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  • de Bienassis, Katherine  (14)
  • Murtin, Fabrice  (10)
  • Paris : OECD Publishing  (24)
  • Social Issues/Migration/Health  (24)
  • Nuclear Energy
  • 1
    Language: English
    Pages: 1 Online-Ressource (41 p.) , 21 x 28cm.
    Series Statement: OECD Papers on Well-being and Inequalities no.15
    Keywords: Employment ; Social Issues/Migration/Health
    Abstract: This working paper proposes a methodology to monetise five aspects of employee well-being (wage inequality, being employed, excess working hours, relationships with management and job security) using theoretical and empirical frameworks drawn from welfare economics. Preliminary results highlight a large loss of welfare arising from within-firm wage inequality as well as a strong impact of working conditions on workers’ well-being. On the aggregate, suppressing the negative externalities of the firm linked to excess working hours, tensions with management and job insecurity would yield an increase in social welfare equivalent to a 25% increase in household income, representing many years of economic growth. Greater transparency on company wage distributions and working conditions is necessary to apply these methodologies to real firms.
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  • 2
    Language: German
    Pages: 1 Online-Ressource (90 p.) , 21 x 28cm.
    Parallel Title: Parallele Sprachausgabe The economics of medication safety: Improving medication safety through collective, real-time learning
    Keywords: Arzneimittel ; Medizinische Behandlung ; Sicherheit ; Gesundheitsökonomik ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Durch ungeeignete Arzneimitteltherapien und inadäquate Systeminfrastrukturen, die unzureichende Adhärenz, medikationsbedingte Schäden und Medikationsfehler nach sich ziehen, kommen nur allzu oft Patient*innen zu Schaden. Im OECD-Raum ist möglicherweise ein Zehntel der Krankenhauseinweisungen auf medikationsbedingte Ereignisse zurückzuführen, und bei einem Fünftel der stationär behandelten Patient*innen treten während des Krankenhausaufenthalts medikationsbedingte Schädigungen auf. Die Kosten der vermeidbaren, auf medikationsbedingte Ereignisse zurückzuführenden Hospitalisierungen sowie der längeren Krankenhausaufenthalte aufgrund von vermeidbaren, im Krankenhaus auftretenden medikationsbedingten Schäden belaufen sich im OECD-Raum insgesamt auf mehr als 54 Mrd. USD. Der vorliegende Bericht umfasst vier Teile. Im ersten Teil werden die menschlichen und wirtschaftlichen Kosten medikationsbedingter sicherheitsrelevanter Ereignisse im OECD-Raum untersucht. Der zweite Teil beschreibt Möglichkeiten zur Verbesserung der Verordnungspraxis, der dritte Teil befasst sich mit den neusten Systemen und Maßnahmen zur Verbesserung der Arzneimitteltherapiesicherheit und im vierten Teil folgen Empfehlungen zur Verbesserung der Arzneimitteltherapiesicherheit auf nationaler Ebene.
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  • 3
    Language: English
    Pages: 1 Online-Ressource (74 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.159
    Keywords: Patienten ; Dienstleistungsqualität ; Gesundheitsversorgung ; Selbsthilfe ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Patients' and citizens' perspectives and their active engagement are critical to make health systems safer and people-centred, and are key for co-designing health services and co-producing good health with healthcare professionals, and building trust in health systems. Patients, families, caregivers and citizens can contribute towards improving patient safety at all levels from clinical, local, institutional (e.g. hospital , nursing home), community (e.g. primary care, home care) and national levels of healthcare systems. This report, the sixth in the series on the Economics of Patient Safety, covers: (i) the economic impact of patient engagement for patient safety; (ii) the results of a pilot data collection to measure patient-reported experiences of safety and; (iii) the status of initiatives on patient engagement for patient safety taken in 21 countries, which responded to a snapshot survey. It also provides recommendations for countries to enhance patient engagement for patient safety.
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  • 4
    Language: English
    Pages: 1 Online-Ressource (55 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.149
    Keywords: Social Issues/Migration/Health ; Development
    Abstract: The OECD's Patient-Reported Indicator Surveys (PaRIS) initiative aims to measure outcomes and experiences of healthcare as part of an effort to improve the value of health system investments. The PaRIS survey, a survey of people living with chronic conditions, is currently being implemented in twenty countries. The PaRIS survey has been developed together with government officials, patients, providers, and researchers. However, the extent of stakeholder involvement varies between countries. This paper reports on the stakeholder engagement in design, development and implementation of the PaRIS survey Field Trial in seventeen countries. Engagement strategies were analysed by target group (patients, providers, or other stakeholders), and engagement level (co-designing, involving, consulting, and informing). The results provide valuable lessons for the implementation of the full PaRIS survey in 2023 and illustrate how stakeholders could be more actively engaged in health services research and policymaking.
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  • 5
    Language: English
    Pages: 1 Online-Ressource (64 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.150
    Keywords: Social Issues/Migration/Health
    Abstract: In the backdrop of the COVID-19 pandemic, ensuring the safety of health care services remains a serious, ongoing challenge. This once-in-a-century global health crisis exposed the vulnerability of healthcare delivery systems and the subsequent risks of patient harm. Given the scale of the occurrence and costs of preventable patient safety events, intervention and investment are still relatively modest. Good patient safety governance focuses on what leaders and policy makers can do to improve system performance and reduce the financial burden of avoidable care. Moreover, it is essential in driving progress in improving safety outcomes. This report examines how patient safety governance mechanisms in OECD countries have withstood the test of COVID-19 and provides recommendations for countries in further improving patient safety governance and strengthening health system resilience.
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  • 6
    Language: English
    Pages: 1 Online-Ressource (83 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.160
    Keywords: E-Health ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Electronic Health Records (eHR) represent a significant digital transformation in the healthcare sector. A 2021 OECD survey of 27 countries revealed a growing adoption of eHRs. However, system fragmentation remains a concern: only 15 countries have a nationally unified system. Twenty-four countries have adopted a minimum data set for standardized core health information. While patient access to eHRs has notably increased since 2016, obstacles such as provider resistance, technical barriers, and legal hurdles continue to exist. The COVID-19 pandemic underscored the pivotal role of eHRs, particularly in vaccine tracking and post-market surveillance, highlighting the pressing need for international cooperation to maximize the benefits of eHRs in healthcare. Furthermore, as eHRs integrate with artificial intelligence, new governance challenges arise.
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  • 7
    Language: English
    Pages: 1 Online-Ressource (46 p.) , 21 x 28cm.
    Series Statement: OECD Papers on Well-being and Inequalities no.04
    Keywords: Arbeitsbedingungen ; Arbeitszufriedenheit ; Lebensqualität ; Gesundheit ; OECD-Staaten ; Social Issues/Migration/Health ; Employment
    Abstract: This paper operationalises the OECD Guidelines for Measuring the Quality of the Working Environment (OECD, 2017) to describe job characteristics among European countries, the United States and Korea in 2010 and 2015. The analysis extends the range of aspects of quality of the working environment beyond those featuring in the Job Strain index presented by (Cazes, 2015), which is used to monitor implementation of the OECD Job Strategy, but at the cost of a more limited country coverage. While the two indices of job strain are largely consistent both across countries and over time, all of the job characteristics included in the “extended” index turns out to matter for workers’ well-being. The framework uses the job demands-resources model ( (Demerouti, 2001) that stresses the importance of balancing the demands of the job and the resources that are available to workers to meet those demands. Workers are classified as (heavily) strained when the number of job demands they face (largely) exceeds the number of job resources they benefit from, and conversely, they are classified as (very) well-resourced when their job resources (largely) exceed their job demands. On average among 28 OECD countries, about one third of employees are (moderately or heavily) strained at work, while one half are well-resourced. The share of employees that are heavily strained is close to 10%. Job strain is relatively more frequent among employees with low education and low occupational skills, and it is relatively less frequent in the service sector and in the public sector. Due to composition effects, women hold on average slightly less strained jobs than men. The share of strained workers has slightly declined on average over the 2010-2015 period, falling in a majority of countries. The improvement in working conditions is related to better prospects of career advancement, higher take-up of training, stronger social support and organisational participation at work, higher flexibility of working time, as well as lower exposure to physical risk factors, hard physical demands and unsocial work schedule. On the other hand, perceptions of job insecurity, intimidation and discrimination, as well as work intensity have been on the rise. Finally, quality of the working environment is strongly associated with workers’ well-being as measured by mental and physical health, days of sickness, job satisfaction as well as job motivation, and the associated effects are potentially large. For most outcomes, perceived intimidation and discrimination at work is one of the most powerful predictor of workers’ well-being.
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  • 8
    Language: English
    Pages: 1 Online-Ressource (53 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.135
    Keywords: Social Issues/Migration/Health
    Abstract: Patient-reported measures are a critical tool for improving policy and practice in mental health care. However, to date, the use of patient-reported measures in mental health care is limited to a small number of countries and settings—and there is a pressing need, both within and across countries, to consistently and effectively measure the effects and impact of care for patients who use mental health care services. The PaRIS pilot data collection on mental health included 15 data sources from 12 countries, collected over the course of 2021. While the scope of included data varied, the results demonstrate increased adoption of national and subnational efforts to capture patient-reported information in mental health care systems. Analysis of data collected through the PaRIS mental health pilot documents, in general, positive patient-reported experiences of mental health care. The results also suggest improvement in patient-reported outcomes for those receiving mental health care services.
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  • 9
    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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  • 10
    Language: English
    Pages: 1 Online-Ressource (78 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.138
    Keywords: Social Issues/Migration/Health
    Abstract: At the onset of the COVID-19 pandemic many countries found that they lacked basic, timely data for decision making—such as information on health workforce, resources, hospitalisations, and mortality. Many policy makers have since leveraged COVID-19 related information system reforms in a way that may also address long-standing barriers in the structures, policies and institutions that have kept countries from fully utilising health related data. Health data governance reforms, in particular, have been an important aspect of countries responses. Improvements in the quality, coverage, completeness, and capacity for data sharing in regard to existing national personal health datasets were widely reported. Countries have also made significant investments in digital tools, systems for public health monitoring, assessments of resource use and availability, and data to monitor the status of non-COVID related health needs.
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  • 11
    Language: English
    Pages: 1 Online-Ressource (116 p.) , 21 x 28cm.
    Series Statement: OECD Papers on Well-being and Inequalities no.8
    Keywords: 2013-2019 ; Sterblichkeit ; Bildungsniveau ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: This study examines inequalities in life expectancy by educational status, age-standardised mortality rates, and age-at-death, using high-quality linked and supplementary unlinked data from 25 OECD countries in 2013-19. Absolute gaps in life expectancy at age 25 between high and low education groups are on average equal to 5.2 years and 8.2 years for women and men, respectively. Deaths of despair among women and men aged 25-64 contribute on average 7% and 11% to the total gap in life expectancy between high and low education groups, respectively. Comparing identical country-sources to the previous analysis, absolute gaps in life expectancy at age 25 have increased by 0.5 year and 0.4 year on average for women and men between 2011 and 2016.
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  • 12
    Language: English
    Pages: 1 Online-Ressource (109 Seiten) , 21 x 28cm.
    Series Statement: OECD Papers on Well-being and Inequalities no.05
    Keywords: Education ; Social Issues/Migration/Health ; Italy
    Abstract: The present paper presents methodologies to forecast and conduct policy analysis for three well-being indicators with the goal of informing the Italian government’s budget planning process. For each of the three indicators (healthy life expectancy, overweight and obesity, and early school leaving), a model is developed that allows projecting future trends under a status quo scenario and that allows estimating the impact of policy and budget levers on future outcomes. The micro-economic models for being in good health have a moderate explanatory power with an R2 ranging between 0.2 and 0.3. The strongest predictors of good health are by far the prevalence of chronic diseases, followed by low mental health, sport practice and diet. Overall, the combined changes in inputs yield an improvement in the share of people declaring being in good health by 2.7 ppt, from a baseline of 62% among people older than 18. The micro-economic model for being in excess weight has lower explanatory power (R2 between 0.05 and 0.15). As a result, the combined changes in inputs yield a relatively small decrease by 0.5 ppt starting from a baseline of 47.6% of the population. The most important predictors are those associated with a healthy diet. Finally, the cross-region macro-economic model of early school leaving has high explanatory power (R2 above 0.90) and highlights a wide range of ‘push and pull’ factors. The combination of benchmark inputs yields a decrease in the rate of early leavers by 1.8 ppt, starting from a baseline of 13.1%. Overall, these results highlight the large scope for policy intervention to improve well-being outcomes, as well as the multiplicity of policy levers.
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  • 13
    Language: German
    Pages: 1 Online-Ressource (108 Seiten) , 21 x 28cm.
    Parallel Title: Parallele Sprachausgabe The economics of patient safety Part IV: Safety in the workplace: Occupational safety as the bedrock of resilient health systems
    Keywords: Social Issues/Migration/Health ; Economics
    Abstract: Gesundheitsversorgungssettings sind gefährliche Orte und komplexe Arbeitsumgebungen, in denen ständig etwas Unvorhergesehenes geschehen kann. Die Gefahren und Risiken führen nicht nur zu Verletzungen und Erkrankungen von Arbeitskräften, sondern beeinträchtigen auch die Sicherheit der Patient*innen. In der Covid-19-Krise wurde in besonderem Maße deutlich, wie wichtig es ist, eine sichere Gesundheitsversorgung zu gewährleisten – für die Patient*innen ebenso wie für die Gesundheitskräfte. Ein ausreichendes Angebot an qualifizierten Arbeitskräften ist Grundvoraussetzung für ein resilientes Gesundheitssystem. Daher muss die Politik nun Wege finden, ein adäquates Arbeitskräfteangebot aufzubauen und zu fördern, damit das Gesundheitssystem für künftige Schocks gewappnet ist. Dies gilt nicht nur für den Krankenhaussektor, sondern auch für Gemeindesettings, die Pflege und die Primärversorgung. Außerdem sollten geeignete Mechanismen zum Schutz der Patient*innen und Gesundheitskräfte geschaffen werden, die eine sichere Schutzausrüstung, genügend medizinisches Material und eine angemessene Personalausstattung, Weiterbildung und Unterstützung am Arbeitsplatz gewährleisten. Besonders wichtig sind solche Mechanismen, wenn politisch Verantwortliche gesundheitliche, sicherheitsbezogene und wirtschaftliche Anforderungen miteinander in Einklang bringen müssen.
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  • 14
    Language: English
    Pages: 1 Online-Ressource (135 p.) , 21 x 28cm.
    Series Statement: OECD Papers on Well-being and Inequalities no.7
    Keywords: Lebensqualität ; Zufriedenheit ; Sozialer Indikator ; Einkommensverteilung ; Politik ; Wirkungsanalyse ; Slowenien ; Social Issues/Migration/Health ; Slovenia
    Abstract: This paper first identifies Slovenia’s main well-being challenges, namely to boost productivity and increase performance on economic indicators without compromising its low levels of inequalities in wealth and income, and to strive for better human capital outcomes, including health outcomes and adult skills. Second, the paper assesses the welfare impacts of some structural reforms based on the shadow price of employment, which is equal to 3% of household income. The largest welfare impacts stem from: i) a cut in regulation of the energy, transport and communication sectors; ii) an increase in ALMPs; iii) a cut in the average tax wedge on households; iv) a cut in the minimum wage; v) an increase in the number of weeks of maternity leave; vi) a cut in the replacement rate of unemployment benefits.
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  • 15
    Language: English
    Pages: 1 Online-Ressource (87 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.147
    Keywords: Arzneimittel ; Medizinische Behandlung ; Sicherheit ; Gesundheitsökonomik ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Poor medication practices and inadequate system infrastructure—resulting in poor adherence, medication-related harms, and medication errors—too often results in patient harm. As many as 1 in 10 hospitalizations in OECD countries may be caused by a medication-related event and as many one in five inpatients experience medication-related harms during hospitalization. Together, costs from avoidable admissions due to medication-related events and added length of stay due to preventable hospital-acquired medication-related harms total over USD 54 billion in OECD countries. This report includes four components; it 1) assess the human impact and economic costs of medication safety events in OECD countries, 2) explores opportunities to improve prescribing practices 3) examines the state-of-the art in systems and policies for improving medication safety, and 4) provides recommendations for improving medication safety at the national level.
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  • 16
    Language: English
    Pages: 1 Online-Ressource (61 p.) , 21 x 28cm.
    Series Statement: OECD Health Working Papers no.148
    Keywords: Chirurgie ; Gesundheitsökonomik ; OECD-Staaten ; Social Issues/Migration/Health
    Abstract: Osteoarthritis impacts 7% of the global population, affecting more than 500 million people worldwide. As populations of OECD countries age, an increasing number of hip and knee replacement surgeries calls for further work on assessment of quality of care, particularly from patients’ point of view. Thirteen programmes from nine countries participated in the PaRIS Hip and Knee PROMs comparative reporting in 2020-21 by collecting and submitting data by generic and condition-specific PROMs. All programmes showed improvements in patient outcomes though the relative improvement varied. Crosswalks from SF-12 to EQ-5D provided valuable lessons on conversion errors. Results of this work call for improving the use of data for comparative reporting as well as further collaboration on utilising patient-reported metrics in quality-of-care improvement and policymaking.
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  • 17
    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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  • 18
    Language: English
    Pages: 1 Online-Ressource (56 p.) , 21 x 28cm.
    Series Statement: OECD Papers on Well-being and Inequalities no.01
    Keywords: Sustainable Development Goals ; International ; Internationale Beziehungen ; Welt ; Education ; Social Issues/Migration/Health ; Economics ; Development ; Science and Technology ; Trade ; Environment ; Amtsdruckschrift
    Abstract: This paper explores the conceptual framing and measurement of transboundary impacts in the context of the 2030 Agenda. It starts by defining transboundary impacts and reviewing different measurement approaches used so far. It then proposes a typology of transboundary impacts, classified depending on the type of international flows involved: financial flows, trade flows, movements of people, environmental flows and knowledge transfers. For each of these flows, transboundary impacts can be either positive or negative, depending on the aspect considered and on the conditions in origin and destination countries. Based on this framework, the paper presents evidence from a qualitative survey of experts about the potential impact of these five flows on each of the 17 Goals and 169 targets of the 2030 Agenda. Transboundary impacts are deemed by experts to be quite pervasive across SDGs, but also limited in scope to a small number of well-identified targets. Finally, the framework is operationalised for some specific areas within each of the five types of flows mentioned above, with the help of some proxy indicators. At the global level, the five types of transboundary relationships are dominated by three macro-regions, namely China, the United States-Canada and Europe, mainly reflecting the large size of these regions in most cases. When the assessment is conducted in relative terms (i.e. when impacts are normalised by population size or GDP), the picture becomes more nuanced, as 7 out of the 11 world regions considered record at least two large transboundary impacts. While this operationalisation is only meant to show how the proposed framework could be applied to concrete cases, the paper recommends its applications to other areas within each of the five flows, based on a richer set of indicators.
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  • 19
    Language: German
    Pages: 1 Online-Ressource (111 p.)
    Parallel Title: Parallele Sprachausgabe The economics of patient safety Part III: Long-term care: Valuing safety for the long haul
    Keywords: Social Issues/Migration/Health
    Abstract: Heute werden mehr Menschen in Langzeitpflegeeinrichtungen versorgt als je zuvor, darunter immer mehr Personen mit chronischen Krankheiten und Mehrfacherkrankungen. Diese Entwicklung dürfte sich in Anbetracht der zunehmenden Bevölkerungsalterung im OECD-Raum fortsetzen. Die Kosten vermeidbarer Krankenhauseinweisungen aus Langzeitpflegeeinrichtungen beliefen sich 2016 auf knapp 18 Mrd. USD. Dies entspricht 2,5 % der Ausgaben für die stationäre Krankenhausversorgung bzw. 4,4 % der Ausgaben für die Langzeitpflege. Forschungsarbeiten zeigen, dass mehr als die Hälfte der unerwünschten Ereignisse in der Pflege und 40 % der Krankenhauseinweisungen aus Pflegeeinrichtungen vermeidbar sind. Den Grundursachen dieser Ereignisse kann durch bessere Prävention, Sicherheitsmaßnahmen und Personalentwicklung – insbesondere im Hinblick auf den Kompetenzmix und die Ausbildung – begegnet werden. Durch gezielte Investitionen in Schlüsselbereichen können signifikante Effekte erzielt und die wichtigsten Kostentreiber unerwünschter Ereignisse in der Langzeitpflege reduziert werden.
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  • 20
    Language: English
    Pages: 1 Online-Ressource (30 p.)
    Series Statement: OECD Health Working Papers no.122
    Keywords: Social Issues/Migration/Health
    Abstract: Assessing the direct and indirect health impact of the COVID 19 pandemic is central in managing public health and other policy measures while learning to co-exist with the virus. Many countries are publishing statistics on COVID 19 related mortality. While the frequent and timely publication of such figures provides insights into the ongoing trends in a given country, differences in coding and reporting practices pose challenges for international comparisons. Looking at the number of total deaths can help to overcome some of these differences in national practices whilst also providing a better view of the overall impact of COVID 19, by taking into account not just the possible underreporting of COVID 19 deaths but also indirect mortality caused, for example, by health systems not being able to cope with other conditions – acute and chronic.
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  • 21
    Language: English
    Pages: 1 Online-Ressource (101 p.)
    Series Statement: OECD Health Working Papers no.121
    Keywords: Social Issues/Migration/Health
    Abstract: Long-term care (LTC) institutions are now providing care to a greater number of people, and more residents with chronic conditions and multiple co-morbidities, than ever before. Trends suggest this strain will continue to increase as OECD populations continue to age. The total cost of avoidable admissions to hospitals from LTC facilities in 2016 was almost USD 18 Billion, equivalent to 2.5% of all spending on hospital inpatient care or 4.4% of all spending on LTC. Research shows that over half of the harm that occurs in LTC is preventable, and over 40% of admissions to hospitals from LTC are avoidable. The root causes of these events can be addressed through improved prevention and safety practices and workforce development—including skill-mix and education. Targeted investments in a number of key areas can have a significant impact by mitigating the main cost drivers of adverse events in LTC.
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  • 22
    Language: English
    Pages: 1 Online-Ressource (circa 72 Seiten) , Illustrationen
    Series Statement: OECD health working papers no. 104
    Keywords: 2000 - 2015 ; Gesundheitsversorgung ; Dienstleistungsqualität ; Gesundheitskosten ; OECD-Staaten ; Social Issues/Migration/Health ; Arbeitspapier ; Graue Literatur
    Abstract: The incentive structures produced by different institutional arrangements in health systems are important determinants of their performance, and can explain some of the differences in cross-country performance patterns. This paper proposes an approach and quantitative method to investigate how different policies and institutions helped achieving better value for money across 26 OECD countries for the period of 2000-2015. To this aim, it uses a panel of health system characteristics indicators - derived from questionnaires sent to countries by OECD in 2008, 2012 and 2016 - that describes primarily health financing and coverage arrangements, health care delivery systems, and governance and resource allocation.
    Note: Zusammenfassung in französischer Sprache
    URL: Volltext  (lizenzpflichtig)
    URL: Volltext  (lizenzpflichtig)
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  • 23
    Language: English
    Pages: 1 Online-Ressource (circa 83 Seiten) , Illustrationen
    Series Statement: OECD statistics working papers 2017, 02
    Keywords: Sterblichkeit ; Gesundheit ; Soziale Ungleichheit ; Bildung ; OECD-Staaten ; Social Issues/Migration/Health ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: This paper assesses inequality in longevity across education and gender groups in 23 OECD countries around 2011. Data on mortality rates by age, gender, educationals attainment and for, 17 countries, cause of death, were collected from national sources, with similar treatment applied to all countries in order to derive comparable measures of longevity at age 25 and 65 by gender and education. These estimates show that, on average, the gap in life expectancy between high and low-educationed people is 8 years for men and 5 years for women at age 25 years, and 3.5 years for men and 2.5 years for women at age 65. Other measures of inequalities in longevity by education (such as country averages of age-standardised mortality rates and the slope index of inequality) do not significantly change the inequality ranking of countries relative to one based on life expectancy measures. While significant, differences in longevity between groups with low and high educational attainment account, on average, for around 10% of overall differences in ages of death. Cardio-vascular diseases are the first cause of death for all gender and education groups after age 65 years, and the first cause of mortality inequality between the high and low-education elderly.
    Note: Zusammenfassung in französischer Sprache
    URL: Volltext  (lizenzpflichtig)
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  • 24
    Language: English
    Pages: 1 Online-Ressource (circa 54 Seiten) , graph. Darst.
    Series Statement: OECD statistics working papers 2016, 05
    Keywords: Lebensqualität ; Lebensstandard ; Wert des Menschenlebens ; Wohlfahrtsanalyse ; Messung ; Sozialer Indikator ; Social Issues/Migration/Health ; Economics ; Amtsdruckschrift ; Arbeitspapier ; Graue Literatur
    Abstract: We compute a distribution-adjusted welfare measure that aggregates outcomes in three dimensions of well-being, namely income, employment and longevity. Aggregation weights reflect preferences of people on these dimensions. The welfare measure is calculated for 26 OECD countries and selected emerging economies, and covers about three decades. Relying on a single theoretical model of a hypothetical representative agent, we combine life satisfaction regressions to capture the full welfare losses of unemployment with a calibration approach to capture the value of longevity. We test for robustness of results over a series of datasets and specifications and find that the resulting estimated shadow prices of (one percentage point of) unemployment and one year of longevity average 2% and 6% of income respectively. While we assume an identical utility function for all individuals, shadow prices of unemployment and longevity vary both across countries and within countries across income groups. We find that economic growth differs significantly from the growth of our welfare measure. The latter grew faster than GDP thanks to the gains that countries experienced on longevity, but was also more volatile due to changes in unemployment. Rising income inequality exerts a negative effect on our welfare measure. Gains in longevity have almost the same impact on welfare as income growth, while the long-term impact of employment was smaller.
    Note: Zusammenfassung in französischer Sprache
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