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  • 2020-2024  (3)
  • 1995-1999
  • Klazinga, Nicolaas S...  (3)
  • Paris : OECD Publishing  (3)
  • Milton : Taylor & Francis Group
  • Paris
  • OECD-Staaten  (3)
  • 1
    Language: English
    Pages: 1 Online-Ressource (77 Seiten) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.142
    Keywords: Gesundheitswesen ; Gesundheitsversorgung ; Chronische Krankheit ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Across OECD countries, two in three people aged over 65 years live with at least one chronic condition often requiring multiple interactions with different providers, making them more susceptible to poor and fragmented care. This has prompted calls for making health systems more people-centred, capable of delivering high-quality integrated care. Despite promising, mostly local-level, experiences, systems remain fragmented, focused on acute care and unsuitable to solve complex needs. Moreover, assessing and comparing the benefits of integrated care remains difficult given the lack of technically sound, policy-relevant indicators. This report presents the results of the first OECD pilot of a new generation of indicators to support international benchmarking of quality of integrated care. Lessons from the pilot call for further work on: (1) expanding work on indicator development; (2) performing policy analysis to understand cross-country variations on governance models and health financing; (3) upscaling data linkage; and (4) measuring care fragmentation.
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  • 2
    Language: English
    Pages: 1 Online-Ressource (69 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.134
    Keywords: Krankenhaus ; Krankenhausmanagement ; Patienten ; Qualitätsmanagement ; Dienstleistungsqualität ; Qualität ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Improving patient safety culture (PSC) is a significant priority for OECD countries as they work to improve healthcare quality and safety—a goal that has increased in importance as countries have faced new safety concerns connected to the COVID-19 pandemic. Findings from benchmarking work in PSC show that there is significant room for improvement. Across included survey findings from OECD countries, less than half (46% ) of surveyed health workers believe that important patient care information is transferred across hospital units and during shift changes. Just two-in-five surveyed health workers in OECD countries believe the staffing levels at their workplace are appropriate for ensuring patient safety (40%) or that mistakes and event reports would not held against them (41%). International benchmarking is a feasible and useful addition to exiting measurement initiatives on safety culture and may help accelerate necessary improvements in patient safety outcomes.
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  • 3
    Language: English
    Pages: 1 Online-Ressource (103 p.)
    Series Statement: OECD Health Working Papers no.130
    Keywords: Arbeitsschutz ; Betriebliches Gesundheitsmanagement ; OECD-Staaten ; Social Issues/Migration/Health ; Economics
    Abstract: Health care settings are inherently hazardous places, with very unpredictable and complex working environments. These hazards and risks not only result in a range of injuries and ill-health among workers but also jeopardise the safety of patients. The COVID-19 crisis has amplified the importance of ensuring that the health care that is provided is safe—for patients and health workers alike. A sufficient, and capable, workforce, is the foundation of resilient systems. Policy makers need to focus now on how to build and support an appropriate workforce to respond to future shocks. This includes health workers beyond the hospital—including those in community, long-term, and primary care. The safety of both patients and health workers should be protected through appropriate mechanisms to ensure the safety of protective equipment and sufficient supplies, appropriate staffing levels, training and support at the workplace. These governance mechanisms are even more relevant when policy makers face trade-offs between health, safety and economic concerns.
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