing health systems in the 21st century is the need to develop effective approaches to address the growing burden of chronic disease. Chronic diseases are complex and require a long-term, multifaceted response that coordinates inputs from a wide range of health professionals, essential medicines and – where appropriate – monitoring equipment, all of which is optimally embedded within a system that promotes patient empowerment.

With many health systems still largely built around an acute, episodic model of care, health professionals, policy-makers and patient organizations struggle to respond in ways that meet the needs of people with complex chronic health problems. This book examines the health system response to the rising burden of chronic disease in eight countries (Denmark, England, France, Germany, the Netherlands, Sweden, Australia and Canada). It provides a detailed assessment of the current situation, a description of the policy framework and future scenarios, as well as evaluation and lessons learned.

It shows that many different strategies are being implemented, with different models of care at varying degrees of development, and with differing comprehensiveness. Perhaps not surprisingly, the approaches adopted often reflect the characteristics of each health system, each with its own governance mechanisms and relationships between, and responsibilities of, different stakeholders. Nonetheless, there are many lessons for those seeking to develop effective responses to this common challenge.

Read Full Post | Make a Comment ( None so far )

Liked it here?
Why not try sites on the blogroll...