In Korea's dynamic labour market, job displacement (involuntary job loss due to firm closure or downsizing) affects many workers over the course of their working lives. Some workers are more vulnerable than others to this risk and may face long periods of unemployment/inactivity after displacement, particularly if their skills are not well-matched to emerging job opportunities. Even when they find new jobs, displaced workers tend to be paid less, have fewer benefits and are more likely to be overskilled than in the jobs they held prior to displacement. Helping displaced workers get back into good jobs quickly should be a key goal of labour market policy. To achieve this goal, Korea needs to increase resources devoted to re-employment programmes, such as job-search training and job matching, to improve their performance and better target those who need the most help. Existing training programmes need to be revised to ensure that people are obtaining skills that will help them find work. The social safety net also needs to be strengthened to lower the personal and societal costs of displacement, notably by improving the coverage of unemployment benefits.
This review of health care quality in Denmark examines policies related to quality and includes chapters covering primary and integrated care, hospital specialisation and equity. It finds that with a dense array of disease- and service-focused quality initiatives, and with information on the quality of care stored in separate data repositories, Denmark needs to create effective links and synergies between them to drive up quality in the healthcare system as a whole, rather than in disconnected elements.
Primary care will be central in meeting Denmark’s future healthcare challenges of an ageing population with multiple chronic conditions. Therefore, an urgent need is to create a national vision of how a modernised primary care sector will fulfill this new coordination role. National standards, clinical guidelines, accreditation of clinical pathways and targeted financial incentive programmes could support this role, along with more transparent and formalised continual professional development.
To facilitate quality improvement from the ambitious hospital rationalisation, Denmark should collect and disseminate data on the quality of individual physicians as well as the hospitals. Undergraduate training and medical research should be reviewed in light of the new service arrangements. Close surveillance will be needed to monitor whether certain patient groups forego healthcare because travel times to providers are too long. Limited data availability complicate Denmark’s ability to monitor its commitment to equitable healthcare. There is an urgent need for renewed action to tackle risk factors of chronic ill-health that disproportionately affect low-income groups. Better information on the impact of user-charges on unmet need in low-income groups is needed.
L’Irlande devrait simplifier son régime de retraite et le rendre plus équitable afin que chacun perçoive des revenus suffisants lui assurant un niveau de vie décent à la retraite, selon un nouveau rapport de l’OCDE.
L’administration centrale ainsi que les régions danoises mènent l’effort engagé au niveau international afin de réformer les systèmes hospitaliers : il s’agit d’améliorer la qualité et la sécurité des soins en regroupant les spécialistes dans de grands hôpitaux et en fermant les plus petits établissements.
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Hospital Volumes: An International Perspective on Germany. Presentation by Mark Pearson during the BMG-OECD Conference on Managing Hospital Volumes, Berlin, April 2013.
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This Brief looks at the upcoming publication "Strengthening Health Information Infrastructure For Health Care Quality Governance" and argues that privacy-respectful uses of data for health, health care quality and health system performance monitoring and research must become widespread, regular activities.
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This report is about the progress that has been made in OECD countries to develop national health information infrastructure. It signals important differences among countries in both the data that is available and its accessibility and use; and the opportunities that exist in all countries to continue to strengthen health information infrastructure in the future.
La Norvège devrait repenser son approche des problèmes de santé mentale au travail afin d’aider plus de personnes à trouver un emploi ou à le conserver, mais aussi de mettre un frein à des dépenses publiques élevées et croissantes, selon un nouveau rapport de l’OCDE.
Sverige bör göra mer för att förhindra och hantera psykisk ohälsa bland personer under 30 för att förbättra deras förutsättningar att få jobb och minska statens utgifter för hälso- och sjukvård och arbetslöshetsersättning, enligt en ny OECD-rapport.