Resultados: 8

    What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services?

    Governments are searching for ways to improve the equity, efficiency, effectiveness, and responsiveness of their health systems. In recent years there has been an acceptance of the important role of primary health care in helping to achieve these aims. However, there have been no systematic reviews on pr...

    What are the equity, efficiency, cost containment and choice implications of private health-care funding in western Europe?

    Over the last 20 years the level of private spending on health care has risen in many western European countries, leading to concern about its impact. The main channels of private spending are private health insurance policies and cost-sharing schemes in public health systems....

    Are disease management programmes (DMPs) effective in improving quality of care for people with chronic conditions?

    Chronic diseases account for most of the burden of disease in the European Region. Although there are effective interventions for the management of various chronic conditions, there are also wide practice variations in the delivery of care. DMPs are one of the measures intended to address this situation....

    How can hospital performance be measured and monitored?

    Measurement is central to the concept of quality improvement; it provides a means to define what hospitals actually do, and to compare that with the original targets in order to identify opportunities for improvement....

    How can health care systems effectively deal with the major health care needs of homeless people?

    Homeless people have poorer physical and mental health than the general population, and often have problems obtaining suitable health care. This synthesis has critically reviewed the international literature pertaining to the health care needs of homeless people in countries with relatively well-develope...

    What are the advantages and limitations of different quality and safety tools for health care?

    The term “quality tools” is used in many different ways to refer to a method used by an individual, a team, an organization or a health system. It is most often used in a narrow sense in American texts to refer to a set of simple “continuous quality improvement” methods (CQI tools). More broadly,...

    Should patient decision aids (PtDAs) be introduced in the health care system?

    “Grey zone” treatments are those that rely upon the patient’s judgement of associated benefits versus harms. When clinicians judge patients are eligible for “grey zone” treatments, their acceptance should be consistent with informed patients’ values. The question is how can one obtain informe...

    What evidence is there about the effects of health care reforms on gender equity, particularly in health?

    In most countries the pressure for health care reform is aimed at improving the efficiency, equity and effectiveness of the health sector. Emerging evidence shows that health care reforms can affect men and women differently, as a consequence of their different positions as users and producers of health ...