Canada - Health care: Quebecers more open to competition for better access This hyperlink will open in a new window.
A poll commissioned by the Institute économique de Montréal and undertaken by Léger shows people in Québec are more open than other Canadians to the idea of private sector involvement in the healthcare system to improve access. Around 75% of Quebecers agree that private entrepreneurs should provide more care so long as the state covers their cost, compared to 68% nationally, while 55% agree that private companies should be allowed to manage hospitals, compared to 42% across Canada.

Canada - Almost 12,000 Canadian children and youth readmitted to hospital last year This hyperlink will open in a new window.
In 2018, almost 12,000 Canadian children and youth age 17 and younger were readmitted to hospital within 30 days of their initial hospitalization. The top three reasons for pediatric readmissions were respiratory tract infections, digestive conditions, and complications following procedures. Average length of hospital stay for pediatric readmissions was less than a week.

Canada - Made-in-Manitoba plan will provide better health care closer to home This hyperlink will open in a new window.
Manitoba is investing $250 million in a plan to improve healthcare services and reduce wait lists for treatment. The plan will reduce the need for rural patients to travel for services by enhancing primary and community care across the province, including improved access to digital health solutions, diagnostics, emergency response and patient transportation.

Europe - State of Health in the EU: shift to prevention and primary care is the most important trend across countries This hyperlink will open in a new window.
The European Union (EU) has published profiles of health systems in 30 member countries. The new profiles provide in-depth analyses of population health and the effectiveness, accessibility and resilience of each health system. A companion report shows a shift to prevention and primary care as the biggest healthcare trend across the EU.

International - New WHO-led study says majority of adolescents worldwide are not sufficiently physically active, putting their current and future health at risk This hyperlink will open in a new window.
A study led by the WHO finds that urgent action is needed to increase activity levels in adolescents. Globally, more than 80% of adolescents do not meet recommendations of at least one hour of physical activity per day. Benefits of an active lifestyle during adolescence include improved cardio-respiratory fitness and healthy weight.


UK - Health and care explained: how the system works and how it is changing This hyperlink will open in a new window.
The King's Fund in the UK is holding another edition of its series aimed at explaining how the health system is structured and governed to the general public. King's Fund staff will describe how hospitals, public health, social care, mental health and community health fit together. The event takes place in London on January 30, 2020.

Danemark - The Future of Digital Health Systems 2.0: safe and inclusive digital health for all This hyperlink will open in a new window.
WHO Europe and the Norwegian Centre for E-Health Research are hosting this conference in Copenhagen on March 4 and 5, 2020. It will explore essential foundations for digital health systems, safe and inclusive digital health services, and future digital health ecosystems.

Reports and Issue Portfolios

Canada - Strategic Clinical Networks in Alberta. Accelerating health system improvements through partnerships and evidence-based practice This hyperlink will open in a new window.
The latest issue of CMAJ focuses on Alberta's use of Strategic Clinical Networks (SCNs): multidisciplinary teams of clinicians, patients and operational leaders who work together to advance health system innovation and improvements. Twenty articles look at SCNs and their work in many specific health areas, including primary care, seniors' health, cancer, diabetes and addictions and mental health.

Canada - New understanding of primary health care nurse practitioner role optimisation: the dynamic relationship between the context and work meaning This hyperlink will open in a new window.
Despite efforts to implement advanced practice nursing roles in primary care settings, the optimization of these roles remains variable. In this study conducted in Québec, authors interviewed 41 primary healthcare nurse practitioners (PHCNPs) in three healthcare regions, a majority of whom expressed a sense of role fragility. Findings suggest a link between work context, the meaning PHCNPs attach to their work, and their engagement.

Canada - The Toronto Indigenous Health Advisory Circle (TIHAC): Advancing Self-Determined Indigenous Health Strategies This hyperlink will open in a new window.
Formed in 2015, the Toronto Indigenous Health Advisory Circle (TIHAC) provides recommendations on how to improve health outcomes for Indigenous Peoples in Toronto and offers broader policy and advocacy support to improve the social determinants of Indigenous health. This article details TIHAC’s work over a period of 15 months, during which it created Toronto’s first self-determined Indigenous health strategy, released in 2016.

Canada - Patient Navigation as an Approach to Improve the Integration of Care: The Case of NaviCare/SoinsNavi This hyperlink will open in a new window.
Along with promoting integrated care for people with complex care needs, patient navigation programs often contribute to decreasing fragmentation and improving access. This article looks at New Brunswick's NaviCare/SoinsNavi, a navigation centre for children and youth with complex care needs and their families and care teams. The unique Living Lab provides opportunities to explore innovative ways to integrate care using a personalized family-centred approach.

Europe - Options to Foster Health Promoting Health Systems This hyperlink will open in a new window.
This expert panel report examines the implementation of health promotion across the European Union (EU) and explores potential mechanisms to strengthen its integration into health systems, including an emphasis on primary care settings and use of a Health in All Policies (HiAP) approach. The report outlines conceptual and policy frameworks for health promotion, and discusses factors that enable and impede implementation.

Europe - Challenges and practices in promoting (ageing) employees working career in the health care sector – case studies from Germany, Finland and the UK This hyperlink will open in a new window.
Europe's healthcare sector is currently facing structural challenges due to its aging, often part-time workforce. This study investigates how health organizations in Germany, Finland and the UK support longer working careers. It finds that policies to retain and optimize aging workers lack popularity among the sector's organizations in the three countries. The concept of age management is not yet seen as a possible solution.

UK - Achieving integrated care: 15 best practice actions This hyperlink will open in a new window.
This local government resource considers 15 best practice actions to achieve integrated care using an approach that emphasizes person-centred coordinated care, local place-based support systems and system leadership. The 15 actions are: risk stratification, access to information, multidisciplinary team training, personalized care plans, rapid response, operational framework, integrated delivery, shared records, community capacity and partnership, common purpose, collaborative culture, resource allocation, accountability and workforce planning.

UK - NHS performance and waiting times.  Priorities for the next government This hyperlink will open in a new window.
This article looks at the performance of the National Health Service (NHS) and recent increases in wait times for services and procedures. The article says the incoming government needs to reduce waiting times by redesigning health services, investing in infrastructure and stabilizing NHS staff numbers. The workforce should also be enlarged in key services.

International - Health in the 21st Century. Putting Data to Work for Stronger Health Systems This hyperlink will open in a new window.
Produced by the OECD, this report explores how data and digital technology can drive positive policy transformation in the health sector while managing new risks such as privacy, equity and implementation costs. It examines the following topics: expanding service delivery models; broadening public health; managing biomedical technologies; enabling better collaboration across borders; and improving health system governance and stewardship.