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Health Reform
Meeting the Challenge of Ageing and Multiple Morbidities
OECD Publishing , Date de parution:  10 nov 2011
Pages: 224 , Langue: Anglais
Version: Livre électronique (Format PDF)
ISBN: 9789264122314 , Code OCDE: 812011171E1
Prix:   €31 | $44 | £28 | ¥4000 | MXN560
Disponibilité: Disponible
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Autres langues:  Coréen (Disponible)
Autres versions:  Livre - Broché

Titres connexes


When the OECD was founded in 1961, health systems were gearing themselves up to deliver acute care interventions. Sick people were to be cured in hospitals, then sent on their way again. Medical training was focused on hospitals; innovation was to develop new interventions; payment systems were centred around single episodes of care.  Health systems have delivered big improvements in health since then, but they can be slow to adapt to new challenges. In particular, these days, the overwhelming burden of disease is chronic, for which ‘cure’ is out of our reach. Health policies have changed to some extent in response, though perhaps not enough.  But the challenge of the future is that the typical recipient of health care will be aged and will have multiple morbidities.  This book examines how  payment systems, innovation policies and human resource policies need to be modernised so that OECD health systems will continue to generate improved health outcomes in the future at a sustainable cost.

Tables des matières:

Executive Summary
Chapter 1. The latest disease burden challenge: People with multiple chronic conditions by Professor Gerard Anderson, Johns Hopkins Bloomberg School of Public Health
-The increasing burden of chronic conditions and multiple chronic conditions
-Biomedical and health services research
-Health profession education
-Delivery systems
-Quality metrics
Chapter 2. Ageing, health and innovation: Policy reforms to facilitate healthy and active ageing in OECD countries by Rebecca Taylor, International Longevity Centre, London
-Changing demographics
-The zero-sum approach
-Life course approach
-Policy reforms in ageing health and innovation in OECD countries
-Disease prevention and management
-Keeping people out of hospital/in the community
-Financing care
-Organisation of health care
-Improving innovation
Chapter 3. The challenge of financing care for individuals with multimorbidities
by Professor Geoff Anderson, University of Toronto
-Older people with multiple needs
-Evidence on organising care for older people with multiple needs
-Options for financing integrated health and social care
-The role of private payment in financing health and social care
-Conclusions: What are the next steps?
Chapter 4. Reconfiguring health professions in times of multimorbidity: Eight recommendations for change byThomas Plochg and Niek Klazinga from the University of Amsterdam, Michael Schoenstein from the OECD, and Barbara Starfield from the Johns Hopkins Bloomberg School of Public Health 
-Health professionalism and professionalisation
-Drivers for change
-Dysfunctional configuration of health professions
-Towards a new configuration of health professions
-Triggering professional self-regulation
-Elevating population health as a core professional value
-Targeting research funding
-Targeted technology development
-Targeted infrastructure investments
-More flexible professional bodies
-System and multimorbidity-based health curricula
-Balanced performance assessment and management
-Supportive payment models
Chapter 5. Health sector innovation and partnership by Richard B. Saltman from Emery University, the European Observatory on Health Systems and Policies and the Swedish Forum for Health Policy;  Johan Calltorp from the Nordic School of Public Health, the Jönköping Academy for Health Improvement and the Swedish Forum for Health Policy; and Aad A. de Roo from Tilburg University and Erasmus University
The changing economic context
-Health sector responses to the changing economic context
-Innovation in the health sector
-Organisational responses to increasing numbers of patients with multiple chronic conditions
Chapter 6. Multimorbidity: The impact on health systems and their development by Bruce Guthrie from the University of Dundee, Sally Wyke from the Univesity of Glasgow, Jane Gunn from the University of Melbourne, Marjan van den Akker from Maastricht University and Catholic University of Leuven, and Stewart Mercer of the University of Glasgow
-Functional status and quality of life
-Health service use and health care quality and safety
-Annex 6.A1. Description of the Scottish dataset used for descriptive epidemiology

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