Gender differences in health and in how well health systems and health care
services meet the needs of women and men are well known: in Europe, there
are variations in terms of life expectancy, the risk of mortality and morbidity,
health behaviours and in the use of health care services. There is also in...
Primary healthcare includes first-contact services
delivered by a range of providers. Most commonly in
Canada these providers are general practitioners and
family physicians. However, increasingly these providers
can also include nurse practitioners, pharmacists, and
telephone advice lines, among others....
While the term “civil society” is in widespread use in
many countries, particularly in low- and middle-income
countries, in some countries (such as Canada) the terms
“voluntary organization,” “non-governmental
organization,” and “advocacy group” are much more
commonly used.(1) The term ...
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...
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 ...
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knowledge obtained during basic training may rapidly become out of date.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...
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
...
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...
