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  • 13-October-2020

    English

    Ageing and Fiscal Challenges across Levels of Government

    Populations in OECD and emerging economies are ageing rapidly, which will have significant macroeconomic impacts, including on public expenditures and tax revenues. The rules and practices that govern fiscal relations among different levels of government, such as their responsibilities for taxation, spending and debt management, have a bearing on economic efficiency and ultimately growth. The consequences of population ageing at subnational government levels are especially intense. Many local governments are vulnerable to the ageing of their population from a fiscal perspective. The economic and fiscal consequences of an ageing population go beyond intergovernmental boundaries, and they require complex intergovernmental policy responses. This volume brings together cross-country studies of fiscal policy, demographics and spatial productivity, as well as country studies of Brazil, Canada, China and Germany.
  • 1-October-2020

    English

    OECD Forum on Governance of Infrastructure - 2020

    This event highlighted some of the most effective practices in key areas for ensuring integrity and transparency in infrastructure governance.

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  • 23-September-2020

    English

    Audit Innovation in Times of Crisis

    The 3rd meeting of the Auditors Alliance will take place on 23 September 2020 online and will include sessions for sharing internal and external performance audit insights and better practices.

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  • 23-September-2020

    English

    Leadership for a high performing civil service - Towards a senior civil service systems in OECD countries

    Public service leaders – senior civil servants who lead and improve major government functions – are at the heart of government effectiveness. They translate political direction into the policies and programmes that keep citizens healthy, safe, and economically productive. In order to do so, however, they need to have both the right skills and institutional support to deploy them effectively. This paper summarises insights from a recently completed project that addressed this challenge. First, the paper identifies four leadership capabilities that are necessary to respond to complex policy challenges: values-based leadership, open inclusion, organisational stewardship, and networked collaboration. Second, the paper outlines a model for assessing senior civil service systems, i.e. the policies, processes and tools needed to develop these capabilities and support leaders in using them. The paper concludes with recommendations to help governments take a systematic approach to the development and management of their public service leaders.
  • 18-September-2020

    English, PDF, 3,203kb

    Romania: OECD Scan of Institutional Mechanisms to Deliver on the SDGs - Full report

    Romania: OECD Scan of Institutional Mechanisms to Deliver on the SDGs

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  • 18-September-2020

    English

    Regulatory Reform: Events and Publications

    Access and search the calendar of events and publications on regulatory policy.

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  • 18-September-2020

    English

    Regulatory Policy and the COVID-19 Crisis

    Regulatory policy activities to tackle the Covid-19 crisis

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  • 17-September-2020

    English

    Virtual meeting of the OECD Joint Network of Senior Budget and Health Officials

    While immediate policy responses have helped channel funds to the most pressing needs, attention is now turning towards the medium-term challenges for health financing and budgets, to increase resilience as the pandemic evolves and to future shocks.

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  • 17-September-2020

    English

    The economics of patient safety Part III: Long-term care - Valuing safety for the long haul

    Long-term care (LTC) institutions are now providing care to a greater number of people, and more residents with chronic conditions and multiple co-morbidities, than ever before. Trends suggest this strain will continue to increase as OECD populations continue to age. The total cost of avoidable admissions to hospitals from LTC facilities in 2016 was almost USD 18 Billion, equivalent to 2.5% of all spending on hospital inpatient care or 4.4% of all spending on LTC. Research shows that over half of the harm that occurs in LTC is preventable, and over 40% of admissions to hospitals from LTC are avoidable. The root causes of these events can be addressed through improved prevention and safety practices and workforce development—including skill-mix and education. Targeted investments in a number of key areas can have a significant impact by mitigating the main cost drivers of adverse events in LTC.
  • 17-September-2020

    English

    System governance towards improved patient safety - Key functions, approaches and pathways to implementation

    Safety governance refers to the approaches taken to minimise the risk for patient harm across an entity or system. It typically comprises steering and rule-making functions such as policies, regulations and standards. To date, governance has focused on the clinical level and the hospital setting, with limited oversight and control over safety in other parts of the health system. All 25 countries that responded to a 2019 OECD Survey of Patient Safety Governance have enacted legislation that aims to promote patient safety. These practices include external accreditation and inspections of safety processes and outcomes. Safety governance models are also moving away from punishment and shaming towards increased trust and openness. Learning from success as well as failures represents a paradigm shift in safety governance, an approach that has been increasingly adopted in OECD countries.
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