Tuesday, June 21, 2011

Correction link [EQ] Health Sector Innovation and Partnership

Health Sector Innovation and Partnership:

Policy Responses to the New Economic Context

OECD 50th Anniversary
Organisation for Economic Co-operation and Development

Conference on Health Reform: Meeting the challenge of ageing and multiple morbidities

To be held at the OECD Conference Centre,  Paris on Wednesday 22 June 2011

Available online at: http://bit.ly/kVxxhM

 

Health care systems in developed countries face a series of sustained structural challenges over the next decade. The demographic and technological dimensions of these systemic pressures are well documented (Comas-Herrara and Wittenberg, 2003; Eckholm, 2010). A third structural pressure is the long-term fundamental shift of wealth creation away from developed nations toward the emerging economies.

 

This global economic shift has already increased fiscal challenges for health sector policymaking, and may well present the most serious of the structural challenges.

This paper explores key organizational implications for health care systems that unfold from these three structural challenges. After briefly reviewing the changed global economic context and the likely consequences it holds for future funding of health care services, we summarize major organizational responses by European health systems to date taken in response to this new environment.

 

The paper then explores strategies for implementing further organizational innovation and partnership in the health sector, and considers how new types of cooperation between actors in the systems can be helpful in improving clinical, organizational and financial outcomes in this changed structural climate.


Finally, the paper considers innovative examples of service delivery from the Netherlands, Sweden and the US that suggest the direction that future health system development can be expected to take….”

 

CONTENTS


INTRODUCTION

I. The Changing Economic Context

a. Falling rates of growth in developed countries

b. Potential implications of economic decline for health systems

c. Social implications of computer revolution for health systems

d. New emphasis on individual responsibility in health care

II. Health Sector Responses to the Changing Economic Context

III. Innovation in the Health Sector

A. A complex knowledge system

B. Innovation in service delivery – a weaker process

C. The evaluation and quality agenda

D. The “evidence movement” /evidence based practice/evidence informed policy and management


IV Organizational Responses to Increasing Numbers of Patients with Multiple Chronic Conditions

A. Organizational Challenges and Responses in The Netherlands’ Social Health Insurance Based System

1. Growing demand for integrated services

2. Changing the supply of services

a. Long term care

b. Integrated care at the neighborhood level

c. Primary care

d. Hospitals

B. Organizational Challenges and Responses in Sweden’s Tax-Funded Health System

C. An Organizational Response from One Not-for-Profit Provider in the United States’ Private Health Insurance Based System


CONCLUSION

REFERENCES



Twitter http://twitter.com/eqpaho

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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]
Washington DC USA

“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] For the Public's Health: Revitalizing Law and Policy to Meet New Challenges

For the Public's Health:
Revitalizing Law and Policy to Meet New Challenges

Committee on Public Health Strategies to Improve Health; National Research Council

US National Academy of Sciences, 2011


Available online at: http://bit.ly/j168fs

“…..Laws transform the underpinnings of the health system and also act at various points in and on the complex environments that generate the conditions for health. Those environments include the widely varied policy context of multiple government agencies, such as education, energy, and transportation agencies, as well as many statutes, regulations, and court cases intended to reshape the factors that improve or impede health.

 

The measures range from national tobacco policy to local smoking bans and from national agricultural subsidies and school nutrition standards to local school-board decisions about the types of foods and beverages to be sold in school vending machines.

Funding that supports the activities of public health agencies is provided primarily by federal, state, and local governments. However, government budgets must balance a variety of needs, programs, and policies, and the budgets draw on different sources (including different types of taxes and fees), depending on jurisdiction. Therefore, the funds allocated to public health depend heavily on how the executive and legislative branches set priorities.

 

Other funding sources support public health activities in the community, including “conversion” foundations formed when nonprofit hospitals and health insurers became privatized (such as The California Wellness Foundation). Additionally, funds for population health and medical care activities may be provided by community-based organizations with substantial resources, not-for-profit clinical care providers, and stakeholders in other sectors.

The subjects addressed in the three reports are not independent of each other and, indeed, should be viewed together. For example, measurement of health outcomes and of progress in meeting objectives can provide evidence to guide the development and implementation of public health laws and the allocation of resources for public health activities.

 

Laws and policies often require the collection of data and can circumscribe the uses to which the data are put, for example, prohibiting access to personally identifiable health information. Similarly, statutes can affect funding for public health through such mechanisms as program-specific taxes or fees. And laws shape the structure of public health agencies, grant them their authority, and influence policy.


In the three reports, the committee will make a case for increased accountability of all sectors that affect health—including the clinical care delivery system, the business sector, academe, nongovernment organizations, communities, and various government agencies— wherever possible, with coordination by the government public health agency leading or coordinating activities and sectors…..”

Content:

Summary

Introduction: Why Law and Why Now?

1 The Law and Public Health Infrastructure

2 Law and the Public's Health: Law as a Tool for Improving Population Health

3 Intersectoral Action on Health

 



Twitter http://twitter.com/eqpaho

 *      *     *
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]
Washington DC USA

“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”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho





IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.

[EQ] Health Sector Innovation and Partnership

Health Sector Innovation and Partnership:

Policy Responses to the New Economic Context

OECD 50th Anniversary
Organisation for Economic Co-operation and Development

Conference on Health Reform: Meeting the challenge of ageing and multiple morbidities

To be held at the OECD Conference Centre,  Paris on Wednesday 22 June 2011

 

Health care systems in developed countries face a series of sustained structural challenges over the next decade. The demographic and technological dimensions of these systemic pressures are well documented (Comas-Herrara and Wittenberg, 2003; Eckholm, 2010). A third structural pressure is the long-term fundamental shift of wealth creation away from developed nations toward the emerging economies.

 

This global economic shift has already increased fiscal challenges for health sector policymaking, and may well present the most serious of the structural challenges.

This paper explores key organizational implications for health care systems that unfold from these three structural challenges. After briefly reviewing the changed global economic context and the likely consequences it holds for future funding of health care services, we summarize major organizational responses by European health systems to date taken in response to this new environment.

 

The paper then explores strategies for implementing further organizational innovation and partnership in the health sector, and considers how new types of cooperation between actors in the systems can be helpful in improving clinical, organizational and financial outcomes in this changed structural climate.


Finally, the paper considers innovative examples of service delivery from the Netherlands, Sweden and the US that suggest the direction that future health system development can be expected to take….”

 

CONTENTS


INTRODUCTION

I. The Changing Economic Context

a. Falling rates of growth in developed countries

b. Potential implications of economic decline for health systems

c. Social implications of computer revolution for health systems

d. New emphasis on individual responsibility in health care

II. Health Sector Responses to the Changing Economic Context

III. Innovation in the Health Sector

A. A complex knowledge system

B. Innovation in service delivery – a weaker process

C. The evaluation and quality agenda

D. The “evidence movement” /evidence based practice/evidence informed policy and management


IV Organizational Responses to Increasing Numbers of Patients with Multiple Chronic Conditions

A. Organizational Challenges and Responses in The Netherlands’ Social Health Insurance Based System

1. Growing demand for integrated services

2. Changing the supply of services

a. Long term care

b. Integrated care at the neighborhood level

c. Primary care

d. Hospitals

B. Organizational Challenges and Responses in Sweden’s Tax-Funded Health System

C. An Organizational Response from One Not-for-Profit Provider in the United States’ Private Health Insurance Based System


CONCLUSION

REFERENCES



Twitter http://twitter.com/eqpaho

 *      *     *
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]
Washington DC USA

“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”.
------------------------------------------------------------------------------------
PAHO/WHO Website
Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
Twitter http://twitter.com/eqpaho





IMPORTANT: This transmission is for use by the intended
recipient and it may contain privileged, proprietary or
confidential information. If you are not the intended
recipient or a person responsible for delivering this
transmission to the intended recipient, you may not
disclose, copy or distribute this transmission or take
any action in reliance on it. If you received this transmission
in error, please dispose of and delete this transmission.

Thank you.