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  • Hurst, Jeremy  (9)
  • Paris : OECD Publishing  (9)
  • London [u.a.] : Routledge
  • Wiesbaden : VS Verlag für Sozialwissenschaften
  • Social Issues/Migration/Health  (9)
  • 1
    Online Resource
    Online Resource
    Health Care Quality Indicators Project : Conceptual Framework Paper (2006)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 38 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.23
    Keywords: Social Issues/Migration/Health
    Abstract: This paper represents an attempt to set out a conceptual framework for the OECD’s Health Care Quality Indicator (HCQI) Project. Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, should they be measured. The need for a conceptual framework for the Project was expressed by a large group of participating countries. In interviews by the OECD Secretariat with member countries in April and May 2005, country experts and delegates to the Group on Health reiterated the need for a framework for the OECD’s health care quality work. Countries stated that the framework should be: a) based on country experience and b) could be used to guide both current and future work by the OECD in health care quality measurement and monitoring.
    DOI: 10.1787/440134737301
    URL: Volltext
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    MPI Ethno. Forsch.
  • 2
    Online Resource
    Online Resource
    Health Care Quality Indicators Project : Initial Indicators Report (2006)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 153 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.22
    Keywords: Social Issues/Migration/Health
    Abstract: The OECD Health Care Quality Indicator (HCQI) Project was started in 2001. The long-term objective of the HCQI Project is to develop a set of indicators that can be used to raise questions for further investigation concerning quality of health care across countries. It was envisioned that the indicators that were finally recommended for inclusion in the HCQI measure set would be scientifically sound, important at a clinical and policy level and feasible to collect in that data would be available and could be made comparable across countries. It was also envisioned that the indicators would not enable any judgement to be made on the overall performance of whole health systems. In essence, they should be used as the basis for investigation to understand why differences exist and what can be done to reduce those differences and improve care in all countries.
    DOI: 10.1787/481685177056
    URL: Volltext
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    MPI Ethno. Forsch.
  • 3
    Online Resource
    Online Resource
    The Supply of Physician Services in OECD Countries (2006)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 63 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.21
    Keywords: Social Issues/Migration/Health
    Abstract: The delivery of an appropriate quantity and quality of health care in an efficient way requires, among other things, matching the supply with the demand for the services of physicians, over time. Such matching has led to very different levels of physicians per million population across OECD countries – because of variations, among other things, in: morbidity and mortality, health expenditure as a share of GDP and the design of health systems. In addition, there are signs that a higher density of physicians is found in countries which have left the supply of physicians mainly to the market whereas lower density is found in countries which have planned the intake to medical schools centrally over many years...
    DOI: 10.1787/608402211700
    URL: Volltext
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    MPI Ethno. Forsch.
  • 4
    Online Resource
    Online Resource
    Tackling Nurse Shortages in OECD Countries (2005)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 59 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.19
    Keywords: Social Issues/Migration/Health
    Abstract: There are reports of current nurse shortages in all but a few OECD countries. With further increases in demand for nurses expected and nurse workforce ageing predicted to reduce the supply of nurses, shortages are likely to persist or even increase in the future, unless action is taken to increase flows into and reduce flows out of the workforce or to raise the productivity of nurses. This paper analyses shortages of nurses in OECD countries. It defines and describes evidence on current nurse shortages, and analyses international variability in nurse employment. Additionally, a number of demand and supply factors that are likely to influence the existence and extent of any future nurse shortages are examined. In order to resolve nurse shortages, the paper compares and evaluates policy levers that decision makers can use to increase flows of nurses into the workforce, reduce flows out of the workforce, and improve nurse retention rates. Although delayed market response may have been ...
    DOI: 10.1787/172102620474
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  • 5
    Online Resource
    Online Resource
    Tackling Excessive Waiting Times for Elective Surgery : A Comparison of Policies in Twelve OECD Countries (2003)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 56 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.6
    Keywords: Social Issues/Migration/Health
    Abstract: Waiting times for elective (non-urgent) surgery are a main health policy concern in approximately half of OECD countries. Mean waiting times for elective surgical procedures are above three months in several countries and maximum waiting times can stretch into years. They generate dissatisfaction for the patients and among the general public. Is there a solution? This report discusses the waiting-time phenomenon and provides a comparative analysis of policies to tackle waiting times across 12 OECD countries. At worst, waiting times can lead to deterioration in health, loss of utility and extra costs. However, one surprising result is that there is little evidence of health deterioration from a review of studies of patients waiting for a few months for different elective procedures across a range of countries. Moreover, such patients are quite tolerant of short and moderate waits, although the general public often expresses more concern about waiting. It is argued that there will be both ...
    DOI: 10.1787/108471127058
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  • 6
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    Online Resource
    Explaining Waiting Times Variations for Elective Surgery Across OECD Countries (2003)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 75 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.7
    Keywords: Social Issues/Migration/Health
    Abstract: Waiting times for elective surgery are a significant health policy concern in approximately half of all OECD countries. The main objectives of the OECD Waiting Times project were to: i) review policy initiatives to reduce waiting times in 12 OECD countries; and ii) to investigate the causes of variations in waiting times for non-emergency surgery across countries. The first objective was addressed in an earlier report (Hurst and Siciliani, 2003; OECD Health Working paper, n.6). This report is devoted to the second objective. An interesting feature of OECD countries is that while some countries report significant waiting, others do not. Waiting times are a serious health policy issue in the 12 countries involved in this project (Australia, Canada, Denmark, Finland, Ireland, Italy, Netherlands, New Zealand, Norway, Spain, Sweden, and the United Kingdom). Waiting times are not recorded administratively in a second group of countries ...
    DOI: 10.1787/406746186162
    URL: Volltext
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  • 7
    Online Resource
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    Survey of Pharmacoeconomic Assessment Activity in Eleven Countries (2003)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 45 p. , 21 x 29.7cm
    Series Statement: OECD Health Working Papers no.4
    Keywords: Social Issues/Migration/Health
    Abstract: Policy-makers responsible for publicly-funded drug programmes face continual pressures between the demand to accommodate a steady stream of new and more effective drugs and the ongoing requirement to control costs. In the face of these pressures, a growing number of OECD countries are applying ‘pharmacoeconomic assessment’ (health technology assessment for drugs) - to new drugs to guide decisions about accepting such products for reimbursement under their public programme, or to inform negotiations about pricing. This paper provides an analytical overview of the developing practice of pharmacoeconomic assessment in eleven OECD countries. It looks at the objectives of the activity, some of its processes and some of its impacts. It does this by drawing on a literature review and on an exploratory survey of the activities of pharmacoeconomic agencies in the eleven countries. It also reviews briefly the state of pharmacoeconomic assessment in the United States. The main conclusions are as ...
    DOI: 10.1787/678644556018
    URL: Volltext
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  • 8
    Online Resource
    Online Resource
    Performance Measurement and Performance Management in OECD Health Systems (2001)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 69 p. , 21 x 29.7cm
    Series Statement: OECD Labour Market and Social Policy Occasional Papers no.47
    Keywords: Social Issues/Migration/Health
    Abstract: Health systems in OECD countries are under pressure to improve their performance. Against that background, this paper has three main aims: To compare concepts of the ‘performance’ of health care systems developed by the WHO and by the OECD, with ‘performance frameworks’ adopted in selected OECD countries. To compare the key indicators of performance derived from these proposed performance concepts. A secondary objective, here, is to try to identify new performance variables that might eventually be included in OECD Health Data. To compare and contrast the different performance management arrangements in the selected OECD countries, and to evaluate the extent to which there is evidence that new indicators and new institutions have been brought together successfully to improve performance itself. In order to achieve these aims, the paper reviews the performance frameworks and some of the performance indicators adopted recently by WHO, OECD, Australia, Canada, the UK and ...
    DOI: 10.1787/788224073713
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  • 9
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    Online Resource
    An Assessment of the Performance of the Japanese Health Care System (2001)
    Paris : OECD Publishing
    Details
    Language: English
    Pages: 75 p. , 21 x 29.7cm
    Series Statement: OECD Labour Market and Social Policy Occasional Papers no.56
    Keywords: Social Issues/Migration/Health ; Japan
    Abstract: There is much interest in the Japanese health care system from the perspective of other OECD countries. The Japanese health care system appears to perform well. What explains this apparently good performance? This paper aims both to provide a description of how the Japanese health system works and an assessment of its performance in the context of an international comparison. The Japanese health care system is characterised by public health insurance with mainly private providers. Japan has universal public health insurance with coverage of a comprehensive range of services and only modest cost sharing by patients. It has mainly private providers paid mainly by fee-for-service. The share of its population that is elderly is above the OECD average. Such a combination would usually be associated with high levels of health expenditure. Yet less is spent on health care in Japan than would be expected for an OECD country with its standard of living. Cost containment seems to have been ...
    DOI: 10.1787/445332508603
    URL: Volltext
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