Making Mental Health Count: The Social and Economic Costs of Neglecting Mental Health Care – OECD – 8 July 2014

Posted on July 11, 2014. Filed under: Health Economics, Mental Health Psychi Psychol | Tags: |

Making Mental Health Count: The Social and Economic Costs of Neglecting Mental Health Care – OECD – 8 July 2014

“Despite the enormous burden that mental ill-health imposes on individuals, their families, society, health systems and the economy, mental health care remains a neglected area of health policy in too many countries. Mental disorders represent a considerable disease burden, and have a significant impact on the lives of the OECD population, and account for considerable direct and indirect costs. This report argues that even in those OECD countries with a long history of deinstitutionalisation, there is still a long way to go to make community-based mental health care that achieves good outcomes for people with severe mental illness a reality. The disproportionate focus on severe mental illness has meant that mild-to-moderate mental illnesses, which makes up the largest burden of disease, have remained overwhelmingly neglected. This book addresses the high cost of mental illness, weaknesses and innovative developments in the organisation of care, changes and future directions for the mental health workforce, the need to develop better indicators for mental health care and quality, and tools for better governance of the mental health system. The high burden of mental ill health and the accompanying costs in terms of reduced quality of life, loss of productivity, and premature mortality, mean that making mental health count for all OECD countries is a priority.”

ISBN : 9789264208445 (PDF) ; 9789264208438 (print)
DOI : 10.1787/9789264208445-en

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OECD health-care quality indicators for Australia 2011-12 – AIHW – 12 May 2014

Posted on May 13, 2014. Filed under: Clin Governance / Risk Mgmt / Quality | Tags: , |

OECD health-care quality indicators for Australia 2011-12 – AIHW – 12 May 2014

“This report summarises information Australia provided in 2013 to the Organisation for Economic Co-operation and Development’s Health Care Quality Indicators 2012–13 data collection and compares data supplied by Australia in 2013 to data Australia supplied in previous years, and to data reported by other OECD countries in the OECD’s Health at a glance 2013: OECD indicators.”

ISBN 978-1-74249-571-2; Cat. no. PHE 174; 83pp

Media release: Indicators show mixed results for health-care quality – AIHW – 12 May 2014

“A new report from the Australian Institute of Health and Welfare (AIHW) shows that across many indicators for health-care quality, Australia performs well, but there is room for improvement in some.

The report, OECD health-care quality indicators in Australia 2011-12, profiles the information Australia provided in 2013 to the Organisation for Economic Co-operation and Development covering quality in primary care, hospital acute care, and mental health-care, as well as information on cancer care, hospital patient safety and patient experience.”

… continues on the site

 

 

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Society at a glance 2014: OECD social indicators – Organisation for Economic Co-operation and Development – 18 March 2014

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

Society at a glance 2014: OECD social indicators – Organisation for Economic Co-operation and Development – 18 March 2014

DOI: 10.1787/soc_glance-2014-en

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Multinational Comparisons of Health Systems Data, 2013 – Commonwealth Fund – 17 January 2014

Posted on January 20, 2014. Filed under: Health Economics | Tags: |

Multinational Comparisons of Health Systems Data, 2013 – Commonwealth Fund – 17 January 2014

“Overview

International comparisons of health care systems offer valuable tools to health ministers, policymakers, and academics wishing to evaluate the performance of their country’s system. In this chartbook, we use data collected by the Organization for Economic Cooperation and Development (OECD) to compare health care systems and performance on a range of topics, including spending, hospitals, physicians, pharmaceuticals, prevention, mortality, quality and safety, and prices. We present data across several industrialized countries: Australia, Canada, Denmark, France, Germany, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. Whenever possible, we also present the median value of all 34 members of the OECD.”

… continues on the site

 

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Toward New Models for Innovative Governance of Biomedecine and Health Technologies – OECD – 5 December 2013

Posted on December 17, 2013. Filed under: Health Technology Assessment | Tags: |

Toward New Models for Innovative Governance of Biomedecine and Health Technologies – OECD – 5 December 2013

“This report examines examples of new and emerging governance models that aim to support the responsible development of diagnostics and treatments based on the latest advances in biomedicine. In particular, it presents programmes and initiatives that aim to manage uncertainty in the development and approval of new medical products and thereby to improve the understanding of the risk/benefit balance. It also identifies some of the main challenges for policy makers, regulators and other communities involved in the translation of biomedical innovation and health technologies from the laboratory bench to point of care.”

OECD (2013), “Toward New Models for Innovative Governance of Biomedecine and Health Technologies”, OECD Science, Technology and Industry Policy Papers,
No. 11, OECD Publishing. http://dx.doi.org/10.1787/5k3v0hljnnlr-en

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ICTs and the Health Sector: Towards Smarter Health and Wellness Models – OECD – October 2013

Posted on October 16, 2013. Filed under: Health Informatics | Tags: , , |

ICTs and the Health Sector: Towards Smarter Health and Wellness Models – OECD – October 2013

“The future sustainability of health systems will depend on how well governments are able to anticipate and respond to efficiency and quality of care challenges. Bold action is required, as well as willingness to test innovative care delivery approaches.

The greatest promise for transformational change is in applications that encourage new, ubiquitous, participatory preventive and personalised smart models of care. A whole new world of possibilities in using mobiles and the Internet to address healthcare challenges has opened up. The potential of mobile devices, services and applications to support self-management, behavioural modification and “participatory healthcare” is greater than ever before.

A key hurdle is, however, the big data challenge, dealing with the exponentially accelerating accumulation of patient data – all of which must be mined, stored securely and accurately, and converted to meaningful information at the point of care. In order to fully exploit the new smart approaches to care, acceptance, privacy and usability issues will also have to be carefully considered.”

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Strengthening Health Information Infrastructure for Health Care Quality Governance: Good Practices, New Opportunities and Data Privacy Protection Challenges – OECD – 30 May 2013

Posted on June 6, 2013. Filed under: Health Informatics, Research | Tags: |

Strengthening Health Information Infrastructure for Health Care Quality Governance: Good Practices, New Opportunities and Data Privacy Protection Challenges – OECD – 30 May 2013

“Privacy-respectful uses of data for health, health care quality and health system performance monitoring and research must become widespread, regular activities. This report is about the progress OECD countries have made in the development and linkage of health and health care data and in the development and use of data from electronic health record systems for statistics and research.”

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Health at a Glance: Europe 2012 – OECD Publishing – 16 November 2012

Posted on January 17, 2013. Filed under: Health Status | Tags: , , |

Health at a Glance: Europe 2012 – OECD Publishing – 16 November 2012

“This second edition of Health at a Glance: Europe presents a set of key indicators of health status, determinants of health, health care resources and activities, quality of care, health expenditure and financing in 35 European countries, including the 27 European Union member states, 5 candidate countries and 3 EFTA countries. The selection of indicators is based largely on the European Community Health Indicators (ECHI) shortlist, a set of indicators that has been developed to guide the reporting of health statistics in the European Union.  It is complemented by additional indicators on health expenditure and quality of care, building on the OECD expertise in these areas. Each indicator is presented in a user-friendly format, consisting of charts illustrating variations across countries and over time, a brief descriptive analysis highlighting the major findings conveyed by the data, and a methodological box on the definition of the indicator and any limitations in data comparability.”

ISBN 978-92-64-18360-5 (print)
ISBN 978-92-64-18389-6 (HTML)

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A Comparative Analysis of Health Forecasting Methods – OECD – 31 October 2012

Posted on November 15, 2012. Filed under: Health Economics | Tags: |

A Comparative Analysis of Health Forecasting Methods – OECD – 31 October 2012

Roberto Astolfi, Luca Lorenzoni, Jillian Oderkirk

“Concerns about health expenditure growth and its long-term sustainability have stimulated the development of health expenditure forecasting models in many OECD countries. This comparative analysis reviewed 25 models that were developed by, or used for, policy analysis by OECD member countries and other international organisations…”

121 p.

doi: 10.1787/5k912j389bf0-en
ISSN :1815-2015 (online)

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Health: medical care improving but better prevention and management of chronic diseases needed to cut costs – OECD – 23 November 2011

Posted on November 25, 2011. Filed under: Chronic Disease Mgmt, Health Status | Tags: |

Health: medical care improving but better prevention and management of chronic diseases needed to cut costs – OECD – 23 November 2011

Health at a Glance 2011: OECD Indicators – Key Findings – Australia

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OECD Health Data 2011

Posted on July 8, 2011. Filed under: Health Status | Tags: |

OECD Health Data 2011
 
“OECD Health Data 2011, released on 30 June 2011, offers the most comprehensive source of comparable statistics on health and health systems across OECD countries. It is an essential tool for health researchers and policy advisors in governments, the private sector and the academic community, to carry out comparative analyses and draw lessons from international comparisons of diverse health care systems.”

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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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Help Wanted? Providing and Paying for Long-Term Care – OECD – 18 May 2011

Posted on May 20, 2011. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt | Tags: |

Help Wanted? Providing and Paying for Long-Term Care – OECD – 18 May 2011

“As life expectancy pushes into the late 70s for men and well into the 80s for women, ever more people want help in order to be able to live their lives to the full for as long as possible.  How will demographic and labour market trends affect the supply of family and friends available to care for us? Can we rely on family carers as the sole source of support for frail seniors? Should family carers and friends be better supported, and if so how? Can we attract and retain care workers — is it just a matter of paying them better? Will public finances be threatened by the cost of providing care in the future? What should be the balance between private responsibility and public support in care-giving? Can we reduce costs by improving efficiency of long-term care services?”

Press release 
ISBN: 978 92 64 0975 82 (print)
ISBN: 978 92 64 0977 59 (pdf)

Table of contents
Chapter 1:
   Long-term Care: Growing Sector, Multifaceted Systems
Chapter 2:
   Sizing Up the Challenge Ahead: Future Demographic Trends and Long-term Care Costs
Chapter 3:
   The Impact of Caring on Family Carers
Chapter 4: 
  Policies to Support Family Carers
Chapter 5:
   Long-Term Care Workers: Needed but Often Undervalued
Chapter 6:
   How to Prepare for the Future Long-term Care Workforce?
Chapter 7:
   Public Long-term Care Financing Arrangements in OECD Countries
Chapter 8:
   Private Long-term Care Insurance: A Niche or a “Big Tent”?
Chapter 9:
   Where To? Providing Fair Protection Against Long-term Care Costs and Financial Sustainability
Chapter 10:
   Can We Get Better Value for Money in Long-term Care?

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Value for Money in Health Spending – OECD Health Policy Studies – 20 October 2010

Posted on October 26, 2010. Filed under: Health Economics, Health Mgmt Policy Planning, Health Systems Improvement | Tags: |

Value for Money in Health Spending – OECD Health Policy Studies – 20 October 2010
 
Publication date:  20 Oct 2010  Language: English  Pages: 200  Tables: 21  Charts: 49  ISBN: 9789264088801  OECD Code: 812010141P1 
 
“Health spending continues to rise inexorably, growing faster than the economy in most OECD countries. Most of this spending comes from the public purse. Given the recent economic downturn, countries are looking for ways to improve the efficiency of health spending. This publication examines current efforts to improve health care efficiency, including tools that show promise in helping health systems provide the best care for their money, such as pay for performance, co-ordination of care, health technology assessment and clinical guidelines, pharmaceutical re-imbursement and risk-sharing agreements, and information and communication technology.”

Chapter 1. How Much is Too Much? Value for Money in Health Spending
Chapter 2. Policies for Health Care Systems when Money is Tight
Chapter 3. Rational Decision Making in Resource Allocation
Chapter 4. Improving Value for Money in Health by Paying for Performance
Chapter 5. Improving Co-ordination of Care for Chronic Diseases to Achieve Better Value for Money
Chapter 6. Drawing all the Benefits from Pharmaceutical Spending
Chapter 7. Redesigning Health Systems with the Support of ICTs
Bibliography

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Obesity and the Economics of Prevention: Fit not Fat – Organisation for Economic Co-operation and Development – 23 September 2010

Posted on September 24, 2010. Filed under: Health Economics, Preventive Healthcare, Public Hlth & Hlth Promotion | Tags: , |

Obesity and the Economics of Prevention: Fit not Fat – Organisation for Economic Co-operation and Development – 23 September 2010

“23/09/2010 – This new OECD report examines the current obesity epidemic, giving new comparative data, trends and projections across OECD countries and outlining causes and costs. It also notes ways in which the private sector and governments encouraged obesity and makes recommendations for ways they can contribute to combating it.”

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How Technology Changes Demands for Human Skills – OECD Education Working Papers – 5 March 2010

Posted on August 20, 2010. Filed under: Health Informatics | Tags: |

Levy, F. (2010), “How Technology Changes Demands for Human Skills”, OECD Education Working Papers, No. 45, OECD Publishing.
doi: 10.1787/5kmhds6czqzq-en

5 March 2010

“This paper places the competencies to be measured by the OECD’s Programme for the International Assessment of Adult Competencies (PIAAC) in the context of the technological developments which are reshaping the nature of the workplace and work in the 21st century. The largest technological force currently shaping work is the computer. Computers are faster and less expensive than people in performing some workplace tasks and much weaker than people in performing other tasks. On the basis of an understanding of the kinds of work computers do well, it is possible to describe the work that will remain for people in the future, the skills that work requires and the way that computers can assist people in performing that work. The paper argues that a technology-rich workplace requires foundational skills including numeracy and literacy (both to be tested in PIAAC), advanced problem-solving skills or Expert Thinking (similar to the construct of Problem Solving in Technology-Rich Environments to be tested in PIAAC) and advanced communication skills or Complex Communication (not being tested in PIAAC).”

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Nurses in advanced roles: a description and evaluation of experiences in 12 developed countries – OECD Directorate for Employment, Labour and Social Affairs, Health Committee – 8 July 2010

Posted on July 30, 2010. Filed under: Nursing, Workforce | Tags: |

Nurses in advanced roles: a description and evaluation of experiences in 12 developed countries – OECD Directorate for Employment, Labour and Social Affairs, Health Committee – 8 July 2010

OECD Health Working Paper No. 54

ABSTRACT

“Many countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors. It might also contain costs by delegating tasks away from more expensive doctors. This paper reviews the development of advanced practice nurses in 12 countries (Australia, Belgium, Canada, Cyprus, Czech Republic, Finland, France, Ireland, Japan, Poland, United Kingdom and United States), with a particular focus on their roles in primary care. It also reviews the evaluations of impacts on patient care and cost.

The development of new nursing roles varies greatly. The United States and Canada established “nurse practitioners” in the mid-1960s. The United Kingdom and Finland also have a long experience in using different forms of collaboration between doctors and nurses. Although development in Australia and Ireland is more recent, these two countries have been very active in establishing higher education programmes and posts for advanced practice nurses in recent years. In other countries, the formal recognition of advanced practice nurses is still in its infancy, although unofficial advanced practices may already exist in reality.

Evaluations show that using advanced practice nurses can improve access to services and reduce waiting times. Advanced practice nurses are able to deliver the same quality of care as doctors for a range of patients, including those with minor illnesses and those requiring routine follow-up. Most evaluations find a high patient satisfaction rate, mainly because nurses tend to spend more time with patients, and provide information and counselling. Some evaluations have tried to estimate the impact of advanced practice nursing on cost. When new roles involve substitution of tasks, the impact is either cost reducing or cost neutral. The savings on nurses’ salaries – as opposed to doctors – can be offset by longer consultation times, higher patient referrals, and sometimes the ordering of more tests. When new roles involve supplementary tasks, some studies report that the impact is cost increasing.

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Health care systems: efficiency and institutions – OECD – 19 May 2010

Posted on June 8, 2010. Filed under: Health Economics, Health Mgmt Policy Planning, Health Status | Tags: , , |

Health care systems: efficiency and institutions – OECD – 19 May 2010

“This paper presents a set of indicators to assess health care system performance. It also presents new comparative data on health care policies and institutions for OECD countries. This set of indicators allows the empirical  characterisation of health care systems and the identification of groups of countries sharing similar health institutions. It also helps to uncover strengths and weaknesses of each country’s health care system and assessing the scope for improving value-for-money. The empirical analysis suggests that there is room in all countries surveyed to improve the effectiveness of health care spending; there is no health care system that performs systematically better in delivering cost-effective health care – big-bang reforms are therefore not warranted; increasing the coherence of policy settings, by adopting best policy practices within a similar system and borrowing the most appropriate elements from other systems will likely be more practical and effective to raise health care spending efficiency.”

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Health Systems Institutional Characteristics: A Survey of 29 OECD Countries – OECD – 28 April 2010

Posted on May 20, 2010. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

Health Systems Institutional Characteristics: A Survey of 29 OECD Countries – OECD – 28 April 2010

“In 2008, the OECD launched a survey to collect information on the health systems characteristics of member countries. This paper presents the informaton provided by 29 of these countries in 2009. It describes country-specific arrangements to organise the population coverage against health risks and the financing of health spending. It depicts the  organisation of health care delivery, focusing on the public/private mix of health care provision, provider payment schemes, user choice and competition among providers, as well as the regulation of heallth care suppply and prices. Finally, this document provides information on governnance and resource allocation in health systems (decentralisation in decisionmaking, nature of budget constraints and priority setting).”

DELSA/HEA/WD/HWP(2010)1   OECD Health Working Papers No. 50

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Effective Ways to Realise Policy Reforms in Health Systems – OECD Health Working papers No. 51 – 29 March 2010

Posted on April 7, 2010. Filed under: Health Mgmt Policy Planning, Health Systems Improvement | Tags: |

Effective Ways to Realise Policy Reforms in Health Systems – OECD Health Working papers No. 51 – 29 March 2010

“1. Sometimes it is argued that the content of a reform is less important in determining whether or not it receives public and legislative approval than the timing of the proposal; the way in which the reform is presented; the discussions with stakeholders; and a multitude of other factors. The OECD has a crosscutting project on these issues, entitled Making Reform Happen. A number of OECD directorates are considering the factors lying behind successful implementation of reforms in their different policy areas, including tax, environment, agriculture, trade, competition, education, health, pensions, product markets and labour markets.

2. This paper is a contribution to the wider OECD project. It is based on evidence from the countries which have seen their health systems reviewed by the OECD in recent years, and on a selected review of the literature. It considers four issues in particular, these being the ones used across all the different reform areas covered by the Making Reform Happen project:
• The existence of appropriate institutions to support reforms from decision to implementation.
• The impact on, and reactions of, those affected by the reforms.
• Reform agendas, timing and interactions across different policy areas.
• The role of evidence and international organisations to sustain reforms.

3. It concludes that a number of stages of reform need to be implemented before a reform can be said to be successful; failure in one of them will generally lead to failure of the reform. Issues particular to the health sector include:”

…contiinues on the site

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Achieving Efficiency Improvements in the Health sector through ICTs – Final report – OECD Directorate for Employment, Labour and Social Affairs – 2010

Posted on February 25, 2010. Filed under: Health Informatics | Tags: |

Achieving Efficiency Improvements in the Health sector through ICTs – Final report – OECD Directorate for Employment, Labour and Social Affairs – 2010

“This report presents an analysis of OECD countries’ efforts to implement information and communication technologies (ICTs) in health care systems. It provides advice on the range of policy options, conditions and practices that policy makers can adapt to their own national circumstances to accelerate adoption and effective use of these technologies. The analysis draws upon a considerable body of recent literature and in, particular, lessons learned from case studies in six OECD countries (Australia, Canada, the Netherlands, Spain, Sweden, and the United States), all of which reported varying degrees of success deploying health ICT solutions.”

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Health at a Glance 2009 – OECD Indicators – released 8 December 2009

Posted on December 9, 2009. Filed under: Health Status | Tags: |

Health at a Glance 2009 – OECD Indicators – released 8 December 2009

“This fifth edition of Health at a Glance provides the latest comparable data on different aspects of the performance of health systems in OECD countries. It provides striking evidence of large variations across countries in the costs, activities and results of health systems. Key indicators provide information on health status, the determinants of health, health care activities and health expenditure and financing in OECD countries. This edition also contains new chapters on the health workforce and on access to care, an important policy objective in all OECD countries. The chapter on quality of care has been extended to include a set of indicators on the quality of care for chronic conditions.
 
This publication takes as its main basis OECD Health Data 2009, the most comprehensive set of statistics and indicators for comparing health systems across the 30 OECD member countries.”

Press release   Expensive health care is not always the best health care, says OECD’s Health at a Glance 

Australian data – AIHW

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Achieving Better Value for Money in Health Care – OECD Health Policy Studies – 18 November 2009

Posted on November 24, 2009. Filed under: Health Economics, Health Systems Improvement | Tags: |

Achieving Better Value for Money in Health Care – OECD Health Policy Studies – 18 November 2009
OECD Publishing
Version: Print (Paperback) + Free PDFAvailability: Available  Publication date:  18 Nov 2009  Language: English 

Pages: 164  ISBN: 9789264074200  OECD Code: 812009171P1

“Rising public health care spending remains a problem in virtually all OECD and EU member countries. As a consequence, there is growing interest in policies that will ease this pressure through improved health system performance. This report examines selected policies that may help countries better achieve the goal of improved health system efficiency and thus better value for money. Drawing on multinational data sets and case studies, it examines a range policy instruments. These include: the role of competition in health markets; the scope for improving care coordination; better pharmaceutical pricing policies; greater quality control supported by stronger information and communication technology in health care; and increased cost sharing.”

Table of contents:

      Introduction
      Chapter 1. Patterns of Health Care Spending Growth
      Chapter 2. Market Mechanisms and the Use of Health Care Resources
      Chapter 3. Improving Health Care System Performance through Better Co-ordination of Care
      Chapter 4. Ensuring Efficiency in Pharmaceutical Expenditures
      Chapter 5. Using ICT to Monitor and Improve Quality in Health Care
      Chapter 6. The Impact of User Charges in Health Care

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The long-term care workforce: overview and strategies to adapt supply to a growing demand – OECD

Posted on October 27, 2009. Filed under: Aged Care / Geriatrics, Chronic Disease Mgmt | Tags: |

OECD Health Working Papers no. 44 – 8 October 2009
 
The long-term care workforce: overview and strategies to adapt supply to a growing demand.

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Disparities in health expenditure across OECD countries: Why does the United States spend so much more than other countries? – OECD Report

Posted on October 27, 2009. Filed under: Health Economics | Tags: |

Disparities in health expenditure across OECD countries: Why does the United States spend so much more than other countries?
 
The United States spent 16% of its national income (GDP) on health in 2007, which is by far, the highest share in the OECD and more than seven percentage points higher than the average of 8.9% in OECD countries. This presentation was given by Mark Pearson, Head of OECD Health Division, to the U.S Senate Special Committee on Aging.

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Health spending and the economic crisis – OECD Health Update Number 7 – July 2009

Posted on July 17, 2009. Filed under: Health Economics | Tags: , |

Health spending and the economic crisis – OECD Health Update Number 7 – July 2009

Health Update No. 7 – July 2009 The newsletter on health-related activities at the OECD

“Health expenditures have risen relentlessly over the past four decades. In many countries during periods of economic expansion, this rise has been similar to the rate of GDP growth. However, when GDP growth faltered, health expenditure continued to rise, leading to an increase in the ratio of health expenditure to GDP. Except in a handful of cases (e.g. Canada and Finland in the 1990’s) real health expenditure did not fall subsequently, so that countries have tended to emerge from downturns with a higher ratio of health expenditure to GDP.

The current economic crisis is more severe than any downturns experienced in the previous 40 years. If health expenditure continues to rise, this will imply a very sharp increase in the ratio of health expenditure to GDP.”

… continues on the website

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OECD Health Data 2009 – comparing health statistics across OECD countries – 1 July 2009

Posted on July 3, 2009. Filed under: Health Economics, Health Mgmt Policy Planning | Tags: |

OECD Health Data 2009 – comparing health statistics across OECD countries

“About SourceOECD Health Data 2009 – Statistics and indicators for 30 countries

OECD Health Data 2009 offers the most comprehensive source of comparable statistics on health and health care systems in OECD economies. It is an essential tool for policy advisors in governments, health researchers in the private sector and the academic community to carry out comparative analyses and draw lessons from cross-country comparisons of national health systems.

OECD Health Data is a unique, interactive database covering over 1 200 indicators and offering sophisticated query modules. The most recent data are for 2006/2007, with many time series going back as far as 1960.

Main fields covered include:

• Health Status
• Health Care Resources
• Health Care Utilisation
• Long-Term Care Resources and Utilisation
• Expenditure on Health
• Health Care Financing
• Social Protection
• Pharmaceutical Market
• Non-medical Determinants of Health
• Demographic References
• Economic References”

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Australia: Highlights from OECD Pensions at a Glance 2009 report – 23 June 2009

Posted on June 24, 2009. Filed under: Aged Care / Geriatrics | Tags: , |

Australia: Highlights from OECD Pensions at a Glance 2009 – 23 June 2009

“Australia’s superannuation funds have been heavily hit by the financial crisis, with real losses of 26.7% in 2008. This is the second worst investment performance for private pensions in the 30 OECD countries, after Ireland.

More than one in four Australian seniors live in poverty on international measures. This is the fourth highest old-age poverty rate in the OECD countries and more than double the OECD average. The OECD welcomes the government’s increase in the age pension to address this problem.”

Pensions at a Glance 2009: Retirement-Income Systems in OECD Countries
ISBN Number: 9789264060715
Publication Date: June 2009
Pages: 280

Press release

“Crisis highlights the need for sweeping pension reforms, says OECD

23/06/2009 – Governments must continue reforms to ensure that public and private retirement income provision is socially as well as financially sustainable,  according to a new OECD report.

With rising unemployment and falling tax revenues squeezing public finances, OECD governments face budget deficits of nearly 9% of national income on average in 2010. This leaves little room for more generous public pensions, according to the 2009 edition of the OECD’s biennial Pensions at a Glance. Some countries have already had to cut back on future public spending on pensions.” … continues on the website

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Measuring disparaties in health status and in access and use of health care in OECD countries – report 9 March 2009

Posted on April 17, 2009. Filed under: Health Mgmt Policy Planning, Health Policy | Tags: |

Measuring disparaties in health status and in access and use of health care in OECD countries – report 9 March 2009

OECD Health Working Papers Number 32

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Policies for healthy ageing: an overview – OECD working paper 16 February 2009

Posted on April 16, 2009. Filed under: Aged Care / Geriatrics | Tags: |

Health Working Papers
OECD Health working Papers NO. 42
Policies for healthy ageing: an overview
Howard Oxley

SUMMARY
This paper reviews policies in the area of healthy ageing. With the ageing of OECD countries’ population over coming  decades, maintaining health in old age will become increasingly important. Successful policies in this area can increase the potential labour force and the supply of non-market services to others. They can also delay the need for longer-term care for the elderly. A first section briefly defines what is meant by  healthy ageing and discusses similar concepts – such as “active ageing”. The paper then groups policies into four different types and within each, it describes the range of individual types of programmes that can be brought to bear to enhance improved health of the elderly. A key policy issue in this area concerns whether such programmes have a positive effect on health outcomes and whether they are cost effective.

Looking at specific programmes, the material covered by this review also suggests that important improvements to the health and welfare of older cohorts seem possible from some combination of: delaying retirement, increased community activities, improved lifestyles, health-care systems that are better adapted to the needs of the elderly, particularly where they are combined with more emphasis on cost-effective prevention. However, this study also finds that, while there is considerable evidence that certain policy instruments can help improve the health status of the elderly, it remains unclear as to which are the most (cost) effective. Thus, more research is needed in this area if policy choices are to be (more) evidence-based. But whatever the choice of specific programmes, progress towards healthy ageing would probably be enhanced by placing individual programmes within broader policy frameworks that bring together the full range of measures so as to make them mutually reinforcing.

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The remuneration of general practitioners and specialists in 14 OECD countries

Posted on April 8, 2009. Filed under: General Practice, Workforce | Tags: |

The remuneration of general practitioners and specialists in 14 OECD countries: what are the factors influencing variations across countries?

OECD Health Working Papers – no. 41  Directorate for Employment, Labour and Social Affairs, Health Committee 18 December 2008

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