Latest Documents


  • 30-April-2013

    English

    OECD Reviews of Health Care Quality: Denmark 2013 - Raising Standards

    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.    

  • 16-avril-2013

    Français

    Danemark : des hôpitaux de qualité mais des soins de santé primaires à améliorer

    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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  • 15-April-2013

    English, PDF, 544kb

    Hospital Volumes: An International Perspective on Germany - Presentation by Mark Pearson, April 2013

    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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  • 2-April-2013

    English, PDF, 487kb

    OECD Health Policy Brief - Report on Health Information Infrastructure

    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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  • 2-April-2013

    English, PDF, 2,570kb

    Report Strengthening Health Information Infrastructure (Preliminary version 2 April 2013)

    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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  • 4-February-2013

    English

    Waiting Time Policies in the Health Sector - What Works?

    Over the past decade, many OECD countries have introduced new policies to tackle excessive waiting times for elective surgery with some success. However, in the wake of the recent economic downturn and severe pressures on public budgets, waiting times times may rise again, and it is important to understand which policies work.  In addition, the European Union has introduced new regulations to allow patients to seek care in other member states, if there are long delays in treatment.   This book provides a framework to understand why there are waiting lists for elective surgery in some OECD countries and not in others. It also describes how waiting times are measured in OECD countries, which differ widely, and makes recommendations for best practice. Finally, it reviews different policy approaches to tackling excessive waiting times. Some countries have introduced guarantees to patients that they will not wait too long for treatment. These policies work only if they are accompanied by sanctions on health providers to ensure the guarantee is met or if they allow greater choice of health-care providers including the private sector. Many countries have also introduced policies to expand supply of surgical services, but these policies have generally not succeeded in the long-term in bringing down waiting times. Given the increasing demand for elective surgery, some countries have experimented with policies to improve priorisation of who is entitled to elective surgery. These policies are promising, but difficult to implement.
  • 7-January-2013

    English, PDF, 1,230kb

    Comparing activities and performance of the hospital sector in Europe: how many surgical procedures performed as inpatient and day cases?

    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.

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  • 27-novembre-2012

    Français

    Région Asie/Pacifique : améliorer la qualité des services de santé

    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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  • 23-November-2012

    English, PDF, 274kb

    Model development issues when forecasting health expenditures

    Background paper for the OECD Expert workshop on improving health expenditure forecasting.

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  • 20-November-2012

    English, PDF, 717kb

    Public spending on health and long-term care: a new set of projections

    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.

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