The National Health Service in the United Kingdom takes health care quality seriously and makes great effort to be a system that learns. The current NHS Outcomes Framework is entirely built around quality and patient-centredness is the system’s focal point. The drive to provide high quality care means that the United Kingdom has internationally pioneered many initiatives, including clinical guidelines, continuing professional development and use of patient surveys and patient-reported outcomes. Professionalism was for many years the trusted base upon which quality monitoring and improvement activities rested. In recent years, though, this governance model has progressively shifted toward a quality management approach, more reliant upon regulation and control. There has been a proliferation of national agencies, reviews and policies that address quality, leading to a somewhat congested and fragmented field of actors, particularly in the fields of inspection and performance monitoring. A tension, perhaps more pronounced than in other OECD health systems, is now evident between top-down quality management approaches and bottom-up quality improvement techniques. What should the United Kingdom do to resolve this tension and ensure that its quality architecture remains one that is studied and emulated by other OECD health systems? This report recommends three key actions. First, greater emphasis on professionalism should be reinstated as a key driver of excellence. As the same time there is scope to simplify the range of institutions and policies regulating health care quality. Finally, renewed focus on the quality at the interfaces of care, as well as on community-based services, is needed.
Base de données Statistiques de l'OCDE sur la santé 2015 - Notes par pays
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The number of doctors in the UK has grown more rapidly than in any other EU countries since 2000; the number per capita remains lower than the EU average. There has been a sharp drop in deaths from heart attacks in the UK since 2000, reflecting reductions in important risk factors like smoking and better treatments.
Les problèmes de santé mentale coûtent au Royaume-Uni environ 70 milliards GBP par an, soit à peu près 4.5 % du PIB, sous forme de perte de productivité au travail, de paiements de prestations et de dépenses de santé.
Tackling mental ill-health of the working-age population is becoming a key issue for labour market and social policies in OECD countries. OECD governments increasingly recognise that policy has a major role to play in keeping people with mental ill-health in employment or bringing those outside of the labour market back to it, and in preventing mental illness. This report on the United Kingdom is the sixth in a series of reports looking at how the broader education, health, social and labour market policy challenges identified in Sick on the Job? Myths and Realities about Mental Health and Work (OECD, 2012) are being tackled in a number of OECD countries.
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Health spending has fallen in the United Kingdom in 2010 and 2011 for the first time since the 1970s, according to a new OECD report. Health at a Glance 2013 says that spending in real terms per capita fell by 1.1% in 2011, following a 2.5% decline in 2010.
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.
Quelque 83 millions de personnes sont atteintes de diabète dans l’ensemble des pays de l’OCDE. Compte tenu des tendances actuellement observées, ce sont près de 100 millions de personnes qui seront touchées par cette maladie à l’horizon 2030.
De plus en plus de gens sont en surpoids ou obèses dans les pays développés, les condamnant à des années de mauvaise santé et à une mort prématurée. Cependant, de nouvelles données de l'OCDE montrent que le taux d'obésité ralenti dans certains pays.
This report reviews the impact of pay increases on nurses’ labour market in four countries (UK, New Zealand, Finland and Czech Republic). Pay increases contributed to an increase in potential new entrants to nurse education, but the effect on nurses already in work is more difficult to assess.