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The Organisation of Out-of-hours Primary Care in OECD Countries

The Organisation of Out-of-hours Primary Care in OECD Countries PDF Author: Caroline Berchet
Publisher:
ISBN:
Category : Social Issues/Migration/Health
Languages : en
Pages : 47

Book Description
Abstract: Out-of-hours (OOH) services provide urgent primary care when primary care physician (PCP) offices are closed, most often from 5pm on weekdays and all day on weekends and holidays. Based on a policy survey (covering 27 OECD countries) and the existing literature, the working paper describes the current challenges associated with the organisation of OOH primary care and reviews the existing models of delivering OOH primary care. The paper pays particular attention to policies which have been pursued to improve access and quality of OOH primary care. Findings of the paper show that most OECD health systems report key challenges to provide OOH primary care in an accessible and safe way. These challenges relate to (i) PCPs@0394@03C3 reluctance to practise due to high workload and insufficient remuneration; and (ii) geographical variations in access to OOH primary care within each health system. Together these challenges are leading sources of inappropriate hospital emergency department (ED) visits. Results also indicate that several models of OOH primary care exist alongside each other in the 27 OECD countries participating in the policy survey. Hospital EDs, rota groups and practice-based services remain the most common OOH arrangements, but there is a tendency to shift OOH primary care towards primary care centres and large-scale organisations known as general practice cooperatives (GPCs). A range of solutions have been implemented to improve access and quality of OOH primary care across OECD countries. These include providing organisational and financial support to PCPs; using other health care professionals (such as nurse practitioners), making OOH care participation compulsory, setting up a telephone triage system, using new technologies, and developing rich information systems

The Organisation of Out-of-hours Primary Care in OECD Countries

The Organisation of Out-of-hours Primary Care in OECD Countries PDF Author: Caroline Berchet
Publisher:
ISBN:
Category : Social Issues/Migration/Health
Languages : en
Pages : 47

Book Description
Abstract: Out-of-hours (OOH) services provide urgent primary care when primary care physician (PCP) offices are closed, most often from 5pm on weekdays and all day on weekends and holidays. Based on a policy survey (covering 27 OECD countries) and the existing literature, the working paper describes the current challenges associated with the organisation of OOH primary care and reviews the existing models of delivering OOH primary care. The paper pays particular attention to policies which have been pursued to improve access and quality of OOH primary care. Findings of the paper show that most OECD health systems report key challenges to provide OOH primary care in an accessible and safe way. These challenges relate to (i) PCPs@0394@03C3 reluctance to practise due to high workload and insufficient remuneration; and (ii) geographical variations in access to OOH primary care within each health system. Together these challenges are leading sources of inappropriate hospital emergency department (ED) visits. Results also indicate that several models of OOH primary care exist alongside each other in the 27 OECD countries participating in the policy survey. Hospital EDs, rota groups and practice-based services remain the most common OOH arrangements, but there is a tendency to shift OOH primary care towards primary care centres and large-scale organisations known as general practice cooperatives (GPCs). A range of solutions have been implemented to improve access and quality of OOH primary care across OECD countries. These include providing organisational and financial support to PCPs; using other health care professionals (such as nurse practitioners), making OOH care participation compulsory, setting up a telephone triage system, using new technologies, and developing rich information systems

OECD Health Policy Studies Waiting Times for Health Services Next in Line

OECD Health Policy Studies Waiting Times for Health Services Next in Line PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264989048
Category :
Languages : en
Pages : 69

Book Description
The report reviews a range of policies that countries have used to tackle waiting times for different services, including elective surgery and primary care consultations, but also cancer care and mental health services, with a focus on identifying the most successful ones.

Health at a Glance 2021 OECD Indicators

Health at a Glance 2021 OECD Indicators PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264480919
Category :
Languages : en
Pages : 274

Book Description
Health at a Glance provides a comprehensive set of indicators on population health and health system performance across OECD members and key emerging economies. This edition has a special focus on the health impact of COVID-19 in OECD countries, including deaths and illness caused by the virus, adverse effects on access and quality of care, and the growing burden of mental ill-health.

Health at a Glance 2017 OECD Indicators

Health at a Glance 2017 OECD Indicators PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264280405
Category :
Languages : en
Pages : 216

Book Description
This new edition of Health at a Glance presents the most recent comparable data on the health status of populations and health system performance in OECD countries.

OECD Reviews of Health Systems Primary Care in Denmark

OECD Reviews of Health Systems Primary Care in Denmark PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264269452
Category :
Languages : en
Pages : 96

Book Description
In many ways, primary care in Denmark performs well. Danish primary care is trusted and valued by patients, and is relatively inexpensive. But there are important areas where it needs to be strengthened. Most critically, Danish primary care is relatively opaque in terms of the performance data ...

OECD Health Policy Studies Realising the Potential of Primary Health Care

OECD Health Policy Studies Realising the Potential of Primary Health Care PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264561625
Category :
Languages : en
Pages : 201

Book Description
This report examines primary health care across OECD countries before the COVID-19 pandemic, and draws attention to how primary health care is not living up to its full potential. Doing things differently – through new models of organising services, better co-ordination among providers, better use of digital technology, and better use of resources and incentives – helps to improve care, reduce the need for hospitalisations, and mitigate health inequalities.

Health at a Glance: Europe 2016 State of Health in the EU Cycle

Health at a Glance: Europe 2016 State of Health in the EU Cycle PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264265597
Category :
Languages : en
Pages : 200

Book Description
This fourth edition of Health at a Glance: Europe presents key indicators of health and health systems in the 28 EU countries, 5 candidate countries to the EU and 3 EFTA countries.

Health at a Glance 2019 OECD Indicators

Health at a Glance 2019 OECD Indicators PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264807667
Category :
Languages : en
Pages : 220

Book Description
Health at a Glance compares key indicators for population health and health system performance across OECD members, candidate and partner countries. It highlights how countries differ in terms of the health status and health-seeking behaviour of their citizens; access to and quality of health care; and the resources available for health. Analysis is based on the latest comparable data across 80 indicators, with data coming from official national statistics, unless otherwise stated.

Building Primary Care in a Changing Europe

Building Primary Care in a Changing Europe PDF Author: Dionne S. Kringos
Publisher: World Health Organization
ISBN: 9789289050319
Category : Europe
Languages : en
Pages : 0

Book Description
For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.

OECD Health Policy Studies Health for Everyone? Social Inequalities in Health and Health Systems

OECD Health Policy Studies Health for Everyone? Social Inequalities in Health and Health Systems PDF Author: OECD
Publisher: OECD Publishing
ISBN: 9264674462
Category :
Languages : en
Pages : 100

Book Description
Good health is a key component of people’s well-being. It is a value in itself but – through its influence on social, education and labour market outcomes – being in good or bad health has also wider implications on people’s chances of leading a fulfilling and productive life. Yet, even in the OECD countries, health inequality persists with severe consequences on the goal of promoting inclusive growth. This report documents a comprehensive range of inequalities in health and health systems to the detriment of disadvantaged population groups in a large set of OECD and EU countries.