Canada - CFHI Expanding Access to Innovative Palliative Approach that will Improve End-Of-Life Care This hyperlink will open in a new window.
The Canadian Foundation for Healthcare Improvement (CFHI) is working with seven organizations in five provinces and one territory to spread Embedding Palliative Approaches to Care (EPAC). The EPAC approach is a proven innovation that allows long-term care staff to identify residents who would benefit from a palliative approach, and facilitates implementation of comprehensive care plans.

UK - Final report on GP partnerships published This hyperlink will open in a new window.
This report on general practice (GP) partnerships was commissioned by the UK government. It recommends ways to revitalize the GP partnership business model and ensure a sustainable future for general practitioners in Britain. It calls for a specialized focus in medical training on general practice as a positive career choice.

USA - U.S. Health Care Spending Highest Among Developed Countries This hyperlink will open in a new window.
A new study by Johns Hopkins University in Baltimore has found that US healthcare spending per capita is more than double that of other developed countries. The researchers determined that the higher overall healthcare spending was due to higher prices and costs in the US system.

International - Ten threats to global health in 2019 This hyperlink will open in a new window.
The WHO released a list of the top 10 threats to global health in 2019. The list includes: air pollution and climate change, noncommunicable diseases, global influenza pandemics, antimicrobial resistance, Ebola and high-threat pathogens, dengue fever, HIV, vaccine hesitancy, internationally weak primary care facilities and vulnerable population settings.

Upcoming Events

Finland - Health management 2.0
Achieving more efficient and patient-centred care is the goal underlying the program of this conference. Governance, sustainability, digital transformation and the personalization and integration of care are key themes. Presentations will help unlock the change agenda and see what skills and competencies healthcare leaders need in order to make this shift to happen. The conference will be held in Finland from June 17 to 19, 2019. The deadline for abstract submissions is February 17, 2019.

Portugal - Managing mental health system complexity
The conference, taking place in Lisbon, Portugal, from June 6 to 8, 2019, will address issues such as access inequities and cross-cultural learning in mental health. It is organized by the European Network for Mental Health Service Evaluation (ENMESH), established under the WHO to develop a network of researchers in mental health services in Europe.

Reports and Issue Portfolios

Canada - Creating Rapid-learning Health Systems in Canada This hyperlink will open in a new window.
This synthesis report examines the potential implementation of rapid-learning health systems in Canada's provinces. McMaster University researchers investigate how the approach can be adapted, piloted, and iteratively revised for Canadian jurisdictions. A rapid-learning health system is driven by timely data and evidence, supported by aligned governance and delivery arrangements, and enabled by competencies for rapid improvement.

Europe - Tool for mapping governance for health and well-being: the organigraph method This hyperlink will open in a new window.
The WHO and academic partners have developed an organigraph tool for mapping governance structures and accountability mechanisms. This document explains how to use the tool to identify system areas that need strengthening, and provides a practical guide including examples. An organigraph is a graphical representation of an organization or system's structure and processes.

Europe - Community health services This hyperlink will open in a new window.
Published by the WHO, the winter 2019 issue of Eurohealth presents an extensive collection of articles concerning community level service delivery, increased health coverage, and policy reform for health system strengthening. Articles include discussions of person-centred tuberculosis prevention in Eastern Europe and Central Asia, hospital sector reforms in Bulgaria, and dental services in the Kyrgyz Republic.

Europe - Evidence on the effectiveness of health literacy interventions in the EU: a systematic review This hyperlink will open in a new window.
Assessing evidence on the effectiveness of health literacy interventions in the European Union between 1995 and 2018, this systematic review of 23 studies finds that most previous interventions focused on functional levels of health literacy or numeracy. Overall strength of evidence was low, and the review notes large disparities and heterogeneity in study design, measurement tools, and outcomes.

Norway - Hospital Competition in the National Health Service: Evidence from a Patient Choice Reform This hyperlink will open in a new window.
This paper studies the impact of exposing public hospitals to competition after Norway's market-oriented healthcare delivery reforms in 2001. Using admissions data from 1998 to 2005, the authors find that public hospitals in more competitive areas had greater reductions in mortality, readmissions, and length of stay. These results suggest that market competition improved public hospital outcomes and cost efficiency despite low fixed treatment prices.

Sweden - Tending to innovate in Swedish primary health care: a qualitative study This hyperlink will open in a new window.
Investigating enablers of successful primary care innovation in Sweden's public healthcare system, this study of five urban Primary Healthcare Centres (PHCs) identifies three types of PHC innovation: service, process, and organizational. A learning-oriented culture and climate, entrepreneurial leadership, cross-boundary collaboration, visible, understandable performance measurements, and the ability to adapt to external pressure were shown to be advantageous.

International - Addressing overuse of health services in health systems: a critical interpretive synthesis This hyperlink will open in a new window.
Health systems are increasingly focusing on how to address overuse of health services. This synthesis of 251 articles and studies on the subject develops a framework to address overuse at system and process levels. The framework focuses on context, strategy and implementation. Key considerations for implementation include the need to develop input and "buy in" from health system stakeholders and the public.

International - Ten evidence-based policy accelerators for transforming primary health care in the WHO European Region This hyperlink will open in a new window.
The latest edition of Public Health Panorama, the journal of the WHO Regional Office for Europe, contains an article summarizing 10 evidence-based policy accelerators for transforming primary health care in Europe. The accelerators signify high-impact entry points for implementing reform and include population health management approaches, integrated social services and community care models, and the optimal use of eHealth and health technologies.

International - Advancing Toward Universal Health Coverage in the Asia-Pacific This hyperlink will open in a new window.
The journal Health Systems and Reform devotes an entire issue to the current movement towards universal health coverage (UHC) in the Asian continent and neighbouring Pacific area. Ten articles focus on health system service delivery, financing and governance in the region. Articles specifically address UHC catalysts, measures and contexts in Singapore, Samoa and the Western Pacific.