Wednesday, January 21, 2009

[EQ] Improving Patient Safety in the EU Assessing the expected effects of three policy areas for future action

Improving Patient Safety in the EU Assessing the expected effects of three policy areas for future action

 

Annalijn Conklin, Anna-Marie Vilamovska, Han de Vries, Evi Hatziandreu
Health and Consumer Protection Commission (DG SANCO)

Available online PDF [148p.] at: http://www.rand.org/pubs/technical_reports/2008/RAND_TR596.pdf

This report presents findings of a study in which the authors assess the expected effects of three policy areas for future action towards improving patient safety in the EU-27. Their study was informed by a mixture of methods, including the existing European and international studies and evaluations on patient safety and related initiatives, as well as primary qualitative data based on 32 key informant interviews with identified experts.

The report will allow patient safety experts to understand the extent to which it is possible to provide a clear and compelling account of the expected impacts of
(1) establishing effective reporting and learning systems,
(2) redress mechanisms, and
(3) developing and using knowledge and evidence

Content:

CHAPTER 1 Introduction


CHAPTER 2 Policy Areas for Action to Improve Patient Safety in Europe

2.1 Action Area 1: Establish effective reporting and learning systems

2.2 Action Area 2: Redress mechanisms

2.3 Action Area 3: Developing and using knowledge and evidence


CHAPTER 3 Problem Definition

3.1 Problem framing and drivers

3.2 Stakeholders and key actors

3.3 Problem epidemiology, and health implications

3.3.1 Patient safety in the hospital setting

3.3.2 Patient safety in the primary care setting

3.4 Strategies to improve patient safety

3.4.1 Evidence on cost of systemic interventions

3.4.2 Evidence on economic benefits of systemic interventions

 

CHAPTER 4 Key Stakeholder Interviews – Methodology and Results

4.1 Overview and research setting

4.1.1 Study sample: The participants

4.1.2 Data collection: Semi-structured in-depth interviews

4.1.3 Data analysis

4.2 Summary of key issues and cross-cutting themes

4.2.1 Emerging issues and themes – Scope of the problem

4.2.2 Emerging issues and themes – Cross-cutting the policy areas

4.2.3 Unique responses

4.3 Taxonomy of EU countries working on patient safety, based on interview data

 

CHAPTER 5 Qualitative Assessment of Economic and Social Impacts

 

CHAPTER 6 Quantitative Simulation of Health Impacts

6.1 Status quo: Possible impacts from no policy change

6.1.1 Analysis of inpatient (hospital) data

6.1.2 Analysis of primary care data

6.2 Simulation of health impacts due to policy actions

 

CHAPTER 7 Discussion and Concluding Remarks

7.1 Brief review of general findings

7.2 In-depth discussion of specific findings

7.3 Concluding comments

REFERENCES

 

APPENDICES

Appendix A: Event-specific causes of adverse event morbidity, 2003 WHO raw country mortality files

Appendix B: List of interview respondents from the Expert Working Group on Patient Safety

Appendix C: Sample Interview Protocol

 

 

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information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
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[EQ] Primary health care delivery models in rural and remote Australia - a systematic review

Primary health care delivery models in rural and remote Australia
 a systematic review

 

John Wakerman  , John S Humphreys  , Robert Wells  , Pim Kuipers  , Philip Entwistle  and Judith Jones 

1 Centre for Remote Health, a  joint Centre of Flinders University & Charles Darwin  University, Australia

Monash  University  School  of  Rural  HealthVictoria,  Australia

3 Menzies Centre for Health Policy and College of Medicine and Health Sciences, Australian National University, Australia

BMC Health Services Research 2008, 8:276doi:10.1186/1472-6963-8-276

29 December 2008

 

Available online as PDF file [31p.] at: http://www.biomedcentral.com/content/pdf/1472-6963-8-276.pdf

 

Background

One third of all Australians live outside of its major cities. Access to health services and health outcomes are generally poorer in rural and remote areas relative to metropolitan areas. In order to improve access to services, many new programs and models of service delivery have been trialled since the first National Rural Health Strategy in 1994. Inadequate evaluation of these initiatives has resulted in failure to garner knowledge, which would facilitate the establishment of evidence-based service models, sustain and systematise them over time and facilitate transfer of successful programs. This is the first study to systematically review the available published literature describing innovative models of comprehensive primary health care (PHC) in rural and remote Australia since the development of the first National Rural Health Strategy (1993-2006). The study aimed to describe what health service models were reported to work, where they worked and why.

 

Methods

A reference group of experts in rural health assisted in the development and implementation of the study. Peer-reviewed publications were identified from the relevant electronic databases. 'Grey' literature was identified pragmatically from works known to the researchers, reference lists and from relevant websites. Data were extracted and synthesised from papers meeting inclusion criteria.

 

Results

A total of 5391 abstracts were reviewed. Data were extracted finally from 76 'rural' and 17 'remote' papers. Synthesis of extracted data resulted in a typology of models with five broad groupings: discrete services, integrated services, comprehensive PHC, outreach models and virtual outreach models. Different model types assume prominence with increasing remoteness and decreasing population density. Whilst different models suit different locations, a number of 'environmental enablers' and 'essential service requirements' are common across all model types.

 

Conclusions

Synthesised data suggest that, moving away from Australian coastal population centres, sustainable models are able to address diseconomies of scale which result from large distances and small dispersed populations. Based on the service requirements and enablers derived from analysis of reported successful PHC service models, we have developed a conceptual framework that is particularly useful in underpinning the development of sustainable PHC models in rural and remote communities.

 

 

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

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[EQ] International Society for Equity in Health: International Conference June 9, 11 2009 Crete, Greece

International Society for Equity in Health (ISEqH)


5th International Conference theme: Social and Societal Influences on Equity in Health

 

June 9, 11 2009  Crete, Greece

 

5th International Conference in partnership with Greek School of Public Health and Canadian Society for International Health

 

CALL FOR ABSTRACTS  Deadline for Submission:      February 28, 2009

 

Website: http://www.iseqh-conference2009.com/

 

Spanish: http://www.iseqh-conference2009.com/index.php?option=com_content&view=frontpage&Itemid=1&lang=es

 

French: http://www.iseqh-conference2009.com/index.php?option=com_content&view=frontpage&Itemid=1&lang=fr

 

“…..The 5th International Conference of the International Society for Equity in Health will be hosted by the Greek School of Public Health in Crete. The meeting will bring together, researchers, policy-makers, practitioners and others concerned with equity in health to develop and international health agenda for governments, universities and organizations all over the world.

 

The Conference will explore the theme: Social and Societal Influences on Equity in Health  through a varied program of plenary sessions, forums, poster sessions and scientific sessions. We invite your participation in the advancement of knowledge, exchange of experiences and promotion of equity in health.

 

The 5th International Conference of the International Society for Equity in Health will especially encourage contributions that focus on major health concerns and that present work in the following areas:

 

-           Pathways through which influence on equity in health operate

-           Application of innovative methods for studying and monitoring equity in health

-           Analysis to support the design and evaluation of policies, services and interventions that enhance equity in health

-           Understanding processes for policy change to improve equity in health

-           Using evidence towards enhanced public accountability in and social action for health equity

 

There is a special interest in abstracts that reflect a multidisciplinary conceptualization of health equity; that analyze or compare rather than just describe; are not limited to one measure of health, one age group, or one population subgroup; address issues of generalizability of findings beyond the particular population studied; include and compare different age groups and both genders; address access/utilization/appropriateness of health services for meetings different levels of needs within and across populations. There is also interest in abstracts that give evidence of linkage with policy or other constituencies that influence equity outcomes, and in work that provides evidence of analyses determinants of impact on equity outcomes.

 

 

Deadline for Submissions: February 28, 2009

 

 

To receive general information about the conference or send a funding request, please write to: information@iseqh-conference2009.com

 

FUNDING REQUEST FORM

Deadline for Submission:        February 28, 2009

 

 

Support may be available for presenters from Latin America, Asia, Africa or from Eastern and Central Europe or the former Soviet Union, if the ISEqH receives the requested funds from international organizations. Applicants should consult the ISEqH web site for information and applications instructions.

 

Approved funds are to be used for travel expenses and registration only, and in selected instance, for membership fees. Decisions regarding the allocation of funds will be made by April 20, 2009 and applicants will be advised shortly thereafter. 

 

http://www.iseqh.org/

 

 

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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.

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