OECD REVIEWS OF QUALITY OF HEALTH CARE RAISING STANDARDS: THE NORDIC COUNTRIES Ian Forde Health...
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Transcript of OECD REVIEWS OF QUALITY OF HEALTH CARE RAISING STANDARDS: THE NORDIC COUNTRIES Ian Forde Health...
OECD REVIEWS OF QUALITY OF HEALTH CARE
RAISING STANDARDS: THE NORDIC COUNTRIES
Ian Forde
Health Policy Analyst OECD Health DivisionMay 2014
Primary and community care is being asked to do more and demonstrate better value for money…
… but often ‘flying blind’
Co-ordinated and integrated care is much discussed …
… but yet to deliver much benefit for patients and their families
Private providers are increasingly important players in the market place of care…
… but getting the right balance between freedom and regulation remains unclear
Central authorities playing an increasingly prominent role in quality monitoring and improvement…
… but this can create tensions and inefficiencies
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Thank you
Nordic countries need to ensure that
•there is a clear strategic vision for primary care shared by national government, county councils, municipalities and leaders in primary care •the reforms on choice and competition promote co-ordinated care and avoid fragmentation •payment and incentive systems foster co-operation, co-ordination and joint working.
Improving the quality of primary care
Encourage GPs to adopt a leading role in assuring quality and outcomes
Coordination
GovernanceInformation
Some examples…
• define a set of core quality standards for primary care that can be used to consistently and transparently monitor, assure and improve the quality of care
• study the effects of recent choice and competition reforms to ensure that they do not fragment services for patients with complex needs
• equip the primary care workforce to play a more proactive role in primary and secondary prevention of chronic disease
• standardise the information infrastructure in primary care to support improvements in the measurability of quality in primary care on a consistent basis.
Key policy recommendations
1. Develop richer information systems,
2. Clarify the role of central government,
3. Strengthen co-ordination and integration across services
4. Evaluate closely the effects of recent reforms