La evidencia sobre condiciones locales es evidencia que está disponible de los lugares específicos en los cuales se toma una decisión o una medida sobre una opción de política o programa. Tal evidencia siempre es necesaria, junto con otras formas de evidencia, con el fin de informar las decisiones s...
Le précis politique constitue une façon relativement nouvelle de présenter des données de recherche aux responsables de politiques. La première étape de lélaboration dun précis politique consiste à établir la priorité dun enjeu stratégique, ce qui permet ensuite de tirer parti de toute la gam...
All countries in Europe are experiencing an ageing of their populations, a trend
that is projected to continue until at least the middle of the twenty-first century.
This process is often regarded as a major cause of upward pressure on health
care costs. However, analyses of health care expenditure show ...
Improved health care, lifestyle changes and changing demography mean that
more people are living longer and often with chronic diseases that cannot
currently be cured. Advances in health care that support longer life are to be
celebrated, but health care systems cannot cope with the increasing incidence
...
Skill-mix initiatives focus on changing professional roles - directly and indirectly.They change roles directly through extension of roles or skills, delegation, andthe introduction of a new type of worker; they change them indirectly throughmodifications of the interface between services - that is, wher...
In some countries, pressure is growing to demonstrate that practising physicians
continue to meet acceptable standards, driven in part by concerns that the
knowledge obtained during basic training may rapidly become out of date. This
takes various forms, from expectations – in some cases backed by vari...
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 ...
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 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...
