Download - OECD work on health
![Page 1: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/1.jpg)
OECD work on health
Y-Ling CHI,
Health Policy Analyst, Health Division, Organisation of Economic Cooperation and Development
![Page 2: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/2.jpg)
Outline of the presentation
1.How the OECD works2.OECD projects
![Page 3: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/3.jpg)
50 years of OECD
• 1961, OECD founded as the successor to the ‘OEEC’, itself set up by the Marshall Plan
• 2011 celebrations: what has been achieved, but also reflect on long-term trends
• Conference in June
![Page 4: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/4.jpg)
How we work
• Health Committee twice a year. Some business (PWB; key projects); some policy discussion
• Lots of expert groups:– HCQI– Health Data– SHA– Economics of Prevention– Ad hoc groups (LTC, Nurses)
4
![Page 5: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/5.jpg)
Secretariat
• 30-35 people on health. • Budget around €4.5m per year• Don’t give grants; most work in-house• Half the money from general OECD
resources, half from ‘Voluntary Contributions’.
• EC is a major provider of VCs• Secondments
5
![Page 6: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/6.jpg)
Projects
• Major axis of work: – Data collection health status, health financing, health
organization etc.– Quality of care– Workforce project– Prevention project– Pharmaceutical
+ smaller projects to address the need of the national govts as defined as the Health Committee (long term care, inequality in service use, waiting times project, pay for performance, mental health etc.)
![Page 7: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/7.jpg)
HCQI: Cancer survival ratesBetter indicator than mortality to measure effects of health system
Five-year relative survival ratesCervical cancer Breast cancer
Note: Survival rates are age-standardised to the International Cancer Survival Standards Population.Source: OECD Health Care Quality Indicators Data 2011.
![Page 8: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/8.jpg)
• Significant differences in cancer survival for major cancers (e.g. breast cancer). – Emphasize the need for national cancer
registries – Ideally, one needs data on cancer stage
• Early diagnosis/screening has played important role in improving survival
• Governance of cancer (e.g. cancer plan that is funded) is correlated with improved survival
Cancer
![Page 9: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/9.jpg)
Primary care quality : avoidable admissions balanced scorecare (z normalised scores)
Source: OECD Health Care Quality Indicators Database, 2009
![Page 10: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/10.jpg)
Quality Reviews
What policies and approaches work best in improving health care quality?
– Country reviews of quality of health care build on available information on quality indicators to inform policymakers about what works and what does not work in different countries.
– First review of Korea to be completed by third quarter 2011.
![Page 11: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/11.jpg)
Economics of preventionEconomics of preventionunder-investment in preventionunder-investment in prevention
![Page 12: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/12.jpg)
Financial Impact of prevention of obesityFinancial Impact of prevention of obesity
Intervention costs and savings
Impact on health expenditure
Physician-dietician counselling
![Page 13: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/13.jpg)
New skills for new jobs in health: Project objectives
13
![Page 14: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/14.jpg)
New mental health project
• Builds on project in employment looking at the rising rate of mental disability
• Increased burden of mental disorders in OECD country
• Rising levels of spending levels on mental health
• Value for money?– New payment systems for mental health
(ex: DRG, P4P etc.)
![Page 15: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/15.jpg)
Models of care for mental health
• Numbers of psychiatric beds– New levels of models of care for mental
disorders/ de institutionalization– Chile : more hospital based model
.
![Page 16: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/16.jpg)
Pharmaceutical policies
• Economic evaluation to make reimbursement decisions (Korea, soon in Germany, France)
• Price regulation to be introduced where it did not exist (the UK and Germany)
• Development of risk-sharing agreements (UK, ITA, SWE)
• Price reductions and increase in rebates (Czech)
• Promote generic use and benefit from price competition in generic markets (all)
16
![Page 17: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/17.jpg)
Variations in medical practice Appendectomy procedures per 100,000 population, 2007
![Page 18: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/18.jpg)
Help! Growing demand for LTC will have major financial implications
Source: Help Wanted? Providing and Financing Long-term Care, OECD Publishing, May 2011.
![Page 19: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/19.jpg)
Long-term care @ OECD
• Help Wanted? Providing and Financing Long-term Care (OECD Publishing, May 2011) reviews good-practice policies on financing, formal and informal provision of LTC.
• New 2011-2012 follow-up work reviews evidence and analyses policies to measure and improve quality in long-term care.
www.oecd.org/health/longtermcare
![Page 20: OECD work on health](https://reader036.vdocument.in/reader036/viewer/2022081503/56814812550346895db53f7e/html5/thumbnails/20.jpg)
Thanks for listening!Thanks for listening!
Find lots of data at:www.oecd.org/health/healthdata
20