CONTENTS No 309 Q1 2017
READERS’ VIEWS 2
Sustainable cities; International trade; Sense and big data; Twitterings
EDITORIAL 3
Our health systems must put people at the centre Angel Gurría, Secretary-General of the OECD
NEWS BRIEF 4 Migration follows beaten track; R&D funding at risk; Mainstreaming biodiversity; Soundbites; Economy; Country roundup; Clara López; Other stories; Plus ça change
BLOGS 6 BlogServer 7 March on gender
ECONOMY 9 Inequality: Can Sweden reconquer utopia? Jon Pareliussen 11 Going for inclusiveness and productivity; China’s economy
SPOTLIGHT ON HEALTHCARE
13 Towards sustained progress in global healthcare Jeremy Hunt, Secretary of State for Health, United Kingdom, and Chair of the 2017 OECD Health Ministerial Meeting 14 The PaRIS initiative: Helping healthcare policies to do better for patients Stefano Scarpetta 15 The challenge of antimicrobial resistance: The hidden “fil rouge” for healthcare policy Mark Pearson 17 Healthcare systems: Tackling waste to boost DATABANK resources Francesca Colombo 19 Governing data for better health and healthcare Jillian Oderkirk and Elettra Ronchi 21 Complex patients: How healthcare must adapt to their needs Martin Wenzl, OECD, Mossialos, at large Trendand in theElias number of doctors London Selected EU countries, 2000 to 2012 (or nearest year) School of Economics and Political Science CD area are living longer es. Improved lifestyles 23 People-centred healthcare: What empowering as are better medical could the number of policies are needed a contributing factor? Olivia Wigzell, Director General, National Board of t European countries at Health and Welfare, Sweden te number of doctors has en 2000 and 2012. Overall, 24 Business Brief: Johnson & Johnson ntire period, there were doctors in 2012 compared 26 An agenda for robust healthcare 2000 to 2012, there were Xavier Prats Monné, Director-General for Health rs in the United Kingdom, many, 40% more in Spain, and Food Safety, European Commission n Portugal and in the
11). The exceptions are Czech Republic, where octors has remained over the period, while life also improved.
27 Why patient-centred approaches are important Nicole Denjoy, Secretary General of COCIR and Chair of the BIAC Health Committee 27 Patient-centred policies must be centred on healthcare workers too Jocelyne Cabanal, Member of the Executive Committee, Confédération Française Démocratique du Travail (CFDT), France 29 Casting light on dementia’s shadow Tim Muir 30 The healing power of information technology Interview with David Blumenthal, President and CEO, The Commonwealth Fund 32 Managing new health technologies Jonathan Skinner, Geisel School of Medicine and Department of Economics, Dartmouth, and Amitabh Chandra, Harvard Kennedy School of Government, Harvard 34 Designing value-based health systems for patients: The example of pain control and palliative care Felicia M Knaul, Professor, Department of Public Health Sciences at the Miller School of Medicine, and Director, Miami Institute for the Americas, and Afsan Bhadelia, Visiting Scientist, Harvard T.H. Chan School of Public Health 35 Business Brief: Faculty of Medicine, Université Paris Descartes 36 Our patients have changed, our healthcare must now follow Dr Samir K. Sinha, Director of Geriatrics, Sinai Health System and the University Health Network Hospitals 37 People-centred healthcare: Don’t forget the nurses! Judith Shamian, President, International Council of Nurses 38 Healthcare: Pouring a little cold water on crowdfunding Claire MacDonald 39 Business Brief: HES-SO University of Applied Sciences and Arts Western Switzerland 40 Can healthcare policy and technology heal ruralurban divides? Rory Clarke and Claire MacDonald
erform administrative es from about 70% in mark to less than 20% in rkey and Italy.
differences in internet
BOOKS 49 Reviews: Dare to share; Making Africa healthy 50 New publications 51 Focus on healthcare 52 Review: A more violent world?; Crossword
DATABANK 53 Can more social spending curb emigration?; The race for excellence in scientific publishing 54 Main economic indicators 56 Addressing high costs of specialty drugs
Tackling waste in healthcare systems, page 17
Complex patients, page 21
Index 2000=100
160
UK
Greece
Portugal
Spain
Germany
Netherlands
Czech Republic
France
140
120
SOCIETY 42 OECD Observer roundtable on pensions 45 Halving road deaths by 2020: A global health priority HRH Prince Michael of Kent UK Netherlands Germany France
Greece
Spain Portugal Czech Republic
OECD roundtable on pensions, page 42
100
2000
2002
2004
2006
2008
2010
2012
http://dx.doi.org/10.1787/health_glance_eur-2014-en
Source: OECD 2014
stabilised or slowed in countries hard hit by the crisis. Despite this upward trend, with a third of doctors over 55 years of age, many European countries could face a shortage of doctors in future, particularly in rural areas.
OECD (2014), Health at a Glance: Europe 2014, OECD Publishing. http://dx.doi.org/10.1787/health_glance_ eur-2014-en
Published in English and French by the OECD EDITOR-IN-CHIEF: Rory J. Clarke EDITORIAL ASSISTANT, WRITER: Neïla Bachene www.oecdobserver.org EDITORIAL INTERN: Balázs Gyimesi ment generation ©OECD% ofMarch 2017 Using e-governments services LAYOUT: Design Factory, Ireland individuals obtaining information and sending completed forms on government websites in the last 12 months ols simplified our public authorities? From ILLUSTRATIONS: David Rooney, Sylvie Serprix ing to downloading ofISSN 0029-7054 administrative procedures, WRITER: Clara Young, Claire MacDonald Tel.: +33 (0) 1 45 24 9112 most of OECD countries ADVISERS: Emily Hewlett and Luke Slawomirski, range of online services. Fax: +33 (0) 1 45 24 82 10 ed. Most people in thesales@oecd.org OECD Health Division -government services ADVERTISING MANAGER: Aleksandra Sawicka n on administrationFounded in 1962. The magazine of the Organisation though many also use it ADVERTISING SALES: LDMD ms, such as tax returns. for Economic Co-operation and Development rvices are used on PRINTERS: SIEP, France; Chain of Custody certified. than 45% of individuals OECD Publications 2 rue André Pascal ation, but users show a Applications for permission to reproduce or translate all or parts propensity to use them 75775 Paris cedex 16, France o filling in a document of articles from the OECD Observer, should be addressed to: observer@oecd.org % do. Editor, OECD Observer, 2 rue André Pascal, 75775 Paris, usage rates: in 2013, 90% and more of In any case, companies are one The step ahead: e of individuals usingwww.oecd.org
e trend clearly rose both the 2008 world economic there were over 10% doctors in 2012 compared ver, the number has
OECD.ORG 46 Healthcare for patients; OECD wins international publishing award; Affordable housing database; Effectopedia, chemical risks and health 47 Recent speeches by Angel Gurría; List of OECD Ambassadors 48 Calendar; Frankie
% 90
80
Sending filled forms, 2013
Getting Information, 2013
Sending filled forms, 2010
70
60
50
40
30
All signed articles in the OECD Observer express the opinions of the authors and do not necessarily represent the official views of the OECD or its member countries. Reprinted and translated articles should carry the credit line “Reprinted from the OECD Observer”, plus date of issue. Signed articles reprinted must bear the author’s name. Two voucher copies should be sent to the Editor. All correspondence should be addressed to the Editor. The Organisation cannot be responsible for returning unsolicited manuscripts. The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law.
20
10 0
P R 8 N C N K U L A L R E ISL DNK NLD NOR KOR SWE FIN CHE AUS CAN NZL IRL BEL FRA ISR EST ECD AUT PRT LUX ES GB EU2 SV GR HU SV DE PO IT CH TU CZ O
Source: OECD, ICT database and Eurostat, Information Society Statistics
the adult population had access to the internet in the Nordic countries, but less than 60% in Turkey. Despite a high internet usage rate, the Germans do not seem eager to perform administrative requirements online.
http://dx.doi.org/10.1787/9789264221796-en
cedex 16, France.
e-governments services are used by more than 80% of businesses in OECD countries.
OECD (2014), Measuring the Digital Economy: A New Perspective, OECD Publishing. http://dx.doi.org/10.1787/9789264221796-en
OECD Observer No 302 April 2015
29
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