OECD Health Working Papers

Geographic Imbalances in Doctor Supply and Policy Responses
ISSN :
1815-2015 (en ligne)
DOI :
10.1787/18152015
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This series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language - English or French - with a summary in the other.
 
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Sélectionner Numéro Date TitreCliquez pour accéder
  N° 69   03 avr 2014 Cliquez pour accéder:  Geographic Imbalances in Doctor Supply and Policy Responses
Tomoko Ono, Michael Schoenstein, James Buchan
Doctors are distributed unequally across different regions in virtually all OECD countries, and this causes concern about how to continue to ensure access to health services everywhere. In particular access to services in rural regions is the focus of attention of policymakers, although in some...
  N° 68   03 avr 2014 Cliquez pour accéder:  Health Spending Continues to Stagnate in Many OECD Countries
David Morgan, Roberto Astolfi
The global economic crisis which began in 2008 has had a dramatic effect on health spending across OECD countries. Estimates of expenditure on health released back in 2012 showed that, for the first time, health spending had slowed markedly or fallen across many OECD countries after years of...
  N° 67   18 nov 2013 Cliquez pour accéder:  Measuring and Comparing Health Care Waiting Times in OECD Countries
Luigi Siciliani, Valerie Moran, Michael Borowitz
Waiting times for elective (non-emergency) treatments are a key health policy concern in several OECD countries. This study describes common measures on waiting times across OECD countries from administrative data. It focuses on common elective procedures, like hip and knee replacement, and...
  N° 66   11 déc 2013 Cliquez pour accéder:  The Role of Fiscal Policies in Health Promotion
Franco Sassi, Annalisa Belloni, Chiara Capobianco
Taxes and other fiscal measures on health-related commodities are in widespread use. Alcoholic beverages and tobacco products have been subjected to taxation for a long time in most countries. Several OECD governments have passed legislation to increase existing taxes or to introduce new taxes...
  N° 64   11 oct 2013 Cliquez pour accéder:  Managing Hospital Volumes: Germany and Experiences from OECD Countries
Ankit Kumar, Michael Schoenstein
To help inform a conference organised by the Germany Ministry of Health (BMG) and the OECD on ‘Managing Hospital Volumes’ on the 11th April 2013, the OECD Secretariat produced this paper giving an international perspective on Germany’s situation and the current policy debate. It provides a...
  N° 63   11 jui 2013 Cliquez pour accéder:  Value in Pharmaceutical Pricing
Valérie Paris, Annalisa Belloni
This study analyses how 14 OECD Countries refer to "value" when making decisions on reimbursement and prices of new medicines. It details the type of outcomes considered, the perspective and methods adopted for economic evaluation when used; and the consideration of budget impact. It describes...
  N° 62   26 juin 2013 Cliquez pour accéder:  Health Workforce Planning in OECD Countries
Tomoko Ono, Gaetan Lafortune, Michael Schoenstein
Health workforce planning aims to achieve a proper balance between the supply and demand for different categories of health workers, in both the short and longer-term. Workforce planning in the health sector is particularly important, given the time and cost involved in training new doctors and...
  N° 61   25 mars 2013 Cliquez pour accéder:  International Variations in a Selected Number of Surgical Procedures
Klim McPherson, Giorgia Gon, Maggie Scott
This paper summarises recent international data on rates of five surgical procedures (i.e. caesarean, hysterectomy, prostatectomy, hip replacement and appendectomy) across OECD countries. It examines trends over time and compares age- and sex-specific rates for a recent year, for a sub-set of...
  N° 60   29 jan 2013 Cliquez pour accéder:  Health Spending Growth at Zero
David Morgan, Roberto Astolfi
Health spending slowed markedly or fell in many OECD countries recently after years of continuous growth, according to OECD Health Data 2012. As a result of the global economic crisis which began in 2008, a zero rate of growth in health expenditure was recorded on average in 2010, and...
  N° 59   31 oct 2012 Cliquez pour accéder:  A Comparative Analysis of Health Forecasting Methods
Roberto Astolfi, Luca Lorenzoni, Jillian Oderkirk
Concerns about health expenditure growth and its long-term sustainability have stimulated the development of health expenditure forecasting models in many OECD countries. This comparative analysis reviewed 25 models that were developed by, or used for, policy analysis by OECD member countries...
  N° 58   10 jui 2012 Cliquez pour accéder:  Income-Related Inequalities in Health Service Utilisation in 19 OECD Countries, 2008-2009
Marion Devaux, Michael de Looper
This Working Paper examines income-related inequalities in health care service utilisation in OECD countries. It extends a previous analysis (Van Doorslaer and Masseria, 2004) to 2008-2009 for 13 countries, and adds new results for 6 countries, for doctor and dentist visits, and cancer...
  N° 57   30 août 2011 Cliquez pour accéder:  The Impact of Pay Increases on Nurses' Labour Market
James Buchan, Steven Black
Nurses are usually the most numerous professionals in the healthcare workforce, and their contribution is a core component in attaining the policy objectives of improved productivity, quality of care and effectiveness in the health sector. The recent global economic crisis, and its related...
  N° 56   14 avr 2011 Cliquez pour accéder:  Description of Alternative Approaches to Measure and Place a Value on Hospital Products in Seven OECD Countries
Luca Lorenzoni, Mark Pearson
This paper provides a description of the classification systems used to measure hospital services in selected OECD countries: Australia, Canada, France, Germany, Norway, United Kingdom (England), and the United States. Three classifications are relevant: those on diagnoses; on procedures; and...
  N° 55   31 jan 2011 Cliquez pour accéder:  Mortality Amenable to Health Care in 31 OECD Countries
Juan G. Gay, Valérie Paris, Marion Devaux, Michael de Looper
This study assesses the potential of the concept of "mortality amenable to health care" as an indicator of outcome for health care systems. It presents estimates of the mortality amenable to health care in 31 OECD countries for the period 1997-2007. It measures the sensitivity of this indicator...
  N° 54   08 jui 2010 Cliquez pour accéder:  Nurses in Advanced Roles
Marie-Laure Delamaire, Gaetan Lafortune
Many countries are seeking to improve health care delivery by reviewing the roles of health professionals, including nurses. Developing new and more advanced roles for nurses could improve access to care in the face of a limited or diminishing supply of doctors. It might also contain costs...
  N° 53   08 jui 2010 Cliquez pour accéder:  Comparing Price Levels of Hospital Services Across Countries
Francette Koechlin, Luca Lorenzoni, Paul Schreyer
Health services account for a large and increasing share of production and expenditure in OECD countries but there are also noticeable differences between countries in expenditure per capita. Whether such differences are due to more services consumed in some countries than in others or whether...
  N° 52   26 mai 2010 Cliquez pour accéder:  Guidelines for Improving the Comparability and Availability of Private Health Expenditures Under the System of Health Accounts Framework
Ravi P. Rannan-Eliya, Luca Lorenzoni
This paper reports on a project to improve the comparability and availability of private health expenditure under the joint health accounts questionnaire (JHAQ) data collection. The JHAQ is a framework for joint data collection in the area of health expenditure data developed by OECD, Eurostat,...
  N° 51   29 mars 2010 Cliquez pour accéder:  Effective Ways to Realise Policy Reforms in Health Systems
Jeremy Hurst
Sometimes it is argued that the content of a reform is less important in determining whether or not it receives public and legislative approval than the timing of the proposal; the way in which the reform is presented; the discussions with stakeholders; and a multitude of other factors. The...
  N° 50   28 avr 2010 Cliquez pour accéder:  Health Systems Institutional Characteristics
Valérie Paris, Marion Devaux, Lihan Wei
In 2008, the OECD launched a survey to collect information on the health systems characteristics of member countries. This paper presents the informaton provided by 29 of these countries in 2009. It describes country-specific arrangements to organise the population coverage against health risks...
  N° 49   21 mai 2010 Cliquez pour accéder:  The Challenge of Financing Health Care in the Current Crisis
Peter Scherer, Marion Devaux
The ratio of health expenditure to GDP, which in macroeconomic terms is an indicator which summarises the financing needs of a national health system, is likely to rise in countries for which the GDP falls. Over the past four decades, health expenditure has risen in most countries at a faster...
  N° 48   20 nov 2009 Cliquez pour accéder:  Improving Lifestyles, Tackling Obesity: The Health and Economic Impact of Prevention Strategies
Franco Sassi, Michele Cecchini, Jeremy Lauer, Dan Chisholm
Overweight and obesity rates have been increasing relentlessly over recent decades in all industrialised countries, as well as in many lower income countries. OECD analyses of trends over time support the grim picture drawn in the international literature and so do projections of overweight...
  N° 47   23 nov 2009 Cliquez pour accéder:  Health Care Quality Indicators Project
Saskia Drösler, Patrick Romano, Lihan Wei
This paper reports on the progress in the research and development of the set of patient safety indicators developed by the Health Care Quality Indicators project. The indicators presented here have been recommended by an expert group for further consideration in international reporting on the...
  N° 46   15 juin 2009 Cliquez pour accéder:  Education and Obesity in Four OECD Countries
Franco Sassi, Marion Devaux, Jody Church, Michele Cecchini, Francesca Borgonovi
An epidemic of obesity has been developing in virtually all OECD countries over the last 30 years. Existing evidence provides strong suggestions that such epidemic has affected certain social groups more than others. In particular, education appears to be associated with a lower likelihood of...
  N° 45   20 mars 2009 Cliquez pour accéder:  The Obesity Epidemic: Analysis of Past and Projected Future Trends in Selected OECD Countries
Franco Sassi, Marion Devaux, Michele Cecchini, Elena Rusticelli
This paper provides an overview of past and projected future trends in adult overweight and obesity in OECD countries. Using individual-level data from repeated cross-sectional national surveys, some of the main determinants and pathways underlying the current obesity epidemic are explored, and...
  N° 44   17 mars 2009 Cliquez pour accéder:  The Long-Term Care Workforce: Overview and Strategies to Adapt Supply to a Growing Demand
Rie Fujisawa, Francesca Colombo
This working paper offers an overview of the LTC workforce and reviews country responses to a growing demand for LTC workers. In the context of ageing societies, the importance of long-term care is growing in all OECD countries. In 2005, long-term care expenditure accounted for slightly over 1%...
  N° 43   09 mars 2009 Cliquez pour accéder:  Measuring Disparities in Health Status and in Access and Use of Health Care in OECD Countries
Michael de Looper, Gaetan Lafortune
Most OECD countries have endorsed as major policy objectives the reduction of inequalities in health status and the principle of adequate or equal access to health care based on need. These policy objectives require an evidence-based approach to measure progress. This paper assesses the...
  N° 42   16 fév 2009 Cliquez pour accéder:  Policies for Healthy Ageing
Howard Oxley
This paper reviews policies in the area of healthy ageing. With the ageing of OECD countries’ population over coming decades, maintaining health in old age will become increasingly important. Successful policies in this area can increase the potential labour force and the supply of non-market...
  N° 41   18 déc 2008 Cliquez pour accéder:  The Remuneration of General Practitioners and Specialists in 14 OECD Countries
Rie Fujisawa, Gaetan Lafortune
This paper provides a descriptive analysis of the remuneration of doctors in 14 OECD countries for which reasonably comparable data were available in OECD Health Data 2007 (Austria, Canada, the Czech Republic, Denmark, Finland, France, Germany, Hungary, Iceland, Luxembourg, Netherlands,...
  N° 40   16 oct 2008 Cliquez pour accéder:  International Mobility of Health Professionals and Health Workforce Management in Canada
Jean-Christophe Dumont, Pascal Zurn, Jody Church, Christine LeThi
This report examines the role played by immigrant health workers in the Canadian health workforce but also the interactions between migration policies and education and health workforce management policies. Migrant health worker makes a significant contribution to the Canadian health workforce....
  N° 39   21 oct 2008 Cliquez pour accéder:  Pharmaceutical Pricing and Reimbursement Policies in Germany
Valérie Paris, Elizabeth Docteur
This paper describes pharmaceutical pricing and reimbursement policies in Germany, considering them in the broader environment in which they operate, and assesses their impact on the achievement of a number of policy goals. Pharmaceutical coverage is comprehensive, with a high level of public...
  N° 38   13 oct 2008 Cliquez pour accéder:  Migration of Health Workers
James Buchan, Susanna Baldwin, Miranda Munro
The UK has a population of 56 million, and most healthcare is delivered through the National Health Service (NHS). The NHS employs more than one million staff. In the late 1990s shortages of skilled staff were a main obstacle to improving services in the NHS. The response by government was to...
  N° 37   13 oct 2008 Cliquez pour accéder:  The US Physician Workforce
Richard Cooper
This review surveys trends in physician supply in the United States from 1980 to the present with particular attention to the participation of International Medical Graduates. It discussed the composition of the physician workforce with regards to the number of family practitioners,...
  N° 36   01 oct 2008 Cliquez pour accéder:  Projet OCDE sur la migration des professionnels de santé
OCDE
Ce document examine la démographie des professionnels de la santé en France ainsi que les évolutions récentes des politiques migratoire relatives aux professionnels de la santé. Il traite également de la planification des effectifs et du rôle possible du recrutement du personnel de la santé étranger dans les années à venir. L’évolution des...
  N° 35   01 oct 2008 Cliquez pour accéder:  Nurse Workforce Challenges in the United States
Linda H. Aiken, Robyn Cheung
The United States has the largest professional nurse workforce in the world numbering close to 3 million but does not produce enough nurses to meet its growing demand. A shortage of close to a million professional nurses is projected to evolve by 2020. An emerging physician shortage will...
  N° 34   01 oct 2008 Cliquez pour accéder:  Mismatches in the Formal Sector, Expansion of the Informal Sector
Jonathan Chaloff
Italy has an aging population which is placing a strain on the public health system and on families. At the same time, it has a distorted market of supply of health professionals. Past over enrolment in medical faculties has produced a current glut of doctors, although shortages will appear as...
  N° 33   22 mai 2008 Cliquez pour accéder:  Health Workforce and International Migration
Pascal Zurn, Jean-Christophe Dumont
This paper examines health workforce and migration policies in New Zealand, with a special focus on the international recruitment of doctors and nurses. 2. The health workforce in New Zealand, as in all OECD countries, plays a central role in the health system. Nonetheless, maybe more than for...
  N° 32   25 mars 2008 Cliquez pour accéder:  The Prevention of Lifestyle-Related Chronic Diseases
Franco Sassi, Jeremy Hurst
This paper provides an economic perspective on the prevention of chronic diseases, focusing in particular on diseases linked to lifestyle choices. The proposed economic framework is centred on the hypothesis that the prevention of chronic diseases may provide the means for increasing social...
  N° 31   25 fév 2008 Cliquez pour accéder:  Pharmaceutical Pricing and Reimbursement Policies in Slovakia
Zoltán Kaló, Elizabeth Docteur, Pierre Moïse
This paper examines aspects of the policy environment and market characteristics of Slovakia's pharmaceutical sector, and assesses the degree to which Slovakia has achieved certain policy goals. Pharmaceutical expenditure in Slovakia accounts for a higher share of total health expenditure than...
  N° 30   12 déc 2007 Cliquez pour accéder:  Improved Health System Performance through better Care Coordination
Maria M. Hofmarcher, Howard Oxley, Elena Rusticelli
This report attempts to assess whether -- and to what degree - better care coordination can improve health system performance in terms of quality and cost-efficiency. Coordination of care refers to policies that help create patient-centred care that is more coherent both within and across care...
  N° 29   11 oct 2007 Cliquez pour accéder:  Health Care Quality Indicators Project 2006 Data Collection Update Report
Sandra Garcia Armesto, Maria Luisa Gil Lapetra, Lihan Wei, Edward Kelley
This report is an update to the OECD Health Working Paper No. 22, Health Care Quality Indicators Project: Initial Indicators Report that was based on data collected between 2003 and 2005 and released in 2006. That report presented the OECD’s initial work on developing a set of health care...
  N° 28   26 jui 2007 Cliquez pour accéder:  Pharmaceutical Pricing and Reimbursement Policies in Sweden
Pierre Moïse, Elizabeth Docteur
This paper examines aspects of the policy environment and market characteristics of the Swedish pharmaceutical sector, assesses the degree to which Sweden has achieved certain policy goals, and puts forth some key findings and conclusions. Thanks to low mark-ups in the distribution chain and no...
  N° 27   27 juin 2007 Cliquez pour accéder:  Pharmaceutical Pricing and Reimbursement Policies in Switzerland
Valérie Paris, Elizabeth Docteur
This paper examines aspects of the policy environment and market characteristics of the Swiss pharmaceutical sector, and assesses the degree to which Switzerland has achieved certain policy goals. In Switzerland, pharmaceutical spending has not been growing faster than health expenditure as a...
  N° 26   30 mars 2007 Cliquez pour accéder:  Trends in Severe Disability Among Elderly People
Gaetan Lafortune, Gaëlle Balestat
As the number and share of the population aged 65 and over will continue to grow steadily in OECD countries over the next decades, improvements in the functional status of elderly people could help mitigate the rise in the demand for, and hence expenditure on, long-term care. This paper...
  N° 25   13 fév 2007 Cliquez pour accéder:  Pharmaceutical Pricing and Reimbursement Policies in Mexico
Pierre Moïse, Elizabeth Docteur
This paper examines aspects of the policy environment and market characteristics of Mexico's pharmaceutical sector, and assesses the degree to which Mexico has achieved certain policy goals. This paper questions the effectiveness of the maximum price regulation. It notes that retail prices...
  N° 24   22 déc 2006 Cliquez pour accéder:  Pharmaceutical Pricing and Reimbursement Policies in Canada
Valérie Paris, Elizabeth Docteur
This paper describes and assesses pharmaceutical pricing and reimbursement policies in Canada, considering them in the context of the broader policy and market environment in which they operate, and investigating their role in contributing to Canada’s achievements in meeting a range of...
  N° 23   09 mars 2006 Cliquez pour accéder:  Health Care Quality Indicators Project
Edward Kelley, Jeremy Hurst
This paper represents an attempt to set out a conceptual framework for the OECD’s Health Care Quality Indicator (HCQI) Project. Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, should they be measured. The need for a...
  N° 22   09 mars 2006 Cliquez pour accéder:  Health Care Quality Indicators Project
Soeren Mattke, Edward Kelley, Peter Scherer, Jeremy Hurst, Maria Luisa Gil Lapetra, HCQI Expert Group Members
The OECD Health Care Quality Indicator (HCQI) Project was started in 2001. The long-term objective of the HCQI Project is to develop a set of indicators that can be used to raise questions for further investigation concerning quality of health care across countries. It was envisioned that the...
  N° 21   16 jan 2006 Cliquez pour accéder:  The Supply of Physician Services in OECD Countries
Steven Simoens, Jeremy Hurst
The delivery of an appropriate quantity and quality of health care in an efficient way requires, among other things, matching the supply with the demand for the services of physicians, over time. Such matching has led to very different levels of physicians per million population across OECD...
  N° 20   11 mai 2005 Cliquez pour accéder:  Consumer Direction and Choice in Long-Term Care for Older Persons, Including Payments for Informal Care
Jens Lundsgaard
As the number of older persons in need of long-term care increases, efforts to support older persons remaining in their home are intensified in most OECD countries. In this context of ageing in place, there is a movement towards allowing more individual choice for older persons receiving...
  N° 19   01 jan 2005 Cliquez pour accéder:  Tackling Nurse Shortages in OECD Countries
Steven Simoens, Mike Villeneuve, Jeremy Hurst
There are reports of current nurse shortages in all but a few OECD countries. With further increases in demand for nurses expected and nurse workforce ageing predicted to reduce the supply of nurses, shortages are likely to persist or even increase in the future, unless action is taken to...
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