Latest Documents


  • 10-February-2016

    English, PDF, 538kb

    Overview of Health Policy in Australia

    The Australian health system is a complex mix of federal and state government funding and responsibility, making it difficult for patients to navigate. Despite its complexity, Australia’s universal health system achieves good results relatively efficiently.

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  • 7-January-2016

    English

    OECD Reviews of Health Systems: Mexico 2016

    Ten years after the introduction of publically-funded universal health insurance, the Mexican health system finds itself at a critical juncture. Unquestionably, some measures of health and health system performance have improved: those previously uninsured now use health services more often, whilst numbers reporting impoverishing health expenditure having fallen from 3.3% to 0.8%. Other indicators, however, remain worrying. Rates of survival after heart attack or stroke are markedly worse than in other OECD countries. Prevention is a particular concern: with 32% of the adult population obese, Mexico ranks as the second most obese nation in the OECD and almost 1 in 6 adults are diabetic. Other key metrics imply deep-rooted inefficiencies in the system: administrative costs, at 8.9% of total health spending, are the highest in the OECD and have not reduced over the past decade. Likewise, out-of-pocket spending has stuck at nearly 50% of total health spending - the highest in the OECD - and implies that individuals feel the need to visit private clinic despite having health insurance. In short, Mexico’s massive public investment in its health system has failed to translate into better health and health system performance to the extent wished and a programme of continued, extensive reform is needed. This report sets out the OECD’s recommendations on the steps Mexico should take to achieve this.

  • 10-December-2015

    English

    OECD Reviews of Health Systems: Colombia 2016

    Colombia’s record in extending health insurance and health services to its population is impressive. In 1990, around 1 in 6 of the population had health insurance. Now, nearly 97% do, with greatest expansion occurring amongst poorer households. Likewise, in 1993 out-of-pocket spending made up 52% of total national expenditure on health. By 2006, this had fallen to less than 15%. Although Colombia has high rates of income inequality (with a Gini coefficient of 53.5 in 2012, compared to the OECD average of 32.2), access to health care services is much more equal. In urban populations, for example, 1.8% of children aged less than two years of age are recorded as having received no routine vaccinations, compared to 1.0% of rural children.  Colombia nevertheless faces important challenges to maintain and improve the performance of its health system. This report looks at Colombia’s health care system in detail and offers recommendations on what Colombia can do to ensure accessibility, quality, efficiency and sustainability.

  • 4-décembre-2015

    Français

    Lutter contre la consommation nocive d'alcool - Politiques économiques et de santé publique

    Les boissons alcoolisées, et leur consommation nocive, sont depuis toujours un trait commun des sociétés humaines. L’alcool est l’une des premières causes de morbidité et de mortalité prématurée dans le monde. Il est en effet à l’origine d’un décès sur 17, et d’une proportion importante de handicaps, surtout chez les hommes. Dans les pays de l’OCDE, la consommation d’alcool est près de deux fois supérieure à la moyenne mondiale. Son coût social est estimé à plus de 1 % du PIB dans les pays à revenu élevé et intermédiaire. Quand elle n’est pas liée à une dépendance, la consommation d’alcool est un choix individuel, déterminé par des normes sociales et associé de fortes connotations culturelles. Cela se traduit par des schémas uniques de disparités sociales face à la consommation d’alcool, les plus aisés étant dans certains cas plus enclins à boire dangereusement, et par une polarisation des problèmes de consommation excessive aux deux extrémités du spectre social. Certaines habitudes de consommation d’alcool ont un impact social, ce qui justifie amplement sur le plan économique le fait que les pouvoirs publics cherchent à influencer les comportements en prenant des mesures axées sur la réduction des préjudices, y compris ceux subis par les personnes autres que les consommateurs. Certaines stratégies sont plus efficaces et judicieuses que d’autres, selon qu’elles parviennent à faire évoluer les normes sociales et à cibler les groupes les plus vulnérables. La présente publication examine dans le détail les tendances et les disparités sociales liées à la consommation d’alcool. Elle présente en outre une vaste analyse des effets sanitaires, sociaux et économiques des principales politiques de lutte contre les méfaits de l’alcool dans trois pays de l’OCDE (Allemagne, Canada et République tchèque), et dégage des messages pertinents pour l’action des pouvoirs publics dans un plus grand nombre de pays.

     

  • 15-November-2015

    English

    OECD Reviews of Health Care Quality: Australia 2015 - Raising Standards

    Australia’s health system functions remarkably well, despite operating under a complex set of institutions that make coordinating patient care difficult. Complications arising from a split in federal and state government funding and responsibilities are central to these challenges. This fragmented health care system can disrupt the continuity of patient care, lead to a duplication of services and leave gaps in care provision. Supervision of these health services by different levels of government can manifest in avoidable impediments such as the poor transfer of health information, and pose difficulties for patients navigating the health system. Adding to the Australian system’s complexity is a mix of services delivered through both the public and private sectors. To ease health system fragmentation and promote more integrated services, Australia should adopt a national approach to quality and performance through an enhanced federal government role in steering policy, funding and priority setting. The states, in turn, should take on a strengthened role as health service providers, with responsibility for primary care devolved to the states to better align it with hospital services and community care. A more strategic role for the centre should also leave room for the strategic development of health services at the regional level, encouraging innovation that is responsive to local population need, particularly in rural and remote areas.

  • 4-novembre-2015

    Français

    Panorama de la santé 2015 - Les indicateurs de l'OCDE

    Cette nouvelle édition du Panorama de la santé présente les données comparables les plus récentes sur les principaux indicateurs de la santé et des systèmes de santé des pays membres de l’OCDE. Pour un sous-groupe d’indicateurs, elle contient aussi des données se rapportant à des pays partenaires dont l'Afrique du Sud, le Brésil, la Chine, la Colombie, le Costa Rica, la Fédération de Russie, l'Inde, l'Indonésie, la Lettonie et la Lituanie. Cette édition contient deux nouveautés : une série de tableaux de bord qui résument la performance des pays de l’OCDE sur des indicateurs clés de santé et des systèmes de santé, et un chapitre spécial sur les tendances récentes des dépenses pharmaceutiques parmi les pays de l’OCDE. Cette édition contient également de nouveaux indicateurs sur la migration du personnel de santé et sur la qualité des soins de santé.

  • 4-novembre-2015

    Français

    Les services de santé s’améliorent trop lentement pour faire face à la hausse des maladies chroniques

    De trop nombreuses vies sont encore perdues parce que la qualité des services de santé s’améliore trop lentement pour faire face au vieillissement des populations et au nombre croissant de personnes souffrant d’une ou de plusieurs maladies chroniques, selon un nouveau rapport de l'OCDE.

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  • 4-novembre-2015

    Français, PDF, 1,736kb

    Panorama de la santé 2015 - Lancement à Paris : Comment la France se compare

    Principaux résultats sur le système de santé français

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  • 2-November-2015

    English

    Case-based Payment Systems for Hospital Funding in Asia - An Investigation of Current Status and Future Directions

    The book presents a background study of DRG-based payment systems, drawing on the experience of implementing such hospital funding arrangements internationally, including an overview of developments in the Asia and Pacific region. It underscores the need for countries to be clear about their purpose and objective for introducing Diagnosis Related Groups, as well as their place in health-care financing reform, and for policy-makers to reflect on the importance of country-specific starting points, objectives and context in which the hospital payment reforms are being implemented. Chapter 4 – written by Yuki Murakami and Luca Lorenzoni – investigates the evidence regarding the impact on cost, quality and efficiency of the introduction of a DRG-based payment system.
     

  • 5-October-2015

    English

    Health Data Governance - Privacy, Monitoring and Research

    All countries are investing in health data. There are however significant cross-country differences in data availability and use. Some countries stand out for their innovative practices enabling privacy-protective data use while others are falling behind with insufficient data and restrictions that limit access to and use of data, even by government itself. Countries that develop a data governance framework that enables privacy-protective data use will not only have the information needed to promote quality, efficiency and performance in their health systems, they will become a more attractive centre for medical research. After examining the current situation in OECD countries, a multi-disciplinary advisory panel of experts identified eight key data governance mechanisms to maximise benefits to patients and to societies from the collection, linkage and analysis of health data and to, at the same time, minimise risks to the privacy of patients and to the security of health data. These mechanisms include coordinated development of high-value, privacy-protective health information systems, legislation that permits privacy-protective data use, open and transparent public communication, accreditation or certification of health data processors, transparent and fair project approval processes, data de-identification and data security practices that meet legal requirements and public expectations without compromising data utility and a process to continually assess and renew the data governance framework as new data and new risks emerge.

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