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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.
OECD Health Statistics 2016 is the most comprehensive source of comparable statistics on health and health systems across OECD countries.
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.
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Although increasing, life expectancy in the Czech Republic, at 78.3 years, was still below the OECD average of 80.5 years in 2013. The Czech Republic presents above average levels of risk factors such as tobacco, alcohol consumption and obesity. To cope with the expected rise in chronic diseases, the Czech Republic will have to shift care from the hospital sector and strengthen preventive health care.
At the OECD, we have calculated that about 50% of all the antimicrobials prescribed by healthcare facilities in our member countries do not meet prescription guidelines. In healthcare services such as long-term care facilities and general practices up to 70% and 90% respectively of antibiotics may be prescribed for inappropriate reasons.
This report provides a comprehensive assessment of the economic consequences of outdoor air pollution in the coming decades, focusing on the impacts on mortality, morbidity, and changes in crop yields as caused by high concentrations of pollutants. Unless more stringent policies are adopted, findings point to a significant increase in global emissions and concentrations of air pollutants, with severe impacts on human health and the environment. The market impacts of outdoor air pollution are projected to lead to significant economic costs, which are illustrated at the regional and sectoral levels, and to substantial annual global welfare costs.
Outdoor air pollution could cause 6 to 9 million premature deaths a year by 2060 and cost 1% of global GDP – around USD 2.6 trillion annually – as a result of sick days, medical bills and reduced agricultural output, unless action is taken, according to a new OECD report.
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Hungary ranks among the OECD countries with the highest rates of obesity, harmful alcohol use and tobacco smoking. These are leading behavioural risk factors for non-communicable diseases. Hungary has implemented a public health tax and tight policies on alcohol consumption, but alcohol taxation is mild and unrecorded alcohol and tobacco consumption are significant.
Food insecurity and malnutrition are major international concerns, especially in rural areas. At the global scale, they have received considerable attention and investment, but the results achieved so far have been mixed. Some countries have made progress at the national level, but still have many citizens who are food insecure, often concentrated in specific geographic areas. Food insecurity and poverty are highly interlinked and have a strong territorial dimension. To provide effective long-term solutions, policy responses must therefore be tailored to the specific challenges of each territory, taking into account a multidimensional response that includes food availability, access, utilisation and stability. This report highlights five case studies and the OECD New Rural Paradigm, presenting an effective framework for addressing food insecurity and malnutrition.