Canada – Mental Health Commission of Canada e-mental health report provides roadmap for reducing wait times and improving care
The Mental Health Commission of Canada (MHCC) and Government of Newfoundland and Labrador have released a report on a project providing patients same-day mental health care along with e-mental health apps, online services and behavioural prescriptions. Wait times for mental health services in the province were reduced by 68% during the 18-month project.
Europe - Progress on health equity is stalling across Europe; new WHO report reveals gaps can be reduced within the lifetime of a single government
This report by the WHO reveals that health inequities in Europe have either remained the same or worsened despite government efforts in recent years. The report provides data and tools to help remedy health inequities in a relatively short period of time – short enough for governments to produce improvements within a single term in office.
New Zealand - New Zealand Cancer Action Plan 2019–2029
New Zealand has developed a new cancer action plan to improve diagnosis, treatment, and follow-up care. Setting out actions required over the next 10 years to ensure better cancer outcomes, the plan focuses on improved prevention and earlier detection. Cancer is the leading cause of death in New Zealand, killing 10,000 people every year.
Poland - New review of Poland’s health system indicates positive changes in the face of certain persistent problems
The European Observatory on Health Systems and Policies has published a review of the Polish health system. It highlights positive developments, such as efforts to improve primary care coordination, health technology and evaluation. The review also details long-standing problems in Poland's health system, including hospital indebtedness, over-reliance on inpatient care, and shortages of health workers.
International - Stronger focus on nutrition within health services could save 3.7 million lives by 2025
This bulletin of the WHO considers that health services must integrate a focus on ensuring optimum nutrition at all stages of life. It recommends interventions such as promoting breastfeeding, taking supplements during antenatal care, and limiting sugar and salt intake at all ages. The bulletin estimates that investments in nutrition could save 3.7 million lives internationally by 2025.
Canada - 2020 Canadian Agency for Drugs and Technologies in Health Symposium
The next CADTH symposium takes place in Toronto on April 19-21, 2020. The theme of the conference is 'Decision-making in the age of uncertainty'. The call for abstracts for workshops, panels, debates, oral presentations and posters is now open. The deadline for submission is October 25, 2019.
Italy - 16th World Congress on Public Health: Health for the Future of Humanity, Analysis advocacy and Action
The conference will be held in Rome, from October 12 to 17, 2020. Proposals for world leadership dialogues and workshops are considered for 60- or 90-minutes sessions. Single abstracts are considered for oral, pitch and poster presentations. Abstracts and proposals may be submitted between December 1st 2019 and March 1st 2020.
Reports and Issue Portfolios
Australia - Formative Evaluation of the Central Coast Integrated Care Program (CCICP), NSW Australia
This paper describes the New South Wales Central Coast Integrative Care Program, a multi-component intervention addressing three target populations: vulnerable young people, vulnerable older people and people with chronic and complex conditions. More than 40 sub-projects are currently underway at different scales, and levels of maturity. Details are provided on program implementation, including activities undertaken for each target population. Key lessons are drawn from surveys and interviews with project stakeholders and professional staff.
Canada - Health Teams and Primary Care Reform in Ontario: Staying the Course
Published by the CD Howe Institute, this report argues that the Ontario government should expand payment reform for primary care doctors as the province implements new Ontario Health Teams to coordinate healthcare services. The report says compensation reform is compatible with improving appropriateness of care and is a more flexible way to reduce medically unnecessary treatments than the current approach of delisting services from public coverage.
Canada - Advanced practice nursing. Qualitative study of implications for family physicians’ perceptions of their own work
This study explores family doctors’ views on differences between their roles and those of primary care nurse practitioners. Interviews with 16 Québec physicians identified four elements that influenced their perspective: shared scopes of practice, patient profiles and follow-up, and positive work experiences. The study concludes that deliberations over physician and nurse practitioner task division must be situated within a discussion about the overall organization of care provision.
Europe - Sustainable Health Financing with an Ageing Population. Implications of different revenue raising mechanisms and policy options
This briefing by the European Observatory on Health Systems and Policies reports on the effects of population aging on European countries’ ability to raise healthcare revenues from taxation. The briefing simulates the effects of population aging on countries’ ability to generate consumption and labour market based revenues, finding that countries with older populations can expect to see taxation revenue shortfalls in coming decades.
Sweden - Staff perception of Lean, care-giving, thriving and exhaustion: a longitudinal study in primary care
Lean management is adopted in healthcare to increase quality of care and efficiency. This Swedish study examined whether Lean is associated with changes to primary healthcare (PHC) job demands and resources. Surveying 260 physicians at 46 PHC units, the study found Lean's usage was associated with increased job resources and satisfaction with caregiving. Lean was also associated with decreased staff exhaustion.
UK - Achieving Integrated Care: 15 best practice actions
The practice actions to achieve integrated care in this Social Care Institute for Excellence (SCIE) resource involve local government, providers, professionals and communities. Actions are grouped in three categories: coordinated care (risk stratification, multidisciplinary teams, personalized care plans and rapid response); local support systems (operational framework, integrated providers, shared records, community capacity and sector partnerships); and fostering integration (resource allocation, accountability and workforce planning).
UK - What should be done to fix the crisis in social care? Five priorities for government
Growing numbers of people in the UK are unable to access social care, while care providers are increasingly at risk of collapse. Based on an analysis of the costs of reform, this report lists five social care priorities for government. They include: stabilizing the system; improving access to care; protection against care costs; using the capped cost model; and exploring all options for raising revenue.
UK - How does UK healthcare spending compare with other countries?
Prepared by the UK National Statistics Office, this analysis of healthcare spending relative to comparable countries finds that the UK spends around the median in the OECD and has the second-lowest healthcare spending per person in the G7. As a percentage of GDP, UK healthcare spending fell in 2017, while rising in other G7 countries.
International - Strategies to strengthen the provision of mental health care at the primary care setting: An Evidence Map
A deinstitutionalized mental health system requires multidisciplinary care in primary or community service settings. This South African paper describes an Evidence Map of different strategies to strengthen mental health care provision in primary care settings. A systematic review of 306 studies identifies strategies and maps these in line with outcomes they affect. The top reported strategies include empowering patients, integrating care, and e-health interventions.
Last update: September 25, 2019