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...
Health systems have developed at different speeds, and with differing degrees
of complexity throughout the twentieth century, reflecting the diverse political
and social conditions in each country.
Notwithstanding their diversity, all systems, however, share a common reason
for their existence, namely th...
For many people, the hospital has come to
symbolize the modern health care system.
Yet in many countries, the role of the acute
hospital is changing, with an emphasis on
outpatient diagnosis and treatment as well as
alternatives to long-term hospital care, leading to reductions in numbers of hospital
bed...
There has been a dramatic upsurge of
entrepreneurialism in health care systems in
Europe, spurred by interests in better
efficiency and quality. The characteristics of
entrepreneurial behaviour include seeking
opportunity, promoting innovation, and
genuine accountability. However, experience
so far indic...
Baumann, Andrea;
Brien-Pallas, Linda O;
Armstrong-Stassen, Marjorie;
Blythe, Jennifer;
Bourbonnais, Ren e;
Cameron, Sheila;
Doran, Diane Irvine;
Kerr, Michael;
Hall, Linda McGillis;
Vzina, Michel;
Butt, Michelle;
Ryan, Leila.
The Canadian healthcare system is facinga nursing shortage that threatens patientcare. Many nurses, physically and mentallyexhausted, quit; employers can t fill thosevacancies, while paradoxically other nursescan t find secure jobs with hours that suitthem. Meanwhile, nursing schools can't keepup with th...
