Canada – Ontario Government Investing $27 Billion to Help End Hallway Health Care
Ontario's government is investing $27 billion in hospital infrastructure projects to end emergency department and hospital overcrowding, often referred to as hallway healthcare. The investments will build critical frontline care capacity by creating more than 3,000 new hospital beds and increasing operational funding for hospitals, mental heath and addiction services, and long-term care.
Canada - New data highlights importance of communication during hospital stays
CIHI has released new survey data on care received during hospital stays. The survey, Patient Experience in Canadian Hospitals, found that 56% of patients felt their care in hospital was well coordinated. One in three did not feel completely informed about their condition, treatment and medication at discharge.
Canada - Health Canada announces $81M initiative to increase access to health research data
Canada's federal government is launching an initiative to make accessing health data easier for researchers. Government anticipates an $81 million investment over seven years. The Strategy for Patient-Oriented Research (SPOR) Canadian Data Platform will provide health researchers a single portal through which to request administrative, clinical and social data from sources across the country.
USA - U.S. Department of Health and Human Services (HHS) To Deliver Value-Based Transformation in Primary Care
The US Department of Health and Human Services has announced the Centers for Medicare Services Primary Cares Initiative, a new set of payment models aimed at providing better value for patients. The new payment models will reduce administrative burdens and empower primary care providers to spend more time caring for patients while reducing overall healthcare costs.
International - WHO releases first guideline on digital health interventions
The WHO issued guidelines on the use of digital health technologies to improve health care and essential services via smart phones, tablets and computers. The recommendations cover effective digital interventions, including patient reminders, long distance consultation and health worker decision-support tools. The importance of governance and privacy protections are emphasized.
Canada - Health System Integration Built On The Foundation Of Team-Based Primary Health Care
The Association of Family Health Teams of Ontario is holding its annual conference on September 19 and 20, 2019, in Toronto. Presentations will address six main themes: access to team-based care, transitions across the care continuum, comprehensive team-based care, patient and family-centred care, community and social accountability, and performance. The programme will be available soon.
France - 12th European Public Health Conference
Taking place in Marseille from November 20 to 23, 2019, this conference focuses on the theme: Building bridges for solidarity and public health. Plenary sessions will address sustainable development goals, migrant inequalities in urban settings and building bridges for migration in a planetary context.
Reports and Issue Portfolios
Canada - The impact of the adoption of a patient rostering model on primary care access and continuity of care in urban family practices in Ontario, Canada
This Ontario study examines the impact of adopting an enhanced fee-for-service model (eFFS) on primary care access and continuity of care. The authors followed urban family physicians who transitioned from the existing fee-for-service model to eFFS between 2004 and 2013. They found that continuity and coordination of specialized care slightly decreased with eFFS, mainly because of patient sharing by physicians following the transition.
China - Effect of a typical systemic hospital reform on inpatient expenditure for rural population: the Sanming model in China
In 2013, the area of Sanming in southern China began reforms to control excessive hospital expenditures by adjusting payment methods and medical service prices. This study analyzes the impact of these measures on the financial burden and length of hospital stays experienced by Sanming's rural population. It concludes that the reforms caused decreases in both costs and stays, although out-of-pocket expenses as a share of total expenditure remained high.
France - Innovation in Physician Remuneration in France. What Lessons for Canada?
Over the past decade, France has instituted two major reforms in remuneration models for independent general practitioners (GPs). In the first model, individual GPs receive incentives for preventive practices, use of generics, and organizational improvements. In the second model, incentives are provided to practice groups to foster interprofessional collaboration and patient involvement. This study by Québec researchers details the reforms and considers their applicability to Canada.
UK - Embracing technology in health and social care
Published by the British Tax Payers Alliance, this paper examines the impact of increasing use of automation in Britain's health and social care system. It describes how automated technologies increase productivity, reduce costs, and result in better care. The paper estimates that health and social care productivity improvements resulting from automation will amount to savings of £18.5 billion annually by 2030.
UK - Policies and strategies to retain and support the return of experienced GPs in direct patient care: the ReGROUP mixed-methods study
General practice in the UK faces a workforce crisis, with general practitioner (GP) shortages, organizational changes and an aging population with increasingly complex health needs. This study used focus groups and surveys of GPs in southwestern England to identify 24 policies and strategies for GP recruitment and retention. It stresses the need for formal career pathways for key primary care professionals, such as practice managers.
UK - Implementation, Impact and Costs of Policies for Safe Staffing in Acute NHS Trusts
This research describes the implementation of safe staffing policies in the autonomous National Health Service (NHS) hospital organizations known as Acute NHS Trusts. Employing national data analysis, surveys of Acute Trust nursing staff, and case studies, the research examines the costs and consequences of the new safe staffing policies. Although Trust staff planning has improved, nurse retention rates have continued to decline while costs increase.
USA - Considering “Single Payer” Proposals in the U.S.: Lessons from Abroad
American proponents of universal health coverage (UHC) don't always acknowledge differences between UHC systems elsewhere, lumping them all together as 'single payer.' This study aimed at US thinkers compares 12 countries with UHC. It finds significant organizational differences concerning the role of private insurance, the distribution of responsibilities and resources between levels of government, and the scope of benefits and cost sharing in public insurance.
International - Decentralisation and performance measurement systems in healthcare
This report examines decentralization and performance measurement in the health systems of the 34 countries belonging to the OECD. Decision-making tends to rest largely with central governments, while sub-national governments have more control over inputs, outputs, and monitoring of services. Most OECD countries rely on centralized performance measurement systems that focus more on improving performance than reducing service costs.
International - Combining Integration of Care and a Population Health Approach: A Scoping Review of Redesign Strategies and Interventions, and their Impact
Many health systems try to combine integrated care with a population health approach. After examining 57 studies, this scoping review identifies seven redesign strategies and interventions that provide effective operational and delivery changes. These include implementing intersectoral partnerships and addressing a wide range of determinants of health.
Last update: July 18, 2019