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
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
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
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
C. An Organizational Response from One Not-for-Profit Provider in the
CONCLUSION
REFERENCES
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