Publications & Documents


  • 28-February-2017

    English

    Caring for Quality in Health - Lessons Learnt from 15 Reviews of Health Care Quality

    Over the past four years, the OECD has conducted a series of in-depth reviews of the policies and institutions that underpin the measurement and improvement of health care quality in 15 different health systems. This synthesis report draws on key lessons from the OECD Health Care Quality Review series. The objective is to summarise the main challenges and good practices to support improvements in health care quality, and to help ensure that the substantial resources devoted to health are being used effectively in supporting people to live healthier lives. The overarching conclusion emerging across the Health Care Quality Review series concerns transparency. Governments should encourage, and where appropriate require, health systems and health care providers to be open about the effectiveness, safety and patient-centredness of care they provide. More measures of patient outcomes are needed (especially those reported by patients themselves), and these should underpin standards, guidelines, incentives and innovations in service delivery. Greater transparency can lead to optimisation of both quality and efficiency – twin objectives which reinforce, rather than subvert, each other. In practical terms, greater transparency and better performance can be supported by changes in where and how care is delivered; changes in the roles of patients and professionals; and employing tools such as data and incentives more effectively. Key actions in these three areas are set out in the twelve lessons presented in this synthesis report.

  • 22-février-2017

    Français

    Talents à l'étranger : Une revue des émigrés marocains

    Près de 3 millions de personnes qui sont nées au Maroc vivaient dans un pays de l’OCDE en 2010/11. Pour évaluer le potentiel que ce groupe représente pour l’économie marocaine, cette revue établit la répartition des émigrés marocains sur les pays de l’OCDE, ainsi que leur âge, leur sexe et leur niveau d’éducation. Les résultats sur le marché du travail des émigrés marocains sont analysés, de même que sont documentées les caractéristiques des émigrés marocains qui retournent vivre au Maroc. La plus grande diaspora marocaine réside en France, suivie par l’Espagne et l’Italie, où leur nombre a fortement augmenté avant que les flux migratoires ne soient affectés par la crise économique. Les émigrés marocains ont un faible niveau d’éducation, et connaissent une intégration sur le marché du travail moins favorable que natifs dans les pays de destination, et une grande partie travaille dans des professions peu qualifiées. Ceux qui sont retournés vivre au Maroc sont souvent retraités, mais sont aussi particulièrement susceptibles de devenir entrepreneurs.

  • 31-January-2017

    English

    Dare to Share: Germany's Experience Promoting Equal Partnership in Families

    This review introduces the background to and issues at stake in promoting equal partnerships in families in Germany.  It encourages German policy makers to build on the important reforms since the mid-2000s to enable both fathers and mothers to have careers and children, and urges families to “dare to share”. To those ends it places Germany’s experience in an international comparison, and draws from the experience in, for example, France and the Nordic countries which have longstanding policies to support work-life balance and strengthen gender equality. The review starts with an overview chapter also explaining why and how equal sharing pays for families, children, the economy and society as a whole. The book presents current outcomes, policy trends, as well as detailed analysis of the drivers of paid and unpaid work and how more equal partnerships in families may help sustain fertility rates.  The book examines policies to promote partnership, looking both at persistent shortcomings and progress achieved through reform since the mid-2000s. The book includes a set of policy recommendations designed to enable parents to share work and family responsibilities more equally.

  • 16-January-2017

    English

    New Health Technologies - Managing Access, Value and Sustainability

    This report discusses the need for an integrated and cyclical approach to managing health technology in order to mitigate clinical and financial risks, and ensure acceptable value for money. The analysis considers how health systems and policy makers should adapt in terms of development, assessment and uptake of health technologies. The first chapter provides an examination of adoption and impact of medical technology in the past and how health systems are preparing for continuation of such trends in the future. Subsequent chapters examine the need to balance innovation, value, and access for pharmaceuticals and medical devices, respectively, followed by a consideration of their combined promise in the area of precision medicine. The final chapter examines how health systems can make better use of health data and digital technologies. The report focuses on opportunities linked to new and emerging technologies as well as current challenges faced by policy makers, and suggests a new governance framework to address these challenges.

  • 11-janvier-2017

    Français, PDF, 2,505kb

    Promouvoir une croissance inclusive en Malaisie

    La Malaisie a suivi une trajectoire de développement comparativement équitable, éliminant largement la pauvreté absolue et réduisant considérablement l’inégalité ethnique.

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  • 11-janvier-2017

    Français, PDF, 2,817kb

    Renforcer la productivité en Malaisie

    Une amélioration soutenue du niveau de vie de la population n’est pas possible sans croissance de la productivité. Au stade de développement actuel de la Malaisie, la croissance doit reposer davantage sur des gains de productivité que sur l'accumulation des facteurs de production.

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  • 11-janvier-2017

    Français, PDF, 3,687kb

    Succès et défis économiques de la Malaisie

    La Malaisie a connu plus de quatre décennies de croissance rapide et inclusive, réduisant sa dépendance à l'égard de l'agriculture et des exportations de matières premières, pour devenir une économie plus diversifiée, moderne et ouverte.

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  • 10-January-2017

    English

    Building an Inclusive Mexico - Policies and Good Governance for Gender Equality

    Mexico is slowly advancing on the path to gender equality. Many public policies aimed at empowering women are now in place: over the past two decades, Mexico has increased investments in girls' education, greatly expanded childcare and preschool, improved gender mainstreaming in government, and ensured that female politicians are well-represented at the ballot box. Yet, despite these efforts, many Mexican women still do not feel the effects of these policies at home, at work, or in public spaces. Large gender gaps remain in educational outcomes, participation in the labour market, pay, informality status, and hours of unpaid childcare and housework. “Unlocking Mexico’s full potential,” as Mexico's National Development Plan prescribes, will depend crucially on how well Mexico closes existing gender gaps in political, social and economic life and promotes real social change. Mexico must continue to invest in social and labour market policies that empower women, and reinvigorate efforts to reduce inequalities in education, labour force participation, job quality, unpaid work, and leadership. This will require embedding gender equality objectives in all public policies and budgets, across all levels of government, and ensuring the effective implementation, enforcement, and evaluation of policies and laws to achieve inclusive outcomes.

  • 10-January-2017

    English

    Tackling Wasteful Spending on Health

    Following a brief pause after the economic crisis, health expenditure is rising again in most OECD countries. Yet, a considerable part of this health expenditure makes little or no contribution to improving people's health. In some cases, it even results in worse health outcomes. Countries could potentially spend significantly less on health care with no impact on health system performance, or on health outcomes. This report systematically reviews strategies put in place by countries to limit ineffective spending and waste. On the clinical front, preventable errors and low-value care are discussed. The operational waste discussion reviews strategies to obtain lower prices for medical goods and to better target the use of expensive inputs. Finally, the report reviews countries experiences in containing administrative costs and integrity violations in health.

  • 5-January-2017

    English

    Structural reforms can be inclusive; it all depends on the details

    Structural reforms are regularly assessed based on their ability to boost GDP per capita. This emphasis relies on the assumption that higher GDP per capita is systematically associated with rising living standards for the vast majority of citizens. This view is increasingly being challenged.

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