This report reviews the quality of health care in Italy, seeks to highlight best practices, and provides a series of targeted assessments and recommendations for further improvements to quality of care. Italy’s indicators of health system outcomes, quality and efficiency are uniformly impressive. Life expectancy is the fifth highest in the OECD. Avoidable admission rates are amongst the very best in the OECD, and case-fatality after stroke or heart attack are also well below OECD averages. These figures, however, mask profound regional differences. Five times as many children in Sicily are admitted to hospital with an asthma attack than in Tuscany, for example. Despite this, quality improvement and service redesign have taken a back-seat as the fiscal crisis has hit. Fiscal consolidation has become an over-riding priority, even as health needs rapidly evolve. Italy must urgently prioritise quality of its health care services alongside fiscal sustainability. Regional differences must be lessened, in part by giving central authorities a greater role in supporting regional monitoring of local performance. Proactive, coordinated care for people with complex needs must be delivered by a strengthened primary care sector. Fundamental to each of these steps will be ensuring that the knowledge and skills of the health care workforce are best matched to needs.
Au cours des dernières décennies, l’Italie a considérablement amélioré la qualité de ses soins de santé, mais elle doit encore réduire les fortes disparités régionales qui subsistent, selon une nouvelle étude de l’OCDE.
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Despite cuts in recent years, health spending as a share of GDP in Ireland remains slightly higher than the EU average and pharmaceutical spending in particular remains relatively high.
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Le poids des dépenses hospitalières dans les dépenses de santé s’avère très élevé en France malgré des efforts pour développer des modes de prise en charge moins coûteux.
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Progress has been made to reduce smoking rates and alcohol consumption in Germany, but obesity is on the rise as in most other EU countries. As in other EU countries, spending for prevention in Germany accounts only for around 3% of current health spending.
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Excellent population health status and good outcomes associated with acute care reflect a high-performing health system in Norway. Norway’s good health system comes at a cost – Norway’s per capita health expenditure is the highest in Europe.
This third edition of Health at a Glance: Europe presents a set of key indicators related to health status, determinants of health, health care resources and activities, quality of care, access to care, and health expenditure and financing in 35 European countries, including the 28 European Union member states, four candidate countries and three EFTA countries. The selection of indicators is based largely on the European Core Health Indicators (ECHI) shortlist, a set of indicators that has been developed to guide the reporting of health statistics in the European Union. This is complemented by additional indicators on quality of care, access to care and health expenditure, building on the OECD expertise in these areas.
Compared with the previous edition, this third edition includes a greater number of ECHI indicators, reflecting progress in the availability of comparable data in the areas of non-medical determinants of health and access to care. It also includes a new chapter dedicated to access to care, including selected indicators on financial access, geographic access and timely access.
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The number of doctors in the UK has grown more rapidly than in any other EU countries since 2000; the number per capita remains lower than the EU average. There has been a sharp drop in deaths from heart attacks in the UK since 2000, reflecting reductions in important risk factors like smoking and better treatments.
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Italy's indicators of health status and quality of care remain among the best in the EU. Italy spent 9.2% of its GDP on health in 2012, slightly more than the EU average of 8.7%.
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Poland has narrowed the gap in life expectancy with other EU countries over the past two decades, thanks mainly to reductions in mortality in cardiovascular diseases; still further progress in life expectancy could be achieved by further reductions in risk factors and mortality from cardiovascular diseases and cancer.