By Date

  • 20-November-2017


    OECD Reviews of Health Systems: Costa Rica 2017

    This report puts forward policy recommendations for strengthening the performance and sustainability of the health care system in Costa Rica. There is much to praise in Costa Rica’s health care system: institutional stability; a closely integrated but well-differentiated provider arm, with strong primary care; a degree of inter-sectoral co-ordination that serves as a model of good practice; detailed and effective dialogue between users and health service managers; and, innovation around professional roles and the use of ICT that other health systems could learn from. All this leads to health outcomes on a par with several OECD economies. Nevertheless, serious strains are evident: spending is rising steeply, fuelled by salaries, fees and facility payments based on last year’s outlay. These spending increases are not always associated with improvement in services: waiting lists are excessively long and growing. The system is perhaps too stable: institutional rigidity and vested interests have stalled vital reforms, meaning that Costa Rica still lacks systematic application of DRGs and health technology assessment, despite attempts to bring them in.

  • 18-novembre-2017


    Le recrutement des travailleurs immigrés: France 2017

    Cette étude a pour objectif d’analyser les politiques publiques françaises en matière de recrutement de main-d’oeuvre immigrée depuis l’étranger et d'évaluer dans quelle mesure la migration économique répond aux besoins du marché du travail. L'immigration professionnelle étant de faible ampleur en France, une attention particulière est également portée aux changements de statut, notamment d’anciens étudiants, ainsi qu'aux régularisations pour motif économique, dont la persistance pourrait témoigner de besoins de main-d'oeuvre non satisfaits. Le fonctionnement des dispositifs actuels d'immigration professionnelle en France – permanente, temporaire et saisonnière – est examiné, en particulier l'efficacité des tests du marché du travail et des listes de métiers en tension. Le nouveau dispositif pour l'immigration qualifiée, le passeport talent, est également analysé pour évaluer sa capacité à remédier aux écueils légaux et opérationels identifiés dans l'étude et à renforcer l'attractivité de la France pour les talents étrangers.

  • 2-November-2017


    Social Protection System Review of Cambodia

    In 2017, the Royal Government of Cambodia published a new Social Protection Policy Framework (SPPF), providing an ambitious vision for a social protection system in which a comprehensive set of policies and institutions operate in sync with each other to sustainably reduce poverty and vulnerability.The Social Protection System Review of Cambodia prompts and answers a series of questions that are crucial for the implementation ofthe framework : How will emerging trends affect the needs for social protection, now and into the future? To what extent are Cambodia’s social protection instruments able – or likely – to address current and future livelihood challenges? How does fiscal policy affect social protection objectives?
    This review provides a contribution to the ongoing policy dialogue on social protection, sustainable growth and poverty reduction. It includes four chapters. Chapter 1 is a forward-looking assessment of Cambodia’s social protection needs. Chapter 2 maps the social protection sector and examines its adequacy. An investigation of the distributive impact of social protection and tax policy is undertaken in Chapter 3. The last chapter concludes with recommendations for policy strategies that could support the establishment of an inclusive social protection system in Cambodia, as envisaged by the SPPF.

  • 30-October-2017


    Monitoring Health System Performance in Peru - Data and Statistics

    Peru has seen great progress towards the goal of providing universal health coverage to its population but still faces structural barriers to provide accessible and quality care . At the same time, Peru is going through a demographic and epidemiological transition, with an increasing disease burden from non-communicable diseases, with significant increases in cancer, CVD and diabetes, especially in urban areas. Measuring how the Peruvian health system is responding to these challenges requires a solid set of health sector statistics and indicators, underpinned by a robust health information system. The breadth and depth of data must be relevant and applicable to decision making at all levels of the health system, both to respond to national policy needs as well as comparing Peru in a regional and global context. This report assesses the status and availability of Peru’s routinely reported health sector data and statistics as well as the underlying data infrastructure. The report provides a set of recommendations to improve the health information system and to strengthen data coverage and comparability as Peru’s health care system develops.

  • 30-October-2017


    OECD Reviews of Health Systems: Peru 2017

    This is the OECD’s first Health System Review of Peru. It seeks to support Peru’s policy goal to attain universal health coverage by 2021, and build a high-performing health system with continuously improving accessibility, quality, efficiency and sustainability. Peru’s health care system is confronting a complex set of challenges. The population faces persistent rates of infectious diseases, alongside an increasingly heavy burden of non-communicable disease. Governance must simultaneously grapple with how to assure basic access – universal health coverage has still not been achieved, for instance – while prioritising efficiency and value for money, and improving care quality. This Health System Review of Peru makes a number of recommendations to strengthen performance of the health system, with a particular focus on the government-subidised health system – the Sistema Integral de Salud. Using examples of best practice drawn from OECD and Latin American health systems, the Review addresses how Peru can promote access to high quality care and achieve universal health coverage; take a more strategic approach to funding, budgeting, and purchasing; and become a data-driven health system that puts people at the centre.

  • 24-octobre-2017


    Améliorer la sécurité des usagers des deux roues motorisés

    La flotte des deux roues motorisés (qui comprend les motocyclettes, les scooters et les cyclomoteurs) est en constante augmentation et, dans beaucoup de pays, joue un rôle déterminant dans la mobilité, en particulier dans de nombreuses grandes villes du monde. Les deux roues motorisés (2RM) sont par conséquent une composante importante du système de transport. Cependant, ils représentent un défi en termes de sécurité routière. Par kilomètre parcouru, les usagers des 2RM encourent un  risque bien plus élevé que les automobilistes d’accident mortel et de blessures graves entrainant un handicap à long terme. Par ailleurs, ils n’ont pas autant bénéficié que les automobilistes des importants progrès réalisés au cours des dernières décennies pour réduire le nombre de victimes.  Il est essentiel de traiter sérieusement la question de la sécurité des 2RM pour contribuer à la Décennie de l’Action pour la Sécurité Routière des Nations Unies, qui vise à diminuer de moitié d’ici 2020 le nombre prévu de tués sur les routes dans le monde.


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  • 19-octobre-2017


    Inégalités en santé

    Malgré les progrès remarquables de l’état de santé et de l’espérance de vie dans les pays de l’OCDE au cours des dernières décennies, de nombreuses inégalités subsistent non seulement entre les pays, mais aussi entre les groupes de population au sein de chaque pays. Ces inégalités en santé sont liées à de multiples facteurs, dont les différences dans l’exposition aux facteurs de risque sanitaires et dans l’accès aux soins de santé.

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  • 18-October-2017


    Preventing Ageing Unequally

    This report examines how the two global mega-trends of population ageing and rising inequalities have been developing and interacting, both within and across generations. Taking a life-course perspective the report shows how inequalities in education, health, employment and earnings compound, resulting in large differences in lifetime earnings across different groups. It suggests a policy agenda to prevent, mitigate and cope with inequalities along the life course drawing on good practices in OECD countries and emerging economies.

  • 17-October-2017


    Evidence-based Policy Making for Youth Well-being - A Toolkit

    With 1.2 billion people, today’s youth population aged 15-24 represents the largest cohort ever to enter the transition to adulthood. Close to 90% of these young people live in developing countries, and the numbers will practically double in the least developed countries. These young people are the world’s next generation and a unique asset. If properly nurtured, they can act as engines for economic and social progress. Hence, the political will has grown among many national governments to develop comprehensive policy frameworks that better respond to young peoples’ needs and aspirations through national youth policies.
    This toolkit provides analytical tools and policy guidance, based on rigorous empirical evidence and international good practices, to countries that are developing, implementing or updating their youth policies. The toolkit includes step-by-step modules to carry out a youth well-being diagnosis and includes practical examples of common youth policies and programmes in the areas of employment, education and skills, health and civic participation.

  • 10-October-2017


    Health Working Papers

    The OECD Health Working Papers series is designed to make available to a wider readership health studies prepared for use within the OECD.

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