Australia’s health system functions remarkably well, despite operating under a complex set of institutions that make coordinating patient care difficult. Complications arising from a split in federal and state government funding and responsibilities are central to these challenges. This fragmented health care system can disrupt the continuity of patient care, lead to a duplication of services and leave gaps in care provision. Supervision of these health services by different levels of government can manifest in avoidable impediments such as the poor transfer of health information, and pose difficulties for patients navigating the health system. Adding to the Australian system’s complexity is a mix of services delivered through both the public and private sectors. To ease health system fragmentation and promote more integrated services, Australia should adopt a national approach to quality and performance through an enhanced federal government role in steering policy, funding and priority setting. The states, in turn, should take on a strengthened role as health service providers, with responsibility for primary care devolved to the states to better align it with hospital services and community care. A more strategic role for the centre should also leave room for the strategic development of health services at the regional level, encouraging innovation that is responsive to local population need, particularly in rural and remote areas.
English, PDF, 527kb
This country profile describes in details the Australian pharmaceutical system, including decision-making processes for regulatory approval, reimbursement and pricing; assessment guidelines; institution and stakeholders involved and specific policies for new high cost drugs, when available.
English, PDF, 519kb
Australians continue to enjoy one of the highest levels of health across the developed world but need to address Australia’s growing obesity problem, according to a new OECD report.
Selon une nouvelle étude publiée par l'OCDE, la crise économique mondiale a eu d’importantes répercussions sur le bien-être des populations, qui s’étendent bien au-delà des suppressions d’emplois et de la perte de revenus puisqu’elles influent sur la satisfaction des individus à l’égard de leur vie et sur leur confiance dans les pouvoirs publics.
To assess the feasibility of using secondary data sets information to feed an output-based PPP approach for hospital services, we reviewed the main characteristics of diagnoses and procedures coding standards, DRG classification systems, and cost-finding methods used in selected OECD countries.
The mortality amenable to health care is defined as a possible indicator to measure the health care systems performance in preventing premature deaths that can be avoided by appropriate health care intervention. This paper assesses the feasibility of using this indicator in OECD countries.
Français, , 615kb
Alors que le nombre et la proportion de personnes âgées de 65 ans et plus vont continuer de s’accroître au cours des prochaines décennies, une amélioration de l’état fonctionnel des personnes âgées pourrait contribuer à ralentir l’augmentation de la demande.
Summarises proceedings of a conference looking at examples of human genetic research databases, how they are established, how they are managed and governed, how they might be commercialised, and what the policy considerations might be.
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This working paper provides a preliminary overview of the main hospital administrative data sets potentially available in Australia, Belgium, Canada, Denmark, Finland, France, United Kingdom, Italy, Sweden and the United States.