Australia’s health system functions remarkably well, despite operating under a complex set of institutions that make coordinating patient care difficult. Complications arising from a split in federal and state government funding and responsibilities are central to these challenges. This fragmented health care system can disrupt the continuity of patient care, lead to a duplication of services and leave gaps in care provision. Supervision of these health services by different levels of government can manifest in avoidable impediments such as the poor transfer of health information, and pose difficulties for patients navigating the health system. Adding to the Australian system’s complexity is a mix of services delivered through both the public and private sectors. To ease health system fragmentation and promote more integrated services, Australia should adopt a national approach to quality and performance through an enhanced federal government role in steering policy, funding and priority setting. The states, in turn, should take on a strengthened role as health service providers, with responsibility for primary care devolved to the states to better align it with hospital services and community care. A more strategic role for the centre should also leave room for the strategic development of health services at the regional level, encouraging innovation that is responsive to local population need, particularly in rural and remote areas.
Older workers earn more than younger workers with the same skills. So what explains the lower return to skill among younger, less-experienced workers? Employers may need time to learn about (and reward) the true skills of young workers. “Experience and the returns to education and skill in OECD countries, Evidence of employer learning?” published in the OECD Journal: Economic Studies.
English, PDF, 722kb
This edition of Migration Policy Debates provides an assessment of the possible economic impact of the refugee crisis. It stresses that while there will obviously be short-term costs arising from such large flows, there will also be sizeable economic and public-finance benefits provided refugees are integrated into the labour market.
Les 14 et 15 janvier 2016, l’OCDE accueillera une Réunion ministérielle sur l’emploi et le travail, et un Forum sur le thème de l’avenir du travail.
The potential for automation is limited when it comes to social skills, which is why social skills are increasingly rewarded in the labour market. Technological change is shaping the future of work through, in part, a skill-biased effect on employment.
De trop nombreuses vies sont encore perdues parce que la qualité des services de santé s’améliore trop lentement pour faire face au vieillissement des populations et au nombre croissant de personnes souffrant d’une ou de plusieurs maladies chroniques, selon un nouveau rapport de l'OCDE.
Français, PDF, 1,736kb
Principaux résultats sur le système de santé français
The book presents a background study of DRG-based payment systems, drawing on the experience of implementing such hospital funding arrangements internationally, including an overview of developments in the Asia and Pacific region. It underscores the need for countries to be clear about their purpose and objective for introducing Diagnosis Related Groups, as well as their place in health-care financing reform, and for policy-makers to reflect on the importance of country-specific starting points, objectives and context in which the hospital payment reforms are being implemented. Chapter 4 – written by Yuki Murakami and Luca Lorenzoni – investigates the evidence regarding the impact on cost, quality and efficiency of the introduction of a DRG-based payment system.
Improving school-to-work transitions and ensuring better career opportunities for youth after labour market entrance are common goals in emerging and advanced economies as they can contribute to raising the productive potential of the economy and to increasing social cohesion. However, the challenges faced in achieving these objectives and the policies required vary between emerging and advanced economies.