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’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.
English, PDF, 544kb
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.
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This project aims to improve the comparability of data on surgical procedures available across European and non-European OECD countries by testing some methodological improvements to promote greater consistency in data reporting. It also analyses the results of the data collection on surgical procedure rates in terms of variations across countries and trends over time.
Bien que le niveau des dépenses publiques de santé dans la région Asie/Pacifique soit toujours nettement inférieur à la moyenne de l’OCDE, les ressources consacrées à l’amélioration de la qualité des services de santé ont augmenté.
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Background paper for the OECD Expert workshop on improving health expenditure forecasting.
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Updated, refined and extended projections of public spending on health and long-term care for OECD countries and the BRIICS suggest a rapidly rising trend over the next 50 years.