The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to important progress in population health: for example, life expectancy at birth has increased, rising on average by ten years since 1970. The challenge now is to sustain and enhance these achievements in a context of tight fiscal constraints in many countries combined with upward pressure on health spending from factors such as new technological advances and demographic changes. Finding policies that can make health spending more sustainable without compromising important achievements in access and quality requires effective co-operation between health and finance ministries. Sound governance and co-ordination mechanisms are therefore essential to ensure effective policy choices. Prepared by both public finance and health experts, this report provides a unique detailed overview of institutional frameworks for financing health care in OECD countries. One of the main features of this book is a comprehensive mapping of budgeting practices and governance structure in health across OECD countries.
La mauvaise santé mentale fait payer un lourd tribut aux personnes concernées, aux entreprises et à l’économie de manière générale. Les problèmes de santé mentale sont à l’origine d’une perte très importante de l’offre potentielle de main-d’œuvre, de taux élevés de chômage et engendrent des absences maladie et une baisse de productivité au travail. Ce rapport de synthèse, qui fait suite à un rapport introductif (« Mal-être au travail ? Mythes et réalités sur la santé mentale et l'emploi ») et à neuf études par pays, propose un résumé des résultats recueillis dans les pays qui ont participé à l’étude et avance des arguments en faveur d’une intervention plus forte des pouvoirs publics.
The book introduces several models for assessing health and economic policies in relation to NCDs; shows how the models can be used for different diseases or risk factors; and provides case studies of those models’ application in various countries in the Americas. The ultimate goal is to help policymakers find the best strategies for cost-effective and evidence-based NCD interventions.
The results of the survey provide a useful overview of quality strategies and policies, and show increasing commitment to quality of care in the Asia/Pacific region. The outcome of this study confirms the importance of the WHO-OECD expert network to facilitate communication/dissemination of evidence on quality improvement programmes and policies among countries.
This report reviews the quality of health care in Japan, and seeks to highlight best practices, and provides a series of targeted assessments and recommendations for further improvements to quality of care. One of Japan’s foremost policy challenges is to create an economically-active ageing society. Excellent health care will be central to achieving this. A striking feature of the Japanese health system is its openness and flexibility. In general, clinics and hospitals can provide whatever services they consider appropriate, clinicians can credential themselves in any speciality and patients can access any clinician without referral. These arrangements have the advantage of accessibility and responsiveness. Such light-touch governance and abundant flexibility, however, may not best meet the health care needs of a super-ageing society. Japan needs to shift to a more structured health system, separating out more clearly different health care functions (primary care, acute care and long-term care, for example) to ensure that peoples’ needs can be met by the most appropriate service, in a coordinated manner if needed. As this differentiation occurs, the infrastructure to monitor and improve the quality of care must simultaneously deepen and become embedded at every level of governance –institutionally, regionally and nationally.
Base de données Statistiques de l'OCDE sur la santé 2015 - Notes par pays
De nombreux pays européens ont connu un nouveau recul des dépenses de santé en 2013, selon les Statistiques de l’OCDE sur la santé 2015.
English, PDF, 2,439kb
This new brochure presents the OECD Work on Health for 2015-2016, including all recent and forthcoming major publications and databases.
English, PDF, 921kb
Over the last few decades, mortality from cardiovascular disease (CVD) has dropped faster than mortality from other causes. Despite this great success, prospects for making further progress are threatened by rising levels of obesity and diabetes and the lack of adherence to recommended treatments.
This report examines how countries perform in their ability to prevent, manage and treat cardiovascular disease (CVD) and diabetes. The last 50 years have witnessed remarkable improvements in CVD outcomes. Since 1960, overall CVD mortality rates have fallen by over 60%, but these improvements are not evenly spread across OECD countries, and the rising prevalence of diabetes and obesity are threatening to offset gains.
This report examines how OECD countries deliver the programmes and services related to CVD and diabetes. It considers how countries have used available health care resources to reduce the overall burden of CVD and diabetes, and it focuses on the variation in OECD health systems’ ability to convert health care inputs (such as expenditure) into health gains.