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Value for Money in Health Spending

image of Value for Money in Health Spending

Health spending continues to rise inexorably, growing faster than the economy in most OECD countries. Most of this spending comes from the public purse. Given the recent economic downturn, countries are looking for ways to improve the efficiency of health spending. This publication examines current efforts to improve health care efficiency, including tools that show promise in helping health systems provide the best care for their money, such as pay for performance, co-ordination of care, health technology assessment and clinical guidelines, pharmaceutical re-imbursement and risk-sharing agreements, and information and communication technology.

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Improving Co-ordination of Care for Chronic Diseases to Achieve Better Value for Money

Health care systems in OECD countries have become increasingly complex: multiple providers, lack of adherence to care protocols, inconsistencies in reimbursement and decentralised medical records are still the status quo in most OECD health systems. The problems that health systems have to deal with have evolved too: with more patients receiving care from multiple providers for chronic conditions, there is a growing problem of fragmentation within health systems. This results in poor patient experiences, coupled with ineffective and unsafe care. Can better co-ordination contribute substantially to solving these problems? What tools can be used to improve the co-ordination of care? This chapter explores the barriers to good co-ordination and looks at what can be done to improve the co-ordination of care in health systems across the OECD.

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