Canada - Smart Public Spending in Mental Health Spells Long-term Savings, Says New MHCC Report
This report from the Mental Health Commission of Canada (MHCC) outlines investments in mental health that have the greatest impact and produce a return on investment to government. It proposes three areas for action: prevention and promotion, community-based services for common mental illnesses, and specialized services for people with severe mental illness.
Canada - Canada Could Save Over a Billion by Switching Some Medications from Prescriptions to Over-The-Counter
The Conference Board of Canada estimates that switching three prescription drug classes to over-the-counter medications could save consumers and the health system $1 billion annually. The report examines the economic impact of switching the status three specific drug categories: proton pump inhibitors to treat gastro-esophageal reflux disease, oral contraceptives, and erectile dysfunction drugs.
Canada - Nurse practitioners improve community care
A $10-million, three-year health project in Alberta is placing nurse practitioners alongside registered nurses on community teams that deliver ‘first-stop’ health services where needs are high. Project grants have been given to The Alex Community Health Centre in Calgary, the Calgary Urban Project Society (CUPS), and Edmonton’s Boyle McCauley Health Centre.
France - Marisol Touraine pursues further reforms in health establishment funding
On February 28, 2017, the Ministry of Social Affairs and Health modified the funding formula for health facilities. The provisions of this bill are intended to provide funding methods that are better adapted to practice, while encouraging the shift towards ambulatory care. A mixed model combining activity-based funding and a base fee will be applied in critical care. An intermediate model, between outpatient visits and day hospitalization, is planned to better compensate multi-professional work in the management of chronic diseases.
Finland - National action plan to prevent chronic pain
An expert group appointed by the Finnish Ministry of Social Affairs and Health has drawn up a three-year action plan for Finland’s treatment of chronic pain and cancer pain. It includes measures for establishing patient-centred, high quality services, based on a multidisciplinary approach.
Canada - International Conference on Humanizing Health Care: Enhancing Lives. Transforming Care
This two-day conference organized by Bruyere Healthcare will explore relationship centred care and highlight innovative ways to build capacity through community engagement, education, research and technology. A main theme will be cultivating compassion and dignity in an aging society. The conference takes place October 19 and 20, 2017, in Ottawa.
Italy - Placing the person at the centre of the health system: Concepts, strategies, results
Taking place in Venice from July 23 to 29, 2017, the European Observatory Summer School is a one-week course organized by the WHO. It brings together policy makers, managers, professionals and representatives from civil society to learn about the conceptual and practical issues surrounding person-centred health systems. The deadline to apply is May 31.
Reports and Issue Portfolios
Canada - The Sustainability of Health Care Spending in Canada 2017
Health-care spending by provincial governments has increased by 116 per cent since 2001, and even though increases have slowed recently, health care is projected to consume an even larger portion of program spending over the next 15 years, according to a new study released by the Fraser Institute.
Canada - Adopting eHealth Solutions: Implementation Strategies
Published by the Registered Nurses’ Association of Ontario, this guideline provides evidence-based recommendations to enhance the capacity of all individuals involved in the implementation of an eHealth solution. Organizations are encouraged to establish suitable infrastructures to support eHealth education needs and facilitate technology-enabled health system transformation.
Canada - Building on Canada's Strengths in Regenerative Medicine
This report summarizes a workshop convened by the Council of Canadian Academies in Toronto on October 13 and 14, 2016 to review current strengths and weaknesses in regenerative medicine in Canada. Overall, the workshop report confirms that Canadian regenerative medical research is both of high quality and highly cited. National networks are recognized as enabling Canada to maintain its status as an international leader in the field.
Germany - Causes of regional variation in healthcare utilization in Germany
Healthcare utilization varies widely between regions in Germany. This study examines patient migration to see how much of the variation in German ambulatory care use can be attributed to demand and supply factors. Based on administrative data, the authors find that regional variation is overwhelmingly explained by patient characteristics. These results contrast with previous findings for other European countries.
UK - Commissioning for health improvement following the 2012 health and social care reforms in England: what has changed?
The 2012 Health and Social Care Act fundamentally changed the operation of England’s public health system, moving responsibility for the commissioning and delivery of services from the National Health Service (NHS) to local government. This paper explores the ways in which reforms have altered public health, finding that while some goals have been achieved, fragmentation, dispersed decision-making and uncertain funding remain significant challenges.
UK - Delivering an outcomes-based NHS: creating the right conditions
This paper from the CEO of Britain’s Capitated Outcomes Based Incentivized Care (COBIC) describes the development of an outcomes-centred approach in the UK National Health Service (NHS). It calls for reforms to incentives, infrastructure and service delivery. The paper defines a framework to look at outcomes domains, goals and indicators, and includes case studies.
USA - Next Generation of Community Health
The American Hospital Association (AHA) 2016 Committee on Research was charged with exploring what the next generation of community health may look like as hospitals redefine themselves to keep pace with the changing health care landscape. This report presents the committee's work, reviews US community health trends and results, and proposes collaborative strategies.
International - Methods for designing interventions to change healthcare professionals’ behaviour: a systematic review
The objective of this review was to identify published methods for designing interventions to change healthcare professionals’ behaviour. After examining 15 previous studies, the review found agreement across four tasks that need to be completed when designing individual-level interventions: identifying barriers, selecting intervention components, using theory, and engaging end-users. Further analysis of tasks could facilitate the development of guidelines for designing interventions.
International - Measuring, Reporting, and Rewarding Quality of Care in 5 Nations: 5 Policy Levers to Enhance Hospital Quality Accountability
This study deals with accountability for the quality of hospital care in England, Germany, the Netherlands, Sweden and the US. It identifies five levers to enhance accountability: a central role for standards and incentives; a balance in system centralization to enable national comparisons and promote local innovation; a focus on outcomes transparency; the engagement of providers as proponents; and reporting that focuses on hospitals to ensure comparability and patient choice.
Last update: July 18, 2019