Headlines

Canada - Canadian Nurses Association leads the development of a national nursing framework on medical assistance in dying This hyperlink will open in a new window.
The Canadian Nurses Association (CNA) has released a national nursing framework on medical assistance in dying (MAID) that outlines the role of nurses and nurse practitioners (NPs) caring for patients who are considering end-of-life decisions. The framework also highlights changes to federal laws arising from the MAID legislation.

Europe - EU health organisations call for action on health equity This hyperlink will open in a new window.
Twenty-one European health organizations have issued a statement calling on European Union (EU) governments to recognize the central role that health equity plays in social market economies. The statement encourages the use of EU mechanisms like the European Structural and Investment Funds to address health inequalities.

Ireland - Minister Harris announces major focus on patients waiting longest in 2017 This hyperlink will open in a new window.
Ireland’s Minister of Health has announced that reducing waiting times is a priority for 2017. An action plan to standardize the scheduling of patients on waiting lists has been developed, and capacity in Ireland’s private hospital sector will be utilized to provide publicly funded treatment to patients who have been waiting the longest.

UK - National Institute for Health Research challenges researchers and medtech specialists in mental health to improve treatment options This hyperlink will open in a new window.
Britain’s National Institute for Health Research has launched an Invention for Innovation Challenge Award to address unmet clinical need in mental health. Aimed at research teams and medical technology specialists, the challenge hopes to promote the development of disruptive technologies or interventions that can improve outcomes for people with mental illness.

International - New report offers global resource on using the law to improve health This hyperlink will open in a new window.
This WHO report looks at how health laws can make a crucial difference for public health. The report features case studies from around the world on how legislation has improved the health and safety of populations, providing a resource for countries to learn from each others’ experiences.

Upcoming Events

Canada - Lead the pack and make a difference in health policymaking
Want to up your game in how you use research evidence to inform the pressing health system policy issues you’re facing? The McMaster Health Forum’s April workshop is your chance to master the skills needed to find and use the best available research evidence in decision-making about health systems. Register now for the five-day workshop - April 24 -28, 2017. The Forum has now trained hundreds of health system leaders from more than 60 countries around the world.

Ireland - International Conference on Integrated Care
This conference organized by the International Foundation of Integrated Care takes place May 8 to 10 2017, in Dublin. The conference will bring together researchers, clinicians and managers from around the world who are engaged in the design and delivery of integrated health and social care. The main themes include promoting healthy communities, and transitions across care settings, empowering people with chronic diseases, and aging and well being.

Reports and Issue Portfolios

Canada - Integrated Funding: Connecting the Silos for the Healthcare We Need This hyperlink will open in a new window.
According to this article from the C.D. Howe Institute, healthcare delivery silos are impeding Canada’s ability to adapt to changing demands. The article points to experiences in the US and Europe with integrated payment models that distribute funding envelopes across providers. The authors consider this the best way to reduce healthcare costs and increase efficiency and effectiveness.

Canada - Health Transformation: An Action Plan for Ontario This hyperlink will open in a new window.
Produced by the Ontario Chamber of Commerce, this report makes three main strategic recommendations for the province’s healthcare system and health sector. It calls for shifting Ontario towards a value-based system with a focus on patient outcomes for money spent. It also recommends a modernization of procurement chain processes and further integrating the health sciences sector within the public system.

Denmark - Physician Response to Target-Based Performance Payment This hyperlink will open in a new window.
In many healthcare systems, payers reward physicians for reaching predetermined performance targets. This paper analyzes physician response to target-based performance payment and shows that responses depend both on payment size and uncertainty about performance. The paper concludes that the design of target-based payment schemes must include baseline measurements to predict physicians’ ability to assess their own performance.

Norway - An OECD analysis of health spending in Norway This hyperlink will open in a new window.
Among the 34 countries in the OECD, Norway is near the top in terms of per capita health spending, but closer to average in spending as a share of GDP. This health spending analysis shows that Norway allocates more to long-term care services than any other OECD country. This report looks at how comparable different measures of health spending are, and how spending on long-term care affects comparisons.

UK - Outcome-focused integrated care: lessons from experience This hyperlink will open in a new window.
Published by Britain’s Institute of Public Care (IPC), which runs programs to support National Health Service (NHS) organizations in health system transformation, this study examines structure and process requirements for delivering integrated care. It draws on IPCs experience with both operational design and support for cultural and organisational change.  

UK - Defining and measuring unmet need to guide healthcare funding: identifying and filling the gaps This hyperlink will open in a new window.
This literature review of 35 studies endeavours to define and measure unmet healthcare needs in in order to guide future spending. It finds that the available evidence is strong in defining need but very weak when it comes to establishing observable proxies of need that could be used in funding allocation. The authors consider that further research is urgently needed to inform budgeting.

International - Access to healthcare for people facing multiple vulnerabilities in health in 31 cities in 12 countries This hyperlink will open in a new window.
Reporting on urban health inequities in 12 countries (Belgium, France, Germany, Greece, Luxembourg, the Netherlands, Norway, Spain, Sweden, Switzerland, Turkey and the UK), this study is based on the medical data of 10,447 patients in 31 cities. Multiple barriers to accessing health care are described, including lack of health coverage, reported by 67.5% of patients, financial barriers (24.3%), and explicit denial of care (9.2%).

International - A systematic review of experiences of advanced practice nursing in general practice This hyperlink will open in a new window.
In an effort to understand why advanced practice nurses (APNs) struggle to gain acceptance within healthcare, this Australian systematic review of 20 studies looks at the experience of patients and general practitioners (GPs) with APNs. It finds that GPs and patients continue to have concerns around responsibility, trust and accountability, and that GPs have particular trouble with a lack of clarity around APN scope of practice.