Clinical research has led to spectacular developments in health care. It has provided us
with knowledge about how to prevent diseases, like heart disease, how to reduce the
consequences of disease, such as complications of diabetes, and to alleviate symptoms,
such as those of lung disease, and how to reh...
Key messagesPolicy issue and associated policy challenges• Population health is influenced by a variety of factors, many of whichrequire action outside the health system.• The health and socioeconomic costs of the key contributors to poor healthin Europe are substantial. Many of these health problems...
Policy issues• Health technology assessment (HTA) is an important tool for informing effective regulation of the diffusion and use of health technologies.• The key policy issues surrounding the use of HTA fall into three areas: (a) the bodies, decision-makers and other stakeholders involved, (b) the ...
The optimal balance between institutional, home-based and community care
for older adults requires an effective mix of organizational, funding and delivery
mechanisms for target populations. This spans health and social care, and the
coordination of care must respect older people’s care preferences and...
The policy issue: patient engagementOccasionally, all citizens have to make important health decisions that affecthealth outcomes. Strategies to support patient education and engagementshould therefore be a fundamental plank of health policy. Also, patients canplay an important role in understanding the ...
The terms vertical and integrated are widely used in health service delivery, but
each describes a range of phenomena. In practice, the dichotomy between
them is not rigid, and the extent of verticality or integration varies between
programmes – including (1) a vertically funded, managed, delivered and...
PATH is a nation-wide programme providing two types of grants. The first is a health grant, which is
contingent on certain members of the household attending public health clinics at regularly
scheduled intervals. The second is the education grant, which is contingent on children aged 6-17
attending scho...
Nurse staffing makes a critical difference to patients. Research reveals a close link between inappropriate nurse staffing levels and higher rates of unwanted outcomes for patients. This report highlights evidence-informed recommendations for improvements in patient outcomes through advancements in nurse...
The delivery of health care is changing. While the acute hospital will always play
a key role in the provision of health care, reflecting its important role in training
and research, as well as its capacity to manage complex and severe disorders, in
many countries there is an increasing interest in the s...
The concept of screening in health care – that is, actively seeking to identify
a disease or pre-disease condition in individuals who are presumed and
presume themselves to be healthy – grew rapidly during the twentieth
century and is now widely accepted in most of the developed world. Used
wisely, i...