Canada - Gaps in longevity persist across different population groups in Canada
This study used a dataset called the Canadian Census Health and Environment Cohorts (CanCHECs) to examine the longevity of Canada's Indigenous population. Results from 1996 to 2011 show that life expectancy was substantially and consistently shorter for First Nations people, Métis and Inuit compared with other Canadians across all provinces and territories.
Canada - Addressing stigma in Canada’s health system is critical for improving health outcomes
Canada’s Chief Public Health Officer, Dr. Theresa Tam, released the 2019 Annual Report focused on the impact of stigma on health. The report highlights how stigmas associated with mental illness, HIV status, obesity and substance use cannot be addressed without also tackling threats to equity such as racism, homophobia, ageism and sexism.
Canada - Ontario Introduces 24 Ontario Health Teams across the Province to Provide Better Connected Care
Ontario's government is introducing 24 Ontario Health Teams as part of ongoing efforts to revamp the provincial health system. The 24 regional teams will implement a community model of organizing and delivering healthcare that better connects patients and providers to improve outcomes. Patients will experience easier care transitions with a single patient record and coordinated plan.
UK - Hospital action to reduce length of ward stay can be effective
Hospital-led efforts to reduce the amount of time older people spend on wards before being allowed home can be effective, reducing length of stay in hospital by more than three days in some areas, NIHR funded research has found. Researchers at the University of Exeter analysed all available evidence on how effective hospital-led efforts to reduce length of stay were in practice, and whether they save money. The report, funded and published by NIHR’s Health Services and Delivery Research (HS&DR) Programme synthesised 73 studies inside and outside the UK, in which participants had a mean age of at least 60. The research found that the success of programmes to reduce patient stay varied, depending on both the areas of medicine and the type of intervention.
USA - New AHRQ Studies Identify Ways That Rural Communities Lack Healthcare Access
Two new studies by the Agency for Healthcare Research and Quality (AHRQ) find that rural Americans commonly lack access to hospital and mental health services. Rural communities often lose access to clinical services after rural hospitals affiliate with larger health systems, while rural residents with mental health needs receive fewer services than city dwellers.
International - Eleven-Country Survey Finds Doctors in U.S. and Abroad Have Problems Coordinating Care with Social Service Providers
A survey of 13,000 primary care physicians in 11 countries (Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the UK and the US) shows that American primary care doctors trail their counterparts in provider-to-provider communications. Physicians in most of the countries found it challenging to coordinate with social service providers.
Canada - Public Health 2020
The annual conference of the Canadian Public Health Association takes place April 28 to 30, 2020, in Winnipeg. The conference features three plenary sessions looking at climate change and human health, mental wellness, and the reconciliation of relationships between Canadians and Indigenous Peoples. The full program will be available soon and registration opens February 1st.
UK - Learning from setbacks and successes
The FUSE Centre for Translational Research in Public Health is partnering with a number of universities and research foundations to present an international conference on knowledge exchange in public health in Newcastle upon Tyne, UK on September 22 and 23, 2020. The conference aims to create a safe space in which academics, practitioners and policy makers can reflect together on the potential threats to successful knowledge exchange.
Reports and Issue Portfolios
Australia - Working well: strategies to strengthen the workforce of the Indigenous primary healthcare sector
The capacity of Australia's Indigenous primary healthcare (PHC) sector to meet the health needs of Aboriginal Australians rests on the skills, motivation and experience of its workforce. Drawing on data from one Aboriginal Community Controlled Health Service (ACCHS), this study reports what is working well and what could be improved in the Indigenous PHC sector. The study identifies four strategies to strengthen the workforce.
Europe - Enhancing the sustainability of long-term care
This new issue of EuroHealth, the quarterly of the European Observatory on Health Systems and Policies, looks at the sustainability of long-term care (LTC) systems across Europe. Nine articles cover such topics as early dementia diagnosis, improving outcomes, social isolation, unpaid care, migrant caregivers, health insurance and LTC nursing. Four of the articles focus on governmental policies in the Netherlands, Switzerland, Finland and Russia.
Europe - Challenges and prospects in the EU: Quality of life and public services
Drawing on the 2017 European Quality of Life Survey (EQLS), this report for European Union (EU) policymakers analyses data and outlines steps to be taken to improve quality of life and public services across Europe. Overall, the report reveals positive developments in many health and social care fields, but also emphasizes continuing inequalities between countries and social groups.
UK - Leading for integrated care ‘If you think competition is hard, you should try collaboration’
Commissioned by the National Health Service (NHS), this report explores the challenges and opportunities presented by the UK health system's push towards locally organized forms of integrated care. Featuring interviews with 16 leaders of local NHS integrated care systems and sustainability and transformation partnerships, the report discusses implementation, governance, leadership, accountability, collaboration, sectoral responsibilities, and the pros and cons of relevant legislation.
UK - Transforming community nursing services in the UK; lessons from a participatory evaluation of the implementation of a new community nursing model in East London based on the principles of the Dutch Buurtzorg model
Buurtzorg, a model of community nursing conceived in the Netherlands, is characterized by professional autonomy exercised through self-managing nursing teams, client empowerment, and patient centred care. Conducted in London, this study examines the extent to which the Buurtzorg model could be adapted for community nursing in the UK. It finds that the model would require a substantial cultural shift within the National Health Service (NHS).
UK - Unconventional health and care: five organisations delivering care differently
This article discusses five unconventional local health and social care organizations in England that have recombined primary health and social care paradigms and services in innovative, successful ways. The article highlights common features of the organizations’ approaches, structures, and management practices. The five organizations range from mental health programs to magic camps for sick children and integrated community care services for patients with complex needs.
International - Performance-based managed entry agreements for new medicines in OECD countries and EU member states. How they work a nd possible improvements going forward
Managed entry agreements (MEAs) between pharmaceutical companies and healthcare payers allow for coverage of new medicines while managing uncertainty around financial impact or performance. Patient-level payment-by-result (PbR) and population-level coverage with evidence development (CED) are the most common MEA designs. This OECD review finds that CED agreements have a poor record of reducing uncertainty around the performance of medicines.
International - Reaching universal health coverage: a political economy review of trends across 49 countries
Identifying 49 economically and culturally diverse countries that have either achieved universal health coverage (UHC) or made good progress towards it, this paper synthesizes the existing literature and identifies global and regional trends underlying progress towards UHC, as well as the enablers and constraints each country faces in trying to expand health care. Public health systems seem to perform better than privately financed insurance models.
Last update: January 14, 2020