Latest 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. 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.

  • 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.

  • 19-octobre-2017

    Français

    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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  • 10-October-2017

    English

    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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  • 10-October-2017

    English

    Mental Health Systems in OECD Countries

    Mental disorders represent a considerable disease burden, and have a significant impact on the lives of the OECD population, and account for considerable direct and indirect costs. This report argues that even in those OECD countries with a long history of deinstitutionalisation, there is still a long way to go to make community-based mental health care that achieves good outcomes for people with severe mental illness a reality.

  • 5-octobre-2017

    Français

  • 2-octobre-2017

    Français

    Personnels de santé

    Les personnels de santé sont essentiels pour assurer l'accès à des soins de qualité pour toute la population. Le travail de l'OCDE examine les tendances et les priorités en ce qui concerne les politiques en matière de personnels de santé dans les pays de l'OCDE.

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  • 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.

  • 7-September-2017

    English

    Health in the media

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

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