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Despite financial strains, Portugal has shown a great level of commitment towards improving the quality and efficiency of its health system while maintaining a universal public system. However, although progress has been achieved, certain areas demand further scrutiny such as access to health care services – especially among the most vulnerable population – quality of care, healthier lifestyles and the long-term care system.
Latest estimates point to slowly rising health spending growth, according to OECD Health Statistics 2016. While health spending growth remains somewhat below pre-crisis rates, it has tended to follow economic growth more closely since 2013. This is in contrast to the years leading up to the economic crisis, when growth in health spending strongly outpaced that in the rest of the economy.
The OECD Health Division is releasing a new series to highlight its work on health policies and data. A new graph will be available each month.
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The German health system is characterised by high levels of human and physical resources guaranteeing good access to care with a low direct financial burden for patients. Nevertheless, the changing demographic situation with a rapidly ageing society creating new demand for health services will pose a challenge for Germany’s health system.
How health providers are paid is one of the key policy levers that countries have to drive health system performance. The 2012 HSC Survey analyses the payment modes currently in use in OECD countries to remunerate primary care, outpatient specialist care and inpatient care, the price regulations for health services and identifies new innovative modes of payments in more detail.
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Denmark has a strong and high-performing healthcare system. However, challenges remain when it comes to primary care and prevention. Harmful alcohol consumption and rising overweight and obesity rates among adults suggest a need for targeted public health policies in Denmark.
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The Netherlands has seen remarkable improvements in the health of its population but also faces several challenges. The burden of cardiovascular diseases has declined but cancer prevalence is relatively high. Financial sustainability is of concern, while reforms in mental and long-term care that aim to improve efficiency must be monitored carefully.
La base de données Statistiques de l'OCDE sur la santé 2016 représente la source statistique la plus vaste pour comparer les systèmes de santé des pays de l'OCDE.
Payers for health care are pursuing a variety of policies as part of broader efforts to improve the quality and efficiency of care. Payment reform is but one policy tool to improve health system performance that requires supportive measures in place such as policies with well-developed stakeholder involvement, information on quality, clear criteria for tariff setting, and embedding evaluation as part of the policy process. Countries should not, however, underestimate the significant data challenges when looking at price setting processes. Data access and ways to overcome its fragmentation require well-developed infrastructures. Policy efforts highlight a trend towards aligning payer and provider incentives by using evidence-based clinical guidelines and outcomes to inform price setting. There are signs of increasing policy focus on outcomes to inform price setting. These efforts could bring about system-wide effects of using evidence along with a patient-centred focus to improve health care delivery and performance in the long-run.
The objective of the HCQI Project is to develop a set of indicators based on comparable data and which can be used to raise questions for further investigation on quality differences across countries.