简介
Summary:
Publisher Summary 1
Thirty years after Alma-Ata, the World Health Organization's landmark declaration on the importance of primary health care has lost none of its relevance. Hopes are high, but realization of the WHO's goals proves to be a continuing challenge. Ideally, primary care overcomes the divide between the outpatient and inpatient sectors and crosses the line to other medical specialties by integrating services and providers. For a number of developed countries, structured coordination with care support systems, a clear focus on prevention, and support for self-management are already key components of a primary care system. This volume presents the latest developments in this primary care worldwide, as well as innovations in quality assessment and transparency, patient information, and health technology assessment.
目录
Table Of Contents:
Preface 7
Strengthening Primary Care 11
Organization, competence and levels of care 15
Denmark: Redefining the role of general practice 16
Finland: Restructuring municipal health care 20
United Kingdom: Health and Social Care Act 21
Estonia: New centers assume responsibility for primary care 23
Austria: Ambulatory care centers on hold 25
Professions in primary care 29
New Zealand: Positive experience with primary care nursing 30
France: National recommendation for a professional skill mix 32
Japan: The "general physician" as a new profession? 35
Caring for the chronically ill 39
Denmark: Importing the Chronic Care Model 40
Singapore: Successful DMP for the chronically ill 43
Appropriateness, Fairness and Transparency 47
Slovenia: First steps towards Health Technology Assessment 51
Poland: Major challenge for Health Technology Assessment 53
Australia: Health Technology Assessment at local level 55
Finland: More cooperation to assess new medical methods 59
Australia: More information to reduce number of cesareans 62
Denmark: Further development of performance measurement 66
Netherlands: User-based information on health care 69
South Korea: Database for Drug Utilization Review 72
France: Electronic pharmaceutical records for patients 74
National Strategies 79
Finland: National Development Program for Welfare and Health Care 82
Switzerland: National e-health strategy launched with e-card 85
Netherlands: Rise in the number of independent treatment centers 87
Updates 91
Estonia: National health information system launched 91
Austria: Code of reimbursement contains costs of pharmaceuticals 94
United States: Evaluating pay for performance initiatives 97
United States: Can the Oregon Health Plan be rescued? 101
The International Network Health Policy and Reform 105
Survey preparation and proceedings 107
Reporting criteria 107
Policy ratings 109
Project management 109
Reform tracker by country 111
Reform tracker health policy topics 127
Preface 7
Strengthening Primary Care 11
Organization, competence and levels of care 15
Denmark: Redefining the role of general practice 16
Finland: Restructuring municipal health care 20
United Kingdom: Health and Social Care Act 21
Estonia: New centers assume responsibility for primary care 23
Austria: Ambulatory care centers on hold 25
Professions in primary care 29
New Zealand: Positive experience with primary care nursing 30
France: National recommendation for a professional skill mix 32
Japan: The "general physician" as a new profession? 35
Caring for the chronically ill 39
Denmark: Importing the Chronic Care Model 40
Singapore: Successful DMP for the chronically ill 43
Appropriateness, Fairness and Transparency 47
Slovenia: First steps towards Health Technology Assessment 51
Poland: Major challenge for Health Technology Assessment 53
Australia: Health Technology Assessment at local level 55
Finland: More cooperation to assess new medical methods 59
Australia: More information to reduce number of cesareans 62
Denmark: Further development of performance measurement 66
Netherlands: User-based information on health care 69
South Korea: Database for Drug Utilization Review 72
France: Electronic pharmaceutical records for patients 74
National Strategies 79
Finland: National Development Program for Welfare and Health Care 82
Switzerland: National e-health strategy launched with e-card 85
Netherlands: Rise in the number of independent treatment centers 87
Updates 91
Estonia: National health information system launched 91
Austria: Code of reimbursement contains costs of pharmaceuticals 94
United States: Evaluating pay for performance initiatives 97
United States: Can the Oregon Health Plan be rescued? 101
The International Network Health Policy and Reform 105
Survey preparation and proceedings 107
Reporting criteria 107
Policy ratings 109
Project management 109
Reform tracker by country 111
Reform tracker health policy topics 127
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