Publications & Documents


  • 20-November-2017

    English

    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: life expectancy is 79.9 years (compared to the OECD average, 80.6) and less than 1% of the population report failing to seek care because of financial reasons. Nevertheless, serious strains are evident: spending is rising steeply, fuelled by salaries, fees and facility payments based on last year’s outlay. This increase is not 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.

  • 30-October-2017

    English

    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

    English

    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.

  • 18-octobre-2017

    Français

    Le recrutement des travailleurs immigrés: France 2017

    Cette étude a pour principal objectif d’analyser les politiques publiques françaises en matière de recrutement de main-d’œuvre immigrée depuis l’étranger et d'évaluer dans quelle mesure la migration économique répond aux besoins marché du travail. Dans la mesure où l'immigration professionnelle est de faible ampleur en France une attention particulière est également portée aux changements de statut (le principal contingent étant constitué d'anciens étudiants) ainsi qu'aux régularisations pour motif économique dont la persistance pourrait témoigner de besoins de main-d'œuvre non satisfaits. Le fonctionnement des dispositifs actuels de l'immigration professionnelle en France (permanente, temporaire et saisonnière) est examiné, et notamment l'efficacité des tests du marché du travail et des listes de métiers en tension (ouvrant l’accès à certains métiers) pour les cartes de séjour « salarié ». Une attention particulière est portée au nouveau dispositif pour l'immigration qualifiée (« passeport talent ») pour évaluer dans quelle mesure l'évolution de la législation permet de remédier aux écueils légaux et opérationels identifiés dans l'étude et permettra de renforcer l'attractivité de la France pour les talents étrangers.

  • 20-September-2017

    English

    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.

  • 18-September-2017

    English

    Health Expenditure

    Estimates for 2016 suggest that health spending across the OECD continued to rise at a steady pace. Average growth was around 2.3% in real terms, down on pre-crisis levels but in line with average economic growth across the OECD.

  • 18-September-2017

    English

    Achieving the SDGs through Health for All

    Congratulations to our co-hosts for convening this timely event. As we have heard from the many distinguished panelists, universal health coverage is the key to progress on the whole SDG agenda.

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  • 7-September-2017

    English

    Health in the media

    Learn about the latest interviews, articles and media interventions from the OECD Health Division staff.

  • 24-August-2017

    English, PDF, 342kb

    Overview of Health Policy in Iceland

    Health spending per capita in Iceland has started to rise again in recent years following sharp reductions after the economic crisis in 2008. Iceland reports good health outcomes, and tobacco and alcohol consumption are relatively low. However, increasing obesity rates and issues related to access to care are important public health and health system challenges.

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  • 24-August-2017

    English

    Health Policy in Your Country

    This new OECD series aims to highlight the latest data in selected countries, to explain their health care systems and to provide key information in a clear and concise way. Each country snapshot highlights the most pertinent issues, be it smoking, obesity, surgical interventions, consumption of antibiotics, physicians density, etc., with the help of key statistics and are followed by brief policy recommendations.

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