Delivering Quality Education and Health Care to All
Preparing Regions for Demographic Change
COVID-19 has put renewed focus on the importance of addressing longstanding challenges
that OECD governments face in delivering public services, especially in regions with
people spread over a wider area where economies of scale are more difficult to achieve.
The physical infrastructure needed to provide good quality education and health services
can be more complex and expensive in rural and remote regions that also struggle to
attract and retain education and health care professionals. Acute ageing trends in
many rural regions and, in some cases, a shrinking population will require sustainable
policy responses that will need to be coherent with pressure to drive efficiencies
in public spending. This report examines the nuances specific to the delivery of education
and health care to people everywhere, offering recommendations on how to better adapt
provision to the realities of today and the emerging realities of tomorrow to face
the challenges of distance, demographic change and fiscal belt-tightening. The report
also examines digital connectivity issues in rural and remote regions, recognising
the significant scope for digital delivery of services to mitigate challenges related
to distance. Finally, the report looks at governance issues, including fiscal issues,
through which the delivery of these critical services is administered and paid for.
The launch event kicked-off with high-level interventions on policies to address territorial inequalities in service provision. It continued with a presentation of key insights from the report and a panel discussion on future of education and health care in rural regions. See the presentation...