Please note that the newsletter’s publication will be interrupted for the summer. We will resume publication on August 13, 2019.
Canada - The Government of Canada Releases Canada's First Dementia Strategy
The federal government has announced Canada's first national strategy to prevent dementia, advance effective therapies, and improve quality of life for people living with dementia and their caregivers. An initial $50 million in funding will support the new strategy. More than 400,000 Canadians over age 65 have been diagnosed with dementia.
Canada - Premier's Council on Improving Healthcare and Ending Hallway Medicine Releases Second Report
The Premier's Council on Improving Healthcare and Ending Hallway Medicine recently released its second report, providing advice on how to build a modern, sustainable and integrated health care system and solve the problem of hallway medicine. Developed in consultation with more than 1,500 health care providers, patients and caregivers, the Council's report - A Healthy Ontario: Building a Sustainable Health Care System - provides advice and makes key recommendations focused on: integration, innovation, efficiency and alignment; capacity.
Canada - The Advisory Council on the Implementation of National Pharmacare recommends Canada implement universal, single-payer public pharmacare
The Advisory Council on the Implementation of National Pharmacare has recommended that the federal government partner with provincial governments to implement a universal, single-payer public pharmacare system to replace Canada's patchwork of private and public prescription plans. The Council also recommends establishing a federal drug agency to develop a national formulary of prescription drugs.
USA - 2019 Scorecard on State Health System Performance
The 2019 Scorecard reveals that premature deaths from suicide, alcohol and drug overdose are increasing across all 50 US states. While uninsured rates fell nationally after the 2014 Affordable Care Act, gains in access to healthcare have since been eroded in 16 states. Arkansas, Oklahoma and Mississippi remain the worse ranked performers on this year's Scorecard.
USA - A Growing Number of States Have Policies to Increase Primary Care
A first step toward increasing primary care investment is measuring and reporting primary care spending. Seven US states now report on spending while two others, Rhode Island and Oregon, use regulatory policies to spur investment. In 2019, Colorado and Vermont passed laws requiring primary care investment targets. Another eight states have proposed similar legislation.
Canada - National Summit on Integrated care
The conference takes place in Toronto, on September 25 and 26, 2019. It explores strategies that will guide Ontario's new Integrated Health Teams, with lessons learned from pioneering organizations in Ontario. Sessions look at how to improve the efficiency and effectiveness of transitions between levels of care, at integrating families and caregivers into care, and at the roles of community-based providers.
UK - Community is the Best Medicine: Making a Reality of Community-based Health
The King's Fund is holding this event on October 8, 2019, in London, and in Leeds on November 6, 2019. The aim is to explore the role of communities in health and care by bringing together health and care professionals, community organisations, innovators, commissioners, researchers and policy makers.
Reports and Issue Portfolios
Australia - Australia’s health expenditure: an international comparison
This report compares key measures of Australia’s health expenditure with those of other OECD countries during the period 2000–2016. Among 36 OECD countries, Australia ranked 12th highest in both population and GDP in 2016. In total health expenditure, Australia ranked 11th. Over the time period, health expenditure increased consistently faster than the OECD median.
Australia - Building general practice training capacity in rural and remote Australia with underserved primary care services: a qualitative investigation
Examining physician training in rural areas, this study explores factors that influence trainee General Practitioners (GPs) to undergo training with primary care physicians in remote underserved Australian towns. Interviews with 39 personnel, 14 of whom were trainees, suggested that remote GP training provides extensive learning opportunities at sites where supervision is generally of high quality.
Europe - Health Equity Policy Tool. A framework to track policies for increasing health equity in the WHO European Region
Designed for the WHO European Region, the Health Equity Policy Tool (HEPT) is a monitoring tool and framework for reviewing action on the social determinants of health and health inequalities. This explanatory WHO document is part of a consultation process with member states on the proposed use of HEPT to monitor and prioritize multisectoral policy action to increase health equity.
Italy - Decision making tools for managing waiting times and treatment rates in elective surgery
In Italy, elective surgery wait times vary geographically. This paper analyses relationships between waiting times and treatment rates for high-volume elective surgical procedures in 34 districts. It then identifies different patterns and supplies a two-step process that can be followed to align supply with patient needs in local contexts. The authors say their decision-making tools obviate any need for increased service supply.
The Netherlands - What makes an ideal hospital-based medical leader? Three views of healthcare professionals and managers: A case study
This Dutch study investigates the views of 25 healthcare professionals and 14 managers on what they consider important factors for medical leadership. Participants were interviewed, and ranked 34 factors identified in the scientific literature. Factor analysis revealed three distinct views of medical leadership. The first represents a strategic leader who prioritizes the interests of the hospital in decision-making. The second describes a social leader with strong collaboration and communication skills. The third reflects an accepted leader guided by a clear job description.
UK - Health in Hard Times. Austerity and health inequalities
Edited by a leading expert and the result of five years of research, this book draws on a case study of Stockton-on-Tees in northeastern England to examine how government austerity policies have impacted health and wellbeing throughout the UK. By placing individual and local experiences in the context of national budget cuts and welfare reforms, it provides a holistic perspective on countrywide health inequalities.
International - The state of nursing education in French-speaking countries
The Center for Innovation in Nursing Education (CIFI) at the Université de Montréal prepared this report on the progress of nursing education. Data is presented on the legislative framework governing the profession and on training in French-speaking countries. Among the findings, augmenting initial training remains difficult and three countries (Belgium, Canada-Quebec and Lebanon) still offer two levels of training. Great interest in advanced nursing practice is observed.
International - Health and Healthcare in the Fourth Industrial Revolution. Global Future Council on the Future of Health and Healthcare 2016-2018
Undertaken by a knowledge network of experts from academia, government, business and civil society convened by the World Economic Forum, this report examines the impact and governance of key emerging technologies in healthcare. The report focuses on four key themes: medical breakthroughs in biotechnology; enhancing human health for improved wellness; analytics and computing for improved diagnostics and information sharing; and modern machines and healthcare.
International - Price setting and price regulation in health care
Published by the WHO, this study examines how price setting has been used in health care to attain better coverage, quality, financial protection and health outcomes. Building on lessons learned in calculating prices, negotiating with providers, and monitoring changes, the study sets out best practices and identifies areas for further research, particularly in low- and middle-income settings. It includes a number of case studies.
International - Health Systems Characteristics: A Survey of 21 Latin America and Caribbean Countries
In 2018, the Inter-American Development Bank launched a survey to collect information on health system characteristics in 21 Latin American and Caribbean nations. This paper summarizes these countries' national arrangements to organize population coverage, health financing and healthcare delivery. It examines governance and resource allocation in the 21 systems, focusing on decentralization in decision-making, budget constraints and priority setting.
Last update: July 18, 2019