The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to important progress in population health: for example, life expectancy at birth has increased, rising on average by ten years since 1970. The challenge now is to sustain and enhance these achievements in a context of tight fiscal constraints in many countries combined with upward pressure on health spending from factors such as new technological advances and demographic changes. Finding policies that can make health spending more sustainable without compromising important achievements in access and quality requires effective co-operation between health and finance ministries. Sound governance and co-ordination mechanisms are therefore essential to ensure effective policy choices. Prepared by both public finance and health experts, this report provides a unique detailed overview of institutional frameworks for financing health care in OECD countries. One of the main features of this book is a comprehensive mapping of budgeting practices and governance structure in health across OECD countries.
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OECD Report to G20 Finance Ministers and Central Bank Governors, Ankara, September 2015. Given that the interests and challenges in developing infrastructure are common across countries, international good practices could help governments better seize opportunities and meet related challenges.
Water is abundant in Brazil, but unevenly distributed across regions and users. Remarkable progress to reform the sector has been achieved since the 1997 National Water Law, but economic, climate and urbanisation trends generate threats that may jeopardize national growth and development. The consequences are particularly acute in regions where tensions across water users already exist or are likely to grow. The report is the result of a policy dialogue with more than 100 stakeholders at different levels in Brazil. It assesses the performance of Brazil’s water governance and suggests policy recommendations for strengthening the co-ordination between federal and state water policies and for setting up more robust water allocation regimes that can better cope with future risks. The report concludes with an action plan, which suggests concrete milestones and champion institutions to implement those recommendations.
The Open Government Review of Morocco is the first of its kind analysing a country’s open government policies and practices and their institutional and legal frameworks for implementation against OECD instruments. By bringing together a multitude of OECD instruments and expertise in different areas of public governance, the Review provides Moroccan policy makers, public sector officials and civil society activists with practical indications on how to improve and successfully implement their national open government agenda. In addition, the Review contains a list of recommendations on which to build Morocco’s Action Plan for the Open Government Partnership.
Report looks at how to create the environment in government where innovation is encouraged and nurtured.
The public sector has to become more innovative if it is to tackle today’s complex challenges and meet society’s changing expectations. But becoming truly innovative requires deep and broad changes to organisational culture and operations. Drawing on evidence emerging from the OECD Observatory of Public Sector Innovation’s collection of innovative practices from around the world, this report looks at how to create a government where innovation is encouraged and nurtured.
This publication is the first case study of the Urban Green Growth in Dynamic Asia project. The project explores how to promote green growth in fast-growing cities in Asia by examining policies and governance practices that encourage greening and competitiveness in a rapidly expanding economy. It is part of the OECD Green Growth Studies series, which will culminate in a synthesis report on Urban Green Growth in Dynamic Asia.
This report analyses the economic and environmental performance and green growth policy practices of Thailand’s Bangkok Metropolitan Region (BMR). As a dynamic and emerging market economy, Thailand has recorded strong growth over recent decades and is expected to continue to do so, but this growth has come at a high environmental cost. The challenge is therefore to improve environmental outcomes while supporting continued growth in output and living standards. Thailand's government and BMA have taken steps to encourage green growth in the BMR, but much untapped potential remains, particularly in the following areas: land use and transport, renewable energy and energy efficiency in buildings, and water resources and solid waste management. Resilience to floods is also an urgent cross-cutting issue that requires further attention.
Brochure outlining the work of the OECD in the management of critical risks. We help governments in implementing cutting edge approaches to the multiple challenges of risk.