Headlines

Australia - Patients without a usual GP report worse information sharing between providers This hyperlink will open in a new window.
According to a 2016 national survey, Australian patients without a usual General Practitioner (GP) are more likely to experience a lack of information sharing between health providers. In the survey, people with no regular GP reported that their usual place of care did not seem appropriately informed about specialist visits, follow-up needs, and medication changes.

Canada - Innovative program improves patient access to specialist medical advice in primary care across Canada This hyperlink will open in a new window.
The Canadian Foundation for Healthcare Improvement (CFHI) has announced a successful expansion of remote consult services, improving patient access to specialist advice across seven provinces. More than 2,200 primary care practitioners and 800 specialists are enrolled in the program, which allows practitioners to access quick specialist consults by digital technology and telephone.

Canada - B.C. launches ‘A Pathway to Hope’ for better mental health and addictions care This hyperlink will open in a new window.
British Columbia has launched a 10-year roadmap to expand mental health and addictions care. Called A Pathway to Hope, the strategy will focus on children and young adults, support Indigenous-led solutions, and improve access and quality of care. The new roadmap will build on ongoing work addressing the overdose crisis by establishing better systems of addictions care.

Canada - Home health care and related services, 2017 This hyperlink will open in a new window.
Statistics Canada has released information on home care in Canada showing that operating revenue for the sector totalled $5.4 billion in 2017. Private establishments accounted for 62.8% of total operating revenue, with most revenue coming from goods and services (96.4%). This is in contrast to not-for-profit enterprises, where subsidies (73.7%) represented the majority of revenue.

UK - The NHS Patient Safety Strategy Safer culture, safer systems, safer patients This hyperlink will open in a new window.
The National Health Service (NHS) of the United Kingdom has announced a strategy to continuously improve patient safety and strengthen safety systems and organizational safety culture. The strategy will introduce patient safety specialists along with a safety improvement program and incident response framework, and replace the National Reporting and Learning Safety System with a new digital system.

Upcoming Events

Belgium - Innovative Healthcare Strategies This hyperlink will open in a new window.
The 28th Congress of the European Association for Hospital Managers taks place September 11 to 13, 2019, in Ghent, Belgium. The conference is organized around six themes: big data and digital health, finance and health economics, smart buildings and logistics, health governance and ethics, innovation and technology, and healing architecture. Each theme will be explored through presentations and visits to six hospitals that have made particular progress in each area.

Canada - Second Meeting of the Global Network for Health in All Policies (GNHiAP) This hyperlink will open in a new window.
The Ministère de la Santé et des Services sociaux and the Global Network for Health in All Policies (GNHiAP) will hold the Second Meeting of the GNHiAP from October 7 to 9, 2019 at the Monastère des Augustines in Québec City. The theme of the Meeting will be Drive action for sustainability, equity and well-being. It will combine expert round tables, workshops and a work session for members of the Steering Committee on the GNHiAP Action Plan. This meeting will be held in French and English and is by invitation only.Belgium - Innovative Healthcare Strategies
The 28th Congress of the European Association for Hospital Managers taks place September 11 to 13, 2019, in Ghent, Belgium. The conference is organized around six themes: big data and digital health, finance and health economics, smart buildings and logistics, health governance and ethics, innovation and technology, and healing architecture. Each theme will be explored through presentations and visits to six hospitals that have made particular progress in each area.

Reports and Issue Portfolios

Belgium - The introduction of hospital networks in Belgium: The path from policy statements to the 2019 legislation This hyperlink will open in a new window.
In February 2019, Belgium passed legislation creating local-regional hospital networks with their own governance structures. The country’s previously independent hospitals are meant to form networks in order to enhance collaboration between hospitals and the distribution of clinical services. This study traces the evolution of the new legislation from an action plan proposed in 2015 and describes continuing barriers to full national implementation.

Belgium - Creating 21st century primary care in Flanders and beyond This hyperlink will open in a new window.
This report focuses on primary care developments in the Flanders region of Belgium, which is currently upgrading and integrating its primary care services to improve effectiveness, efficiency, and quality of care. The report also touches on regional primary care developments in Spain, Slovenia and Romania for comparative purposes and concludes with lessons these different experiences may offer to other sub-national European regions considering primary care reform.

Canada - Care Closer to Home: Elements of High Performing Home and Community Healthcare Services This hyperlink will open in a new window.
There is considerable interest today in shifting care out of institutions into home and community settings to better meet the needs of the growing numbers of older Canadians with complex conditions. This report conducted for the Canadian Foundation for Healthcare Improvement (CFHI) summarizes and assesses the available literature in order to identify key attributes associated with high-performing care provided closer to home.

Canada - Sustaining Rural Access to Emergency Care through Collaborative Emergency Centres in Nova Scotia This hyperlink will open in a new window.
Collaborative Emergency Centres (CECs) were introduced in Nova Scotia in 2011 to address gaps in rural access to emergency care through enhanced primary care, urgent care, and interprofessional teams. This paper examines the introduction and subsequent development of CECs, concluding that they have allowed Nova Scotia to provide access to emergency care at a reduced cost while improving practice conditions for rural physicians.

China - China's health system reforms: review of 10 years of progress This hyperlink will open in a new window.
China’s rapid economic growth has been accompanied by emerging health problems such as non-communicable diseases, an aging population, and rising expectations about health. Difficulties with healthcare financing, delivery, and public health ultimately led to an overhaul of the health system in 2009. This BMJ collection produced with Peking University analyses the achievements and challenges of the 2009 reforms and outlines next steps in improving health and health care in China.

UK - Driving improvement. Case studies from eight independent hospitals This hyperlink will open in a new window.
Conducted by the Care Quality Commission (CQC), the independent regulator of health care in England, this report draws on interviews with a range of staff from eight independent hospitals to chart their journeys towards improvement in the quality of care for patients. Taken together, the case studies show that meaningful quality improvement relies on robust hospital leadership and strengthened governance, along with intensive, long-term staff engagement.

UK - Understanding primary care networks. Context, benefits and risks This hyperlink will open in a new window.
As of July 2019, all patients in England are now covered by primary care networks (PCNs) that are intended to bridge the gap between general practice, community services, and emerging National Health Service (NHS) integrated care systems. This briefing examines the rationale for the new primary care networks, explores relevant evidence, and draws out intended benefits and possible risks for the future of PCNs.

International - A population-based approach to integrated healthcare delivery: a scoping review of clinical care and public health collaboration This hyperlink will open in a new window.
A population-based healthcare approach promotes the health of communities by establishing partnerships across primary care (PC) and public health (PH) sectors. This scoping review surveyed 45 interventional studies facilitating PC-PH collaboration in Canada, the US, Europe and Australia in order to develop a resource for healthcare organizations to evaluate clinical practices and identify opportunities for collaboration with the public health sector.

International - Involving the public in decision-making about large-scale changes to health services: A scoping review This hyperlink will open in a new window.
Public involvement in large-scale changes to health services is often promoted in health systems. This scoping review of 34 relevant studies explores how public involvement is conceptualized and conducted in large-scale service changes and examines impacts on stakeholders and the public. The authors argue that two models of public involvement, invited and uninvited participation, coexist in practice and must be considered during changes to services.

International - Recent Trends in International Migration of Doctors, Nurses and Medical Students This hyperlink will open in a new window.
This report describes recent trends in the international migration of doctors and nurses. Over the past decade, the number of foreign-born and trained doctors and nurses has increased in many countries.  The report includes four case studies on the internationalisation of medical education in Europe (France, Ireland, Poland and Romania), as well as a case study on the integration of foreign-trained doctors in Canada.