Monday, December 17, 2007

[EQ] Improved Health System Performance through Better Care Coordination

Improved Health System Performance through Better Care Coordination

Maria M. Hofmarcher, Howard Oxley, and Elena Rusticelli

Health Working Papers, No. 30 – December 2007
Organisation for Economic Co-operation and Development - OECD

 

            Available online as PDF file [85p.] at: http://www.olis.oecd.org/olis/2007doc.nsf/ENGDATCORPLOOK/NT00005926/$FILE/JT03237930.PDF

 

“…This report attempts to assess whether -- and to what degree - better care coordination can improve health system performance in terms of quality and cost-efficiency.  Coordination of care refers to policies that help create patient-centred care that is more coherent both within and across care settings and over time. Broadly speaking, it means making health-care systems more attentive to the needs of individual patients and ensuring they get the appropriate care for acute episodes as well as care aimed at stabilising their health over long periods in less costly environments….”

 

“…….Interest in coordination of care issues is increasing. Targeted programmes appear to improve quality but evidence on cost-efficiency is inconclusive.
Care coordination would be facilitated by better information transfer and wider use of ICT The balance of resources going to ambulatory care may need to be reviewed.  New ambulatory care models need consideration. Care coordination may benefit from greater health-system integration ….”

 

Content:

Introduction

CHAPTER 1. COORDINATION OF CARE: ISSUES, OBJECTIVES AND PRACTICE

1.1 Why care coordination issues are receiving greater attention

1.2 Which health-care goals might be better achieved from improved care coordination?

1.3 Evidence on current care-coordination practices in survey countries.


CHAPTER 2. CONDITIONS FOR ACHIEVING BETTER CARE COORDINATION

2.1 More readily available information on patient health and on provider quality is needed

2.2 The capacity of ambulatory care providers’ to coordinate needs strengthening

2.3 Payment schemes need to be better aligned with system-wide objectives

2.4 Regulatory and administrative barriers to cooperation across sectors need to be reduced


CHAPTER 3. "TARGETED" CARE CO-ORDINATION PROGRAMMES AND POLICIES

3.1 Experience with targeted programmes: a cross-country overview

3.2 The impact of disease/case management programmes: a review of recent literature

3.3 Some tentative conclusions: quality improvements may come at a cost


CHAPTER 4. EXPERIENCE WITH COORDINATION OF CARE IN SELECTED OECD COUNTRIES

4.1. The United States

4.2. Germany

4.3. United Kingdom (England)

4.4. Lessons learned from country cases


CHAPTER 5. SOME AREAS FOR POLICY CONSIDERATION


BIBLIOGRAPHY

 

 

 

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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/ IKM 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] Present status and future strategy for medical research in Europe

 

Present status and future strategy for medical research in Europe

 

White Paper from the European Medical Research Councils - 2007

 

“….to strengthen and improve European medical research, which in turn will result in better healthcare and improved human welfare. If funding for medical research in Europe is doubled within the next 10 years, and this is combined with the implementation of “best practice” for collaboration and organisation of medical research, there will be major benefits for European society, with a better health, welfare and hospital treatment, and a thriving medical industry….”

 

Available online as PDF file [52p.] at:

http://www.esf.org/index.php?eID=tx_ccdamdl_file&p[file]=14135&p[dl]=1&p[pid]=3728&p[site]=European%20Science%20Foundation&p[t]=1198504987&hash=f76a743db47bed2271d01efeaa73edae&l=en

 

Website: http://www.esf.org/publications.html

 

Tool Box: “Best Practice” for medical research in Europe:

Primary goals:

• Strong basic research

• Strong clinical research

• Strong translational research: bringing basic research knowledge into clinical practice, and vice versa

   -- all three of the above being facilitated by interdisciplinary research and public– private partnerships


Tools to reach these goals: people

• Career track schemes with attractive possibilities for researchers taking advantage of co-funding strategy

• European Medical Scientific Training Programme (EMSTP) for physicians and scientists scaling up existing successful initiatives

• The highest level of research ethics, and no scientific misconduct


Tools to reach these goals: research infrastructure

• Investment in national and European research infrastructure – covering the whole range from laboratory equipment in basic
  science labs and research facilities in hospitals, to the largest pan-European infrastructures, as outlined in the ESFRI Roadmap

• Launch a call for proposals to directly support on a highly competitive basis a league of top performing biomedical research
  centres of excellence, integrated into regional clusters

• Post-genomic clinical medicine

• Intelligent and coordinated use of Information Technology (IT)

• EC and national regulatory issues for clinical research adapted to facilitate research


Tools to reach these goals: research funding

• Adequate research funding – distributed on the basis of scientific excellence and through peer review

• Common criteria and methods for the evaluation of research outcomes

 

Tools to reach these goals: societal means

• Globalisation and collaboration: sharing of research and results

• Public engagement about medical research and its possible impacts

• Preparedness for the future

 

 


*      *      *     * 

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/ IKM 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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PAHO/WHO Website: http://www.paho.org/

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[EQ] Health Impact Assessment: A practical guide

Health Impact Assessment: A practical guide

 

Harris, P., Harris-Roxas, B., Harris, E., & Kemp, L.

Sydney: Centre for Health Equity Training, Research and Evaluation (CHETRE)

Part of the UNSW Research Centre for Primary Health Care and Equity

The University of New South Wales, Australia UNSW -2007

 

The guide aims to provide people a practical understanding of HIA, its process, concepts and theories.

 

Available online as PDf file [43p.] at: http://www.hia2007.com/Health_Impact_Assessment_A_Practical_Guide.pdf

 

“…..Health Impact Assessment HIA is both a health protection and health promotion tool. In Health Impact Assessment HIA, health should be broadly defined to include assessments of both health hazards and health benefits of a proposal and the potential ways in which health and wellbeing can be both protected and promoted….”

 

Table of Contents

Foreword

Introduction

PART One: Overview of Key Concepts

What is HIA?

Why undertake HIA?

What do we mean by ‘health’?

How is health created?

What are health impacts?

HIA is prospective

Broad participation

Equity

PART Two: The Steps in HIA

1. Screening

2. Scoping

3. Identification

4. Assessment

5. Decision-making and recommendations

6. Evaluation and follow-up

Glossary of Terms

References

Appendices

 

Ben Harris-Roxas, Research Fellow - Centre for Health Equity Training, Research and Evaluation (CHETRE)

Phone +61 2 9385 0118 | Fax +61 2 9385 0140 | Email b.harris-roxas@unsw.edu.au
 

For a print copy of the guide and/or more information about HIA please phone +61 2 9835 0129 or email at s.m.green@unsw.edu.au. An online

version of the guide, with additional materials, links to further resources, and online exercises, is being developed and will be released in 2008 on HIA Connect http://www.hiaconnect.edu.au



*      *      *     * 

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/ IKM 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”.

---------------------------------------------------------------------------------------------------

PAHO/WHO Website: http://www.paho.org/

EQUITY List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html

 

 

 

 

    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 notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.