OECD Observer i-Sheet: The future of health

OECD Policy Forum on the Future of Health 16 January 2017 OECD Health Ministerial 17 January 2017

i-Sheet browse on paper, read online

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PEOPLE at the CENTRE OECD Policy Forum on the Future of Health 16 January 2017

THE NEXT GENERATION of HEALTH REFORMS OECD Health Ministerial 17 January 2017

Towards sustained progress in global healthcare Jeremy Hunt, Secretary of State for Health, United Kingdom, and Chair of the 2017 OECD Health Ministerial Meeting

I applaud the OECD’s work in facilitating this process, and I hope the discussions we have at today’s Policy Forum and tomorrow’s Health Ministerial Meeting will be an important contribution to our shared aim: that is, to deliver renewed and sustained progress in global healthcare, on the same scale and significance as the last quarter of a century.

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For everyone working in the healthcare sector, 2017 arrives with much to celebrate and a great deal to ponder. This is a challenging time for the world’s health services–arguably the most challenging in their histories. It is therefore more important than ever that international policy makers pool their intellectual capital and explore the innovations, small and large, that can help us tackle the rising tide.

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©OECD

TOP STORIES

The future of healthcare: It’s all about patients

The PaRIS initiative: Helping healthcare policies to do better for patients

Angel Gurría, OECD Secretary-General

Stefano Scarpetta, Director, OECD Directorate for Employment, Labour and Social Affairs

Looking back at what we have achieved over the past few decades in the health sector, in many ways the future is looking quite bright. But important challenges remain, and to overcome them, we must reimagine healthcare systems with people at the centre. Today, together, we begin this challenging but vital work.

When is healthcare successful? The answer is clear: when patients state that their well-being is better as a result. The PaRIS initiative can help achieve that success.

Full article: http://oe.cd/1Ka

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The challenge of antimicrobial resistance: The hidden “fil rouge” for healthcare policy

Healthcare systems: Tackling waste to boost resources

Mark Pearson, Deputy Director, OECD Directorate for Employment, Labour and Social Affairs

Francesca Colombo, Head, Health Division, OECD Directorate for Employment, Labour and Social Affairs

Two issues are at the centre of the debate on how to make sure our health systems more sustainable: tackling unnecessary spending on health, and making sure that medical innovations deliver the right products at the right price. Both of these two key issues are epitomised by one of the biggest public health challenges we face today: that of antimicrobial resistance (AMR).

Is there such a thing as a right amount of health spending? In an ideal world, this would likely mean spending that achieves effective healthcare services, with good outcomes for patients, the right number of professionals with the right skills, and delivers good value for tax payers with little, if any, wastage. Finding that balance is a difficult challenge.

Full article: http://oe.cd/1JW

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Governing data for better health and healthcare

Complex patients: How healthcare must adapt to their needs

Jillian Oderkirk, OECD Directorate for Employment, Labour and Social Affairs, and Elettra Ronchi, OECD Directorate for Science, Technology and Innovation

Martin Wenzl, OECD Health Division, and Elias Mossialos, London School of Economics and Political Science

The healthcare sector is awash with data, whose range and volume are growing exponentially. But they will sit unused in data warehouses, often from fear of being misused, unless fundamental action is taken. The OECD Recommendation on Health Data Governance can help countries in managing the risks and harnessing the benefits from health data.

Pepe is a 74 year-old widower, who lives with one of his two sons in a small apartment in the Spanish city of Valencia. His son works at night and sleeps all morning. Pepe spends most of his day at home and feels lonely and depressed.

He suffers from pulmonary fibrosis, heart failure, hypertension and dyslipidaemia.

He takes corticosteroids, nebulisers and inhalers, as well as drugs against hypertension, statins and anti-coagulants. Pepe is often short of breath and also requires oxygen therapy. Sometimes he feels like he is dying and his son takes him to hospital. In the last 18 months, Pepe visited the hospital emergency room 39 times. He was admitted to the pulmonology department in eight of these visits.

Full article: http://oe.cd/1JT

Full article: http://oe.cd/1JX

BOOKSHOP

To order these titles and more go to: www.oecd.org/bookshop www.OECD-iLibrary.org See also www.oecd.org/health

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An agenda for robust healthcare

POLICY BRIEFS

Xavier Prats Monné, Director-General for Health and Food Safety, European Commission ©Rights reserved

The EC makes a strong case for better integrated person-centred care and greater use of primary care, as well as the development of innovative technology-based solutions. These policies will save precious resources and promote a better quality of life, too.

Full article: http://oe.cd/1K Patient-centred policies must be centred on healthcare workers too

Why patient-centred approaches matter Nicole Denjoy, Secretary General of COCIR and Chair of the BIAC Health Committee and Ali Karami-Ruiz

Full article: http://oe.cd/1Kf

Jocelyne Cabanal, Member of the Executive Committee, Confédération Française Démocratique du Travail (CFDT), France

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Social dialogue including healthcare workers and professionals improves process and organisation.

While we agree that more can be done to eliminate waste in health spending, it is essential to address the social determinants of health inequalities.

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Person-centred care corresponds to the optimised co-ordination of services that crosses the boundaries between hospital, primary, community and social care. Governments need to enable ecosystems that support new financing models, adequate incentives for healthcare providers, and regulatory environments that successfully balance innovation and data privacy protection.

Full article: http://oe.cd/1K6 Subscribe to OECD Observer at http://oecdobserver.org/subscribe.html

People-centred healthcare: What empowering policies are needed

Managing new health technologies Jonathan Skinner, Geisel School of Medicine and Department of Economics, Dartmouth, and Amitabh Chandra, Harvard Kennedy School of Government, Harvard

Olivia Wigzell, Director General, National Board of Health and Welfare, Sweden

Countries around the world are struggling with rising healthcare bills.

Every introduction of pricey new biologics, surgical procedures, and exotic “precision” treatments causes ever-increasing fiscal stress, leading to deficit spending, cutbacks in other government services, and insurance costs shouldered by firms and employees alike.

©National Board of Health and Welfare, Sweden

The word “patient” comes from Latin, and means “the one that suffers”. Healthcare has historically been about “taking care” and “protecting” the patient that suffers. Under this view the patient is more or less helpless. The healthcare professional on the other hand plays the dominant role, as an authority, to be heeded and obeyed.

Full article: http://oe.cd/1K0

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Our patients have changed, our healthcare must now follow

People-centred healthcare: Don’t forget the nurses!

Dr Samir K. Sinha, Director of Geriatrics, Sinai Health System and the University Health Network Hospitals

Judith Shamian, President - International Council of Nurses

©Ciric

Full article: http://oe.cd/1K9

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DATABANK

Education and diabetes Did you know that there is a correlation between diabetes and education levels?

People with the lowest level of education are more than twice as likely to report having diabetes than those with the highest level across EU countries, a close look at Eurostat data shows.

Full article: http://oe.cd/1JY

©Arno Massee/Science Photo Library

Is the concept of “people-centred care” just new jargon for cost-cutting and to reduce access to routine healthcare? Or does it have the potential to improve both the health and well-being of people, while making the health system more efficient and less costly, and helping people to become healthier at the same time? This is the existential and fundamental question which policy makers and funders, together with the public and wider healthcare community, must answer.

In the coming two decades, the number of individuals aged 65 and over will nearly double, so that there will be over 1 billion older adults worldwide. With our healthcare systems struggling to cope, this prospect has been characterised by some as a “grey tsunami” that threatens to raise costs, create inefficiencies and ultimately bankrupt us.

Describing our changing demographic as a tsunami is problematic.

Education and diabetes

Self-reported diabetes by level of education, 2014 (or nearest year) % of population aged 15 years and over 18

High

Low

16

14.7

14 12 9.8

10 8 6 4

7.8

7.2

7.1

6.1

7.8

10.0

10.1

10.8

11.2

5.6 2.8

2.8

2

2.9

2.6

12.0

14.8

15.8

13.3

8.2

4.3

0

9.9

12.9

2.8

4.0

3.7

3.7

4.2 2.9

5.0

6.1 4.2

5.0

3.9

2.3

l e d e en mark gium ands nia pain U26 any gary blic UK land ga nc nlan reec ve l l E n S pu rtu Fra rm Hun Po G Fi Be ther Slo De Re Po Ge h c Ne e Cz Source: Eurostat Database, based on Health Interview Surveys.

See StatLink for more countries. http://dx.doi.org/10.1787/888933428852 a

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4 DATA FOR PATIENTS

The healing power of information technology Interview with David Blumenthal, President and CEO, The Commonwealth Fund

“In the history of modern medicine and technology, it is hard to get past information, as it is the lifeblood of medicine, it always has been. Information is a precious and rare resource that is fundamental to decision making at every level. Many complex diagnostic technologies like CAT scanning or magnetic resonance imaging are all about generating information, which is a fundamental holistic technology. Going forward, I think of information technology as the absolute core of progress in medicine.”

Full article: http://oe.cd/1Kg

Designing value-based health systems for patients: The example of pain control and palliative care

Can healthcare policy heal the rural-urban divide?

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

Health systems strengthening efforts have focused on enhancing performance without significant attention to what value means to patients, who are the ultimate users of the system. Generating metrics that can better drive health systems in a manner that places patients at the core is an ethical, health and economic imperative.

A shift of health services and professionals from rural and small town communities towards larger, more centralised services in urban settings may have advantages for cost-effectiveness, but is it patient-centred?

Full article: http://oe.cd/1Kb

Full article: http://oe.cd/1K4

Claire MacDonald, OECD Observer

DIGITAL INSIGHTS Can numeracy and literacy fill the health gaps of Europe?

Helmut Brand, president of the European Health Forum Gastein (EHFG), Jean Monnet Professor of European Public Health and head of the Department of International Health at Maastricht University, The Netherlands

Europe is undergoing a period of profound demographic change. Populations are ageing, fertility patterns are changing, modern living has impacted our habits, and consequently, there is an increasing prevalence of people living with one or more chronic disease.

Women’s empowerment in West Africa: Increasing access to reproductive health services and rights is crucial Susan Sandars, West Africa Policy Adviser, Marie Stops International (MSI)

MSI believes that investing in universal access to contraception and providing women with choice regarding their reproductive health is critical to achieving women’s empowerment.

Full article: http://oe.cd/1JO

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Where do OECD countries stand in the “war against cancer”?

Stepping up to tackle mental ill-health

Gaétan Lafortune, Senior Economist and Principal Administrator, OECD Health Division

Stefano Scarpetta, Director, OECD Directorate for Employment, Labour and Social Affairs, and Francesca Colombo, Head of the OECD Health Division

Winston Churchill, Virginia Woolf and millions of others have suffered in the past or still live with mental illness. As many as half of all people in OECD countries can be expected to suffer from mild to moderate mental ill-health at some point during their lives.

In his State of the Union address in 1971, President Richard Nixon declared a “war on cancer”. World Cancer Day provides a timely opportunity to reflect on how much progress has been achieved over the past 45 years in the US and other OECD countries in winning this war.

Full article: http://oe.cd/1Jl

Full article: http://oe.cd/1Ji

Leading innovations for better healthcare

Business brief

Events such as the OECD Public Forum provide unique opportunities to find common ground on reshaping healthcare for the people and societies of tomorrow

Full article: http://oe.cd/1K2

OECD Observer Business Brief, by Johnson & Johnson

MULTIMEDIA

Alcohol: tackling heavy cost of harmful drinking

What does a US$100 million public health data revolution look like? With Christopher J.L. Murray

http://youtu.be/2JpZdOwk2LM

https://youtu.be/mususV-jMFk

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