Health for the People, by the People
Health systems have to meet the changing needs of an increasingly assertive population and an ever more complex health policy context. Digitalisation, population ageing, chronic diseases, new pandemic threats, and evolving expectations of what health services should deliver - and how - have raised q...
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| Autor Corporativo: | |
| Formato: | Libro electrónico |
| Idioma: | Inglés |
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Paris :
Organization for Economic Cooperation & Development
2022.
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| Colección: | OECD health policy studies.
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| Materias: | |
| Ver en Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009705109106719 |
Tabla de Contenidos:
- Intro
- Foreword
- Executive summary
- Policies to address COVID-19 paid little heed to the needs of people-centred health services, especially in the early phases of the pandemic
- Despite some progress, no country yet delivers strong, person-centred care across all key policy domains of the OECD Scorecard
- 1 An analytical framework and scorecard for people-centred health systems
- The OECD Framework for People-Centred Health Systems
- How people-centred are OECD health systems? The OECD Scorecard for People-Centred Health Systems
- An analysis of key policy benchmarks
- Voice: designing health care and the future of health services together with people, families and communities
- Choice: making systems more responsive to people's needs and preferences
- Co-production: enabling people to play an active role in decisions about their health
- Integration: co-ordinating care for and around the person in need
- Respectfulness: treating patients with dignity
- The relevance of indicators of the OECD Scorecard for People-Centred Health Systems: a person-level analysis
- Improving measurement to strengthen people-centredness
- References
- 2 Designing policies to deliver people-centred health
- Voice: Strengthening patient voice in decision-making
- Including patients in decision-making helps health systems respond better to patient needs
- Patient voice should be better incorporated into governance and systems-level decision-making
- Choice: Expanding patient decision-making and improving affordability and access to care
- Provider choice is widespread in OECD countries
- Access challenges continue to pose important constraints on exercising choice
- Co-production: Promoting patient engagement and empowerment.
- Digital technologies have expanded the tools of patient co-production - but the quality of information varies, and health literacy levels - including digital health literacy - are not always sufficient
- Skill gaps among health care workers can impede a co-productive relationship with patients
- Respectfulness: Ensuring people are valued in the health system
- Positive relationships with health care providers are important both for patient experience and outcomes of care
- Patient rights and recourse for maltreatment are well defined most countries
- Countries have scaled up patient-reported measures, but collection is not always systematic
- Integration: Strengthening the role of primary care and digital tools to improve co-ordination of care
- People and health systems continue to bear the costs of poor integration
- Health systems have increasingly turned to digital tools to strengthen co-ordination of care
- Developing a holistic people-centred approach to health
- References
- 3 The COVID-19 pandemic has made people-centredness even more urgent
- The need for fast decisions often reduced patients' voice during the pandemic, and patient involvement and participation has been underutilised
- Digital access to primary health care consultations has partially mitigated the reduction of patient choice as in-person consultations fell dramatically
- Engaging people has been critical for pandemic containment efforts, but a balance between incentives and restrictions is still needed
- Containment efforts must consider the need for engaging people and providing support for the continuity of care, especially for people living with chronic conditions
- Strengthening multidisciplinary teams has helped to bolster co-ordination and integration of care, but information gaps remain a limiting factor.
- Respectfulness was sometimes compromised to ensure patient and staff safety and must be urgently restored
- Building people-centred health systems: Lessons from COVID-19
- References.
