Health Care Quality and Outcomes
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This report was prepared for the 2nd Global Ministerial Summit on Patient Safety, held in Bonn on 29-30 March 2017. It first estimates the health, financial and economic costs of patient harm - defined as any unnecessary deleterious effects on those receiving health care. The report then examines how patient harm can be minimised effectively and efficiently to make complex healthcare systems as safe and reliable as possible.
Mental disorders represent a considerable disease burden, and have a significant impact on the lives of the OECD population, and account for considerable direct and indirect costs. This report argues that even in those OECD countries with a long history of deinstitutionalisation, there is still a long way to go to make community-based mental health care that achieves good outcomes for people with severe mental illness a reality.
Les personnels de santé sont essentiels pour assurer l'accès à des soins de qualité pour toute la population. Le travail de l'OCDE examine les tendances et les priorités en ce qui concerne les politiques en matière de personnels de santé dans les pays de l'OCDE.
La Commission a été lancée en mars 2016 et a publié son rapport final et ses recommendations en septembre 2016. La France et l'Afrique du Sud co-président la Commission, et l'OMS, l'OIT et l'OCDE sont co-vice-présidents.
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New Zealand has a generally high performing health system, which provides universal coverage and publicly funded access to a large set of core health services. Similar to other high-income countries, New Zealand faces the challenges posed by an ageing population, health inequities, as well as the growing burden of non-communicable and chronic diseases.
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The Slovak Republic is struggling to attain the same health outcomes as its Western European Union neighbours. With 5.6% government expenditure on health as share of GDP and moderate private health spending, the country’s financial resources for health are on par with neighbouring Central European countries and countries of comparable wealth.
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The health system in Spain stands out for its impressive life gains during the past decades. Across OECD countries, Spain currently ranks second in terms of life expectancy at birth and at 65 years old, only behind Japan. However, factors such as a high share of out of pocket spending or a relatively low level of health professionals continue to impair higher health system performance.
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Despite financial strains, Portugal has shown a great level of commitment towards improving the quality and efficiency of its health system while maintaining a universal public system. However, although progress has been achieved, certain areas demand further scrutiny such as access to health care services – especially among the most vulnerable population – quality of care, healthier lifestyles and the long-term care system.
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Latvia’s health system broadly delivers effective care to the population within a context of significantly fewer resources compared to most OECD countries. However, there are important challenges to maintain and improve the performance of its health system.