Promoting evidence-based health policy making: The European Observatory on Health Systems & Policies (in association with the University of Pennsylvania)

Slides:



Advertisements
Similar presentations
Assessing future health workforce needs Policy Summary Draft for consultation Gilles Dussault, James Buchan, Walter Sermeus, Žilvinas Padaiga Leuven April.
Advertisements

Lisbon - Copenhagen - Maastricht Consortium December 2004 Tom Leney VET – Challenges and research agendas.
Capacity Building for Public Health and Health Promotion in Central and Eastern Europe Caroline Costongs Programme Manager EuroHealthNet
G20 Training Strategy Bridging Education, Training, and Decent Work
Health and Consumers Health and Consumers Future challenges for the EU health workforce Katja Neubauer Deputy Head of Unit Healthcare Systems Directorate-General.
EAC HIGHER EDUCATION POLICY
CARMEN Policy Observatory and Dialogue Proposal Presentation to the CARMEN Directing Board Meeting San Juan, Puerto Rico 30 June 2003.
Best Practice : What Lessons can we Learn from Other Countries Dr. Marcus Powell International Development Consultant.
In Europe, When you ask the VET stakeholders : What does Quality Assurance mean for VET system? You can get the following answer: Quality is not an absolute.
Study Project The Countries and Capitals of the European Union.
Council of Deans of Health Anne Marie Rafferty – Executive member; Council of Deans of Health.
Research into policy A dialogue of the deaf? Martin McKee European Observatory on Health Care Systems & London School of Hygiene and Tropical Medicine.
Workforce for the Future: Portfolio Careers to Address Workforce Gaps Joanne Platt Project Manager: NHS Chorley and South Ribble and NHS Greater Preston.
 To be a nurse is a calling and difficult to describe in words. Who can say why a person would want to do a nurses work, but those who do will tell you.
Integration of Adult Health and Social Care VHS Member event, Monday 1 July Grant Hughes, Scottish Government
The impact of human resource management on health systems
Migration of the healthcare workforce Macedonia /24/
HUMAN RESOURCE PLANNING
Creative Knowledge and the Competitiveness of EU Metropolitan Regions The EU ACRE FP6 Project Julie Brown, Caroline Chapain, Alan Murie, Austin Barber,
1 “European R&D Benchmarking (2002) “European R&D Benchmarking (2002)” Science, Technology and Innovation Policy Student Presentations Students: Miguel.
1 Changing attitudes and perceptions about older workers AGE - the European Older People’s Platform Changing attitudes and perceptions about older workers.
ISARE : Health indicators in the regions of Europe André Ochoa for Isare team ISARE : Health indicators in the regions of Europe André Ochoa for Isare.
Federation of Occupational Health Nurses within the European Union.
Unit 9. Human resource development for TB infection control TB Infection Control Training for Managers at National and Subnational Level.
Regional Trading Agreements European Union 1. RTA 1945 – 1959 A peaceful Europe – the beginnings of cooperation Aim of ending the frequent and bloody.
Promoting learning | Developing guidance | Sharing ideas Benchmarking Integrated Care for better Management of Chronic and Age-related Conditions in Europe.
Getting in on the Act : The 2014 SEND Reforms Explained Jane Friswell Chief Executive.
ICMEC seminar, 22 February 2010 The provision of child care services; the Barcelona targets revisited Janneke Plantenga
Governance approaches in the forming of European health strategies: European Commission (EC) ‘Together for Health’ and World Health Organisation (WHO)
Zambian Experience, Issues and Constraints Directorate of Policy and Planning Ministry of Health Zambia UK Health Workers Alliance Seminar.
IAS Members Working Together for a Stronger Health Workforce IAS General Members and Policy Meeting Sydney, 24 th July 2007.
Environmental issues and local development Partnerships and the Green Economy Styria, 11 th October 2010 Gabriela Miranda
Alliances Lesson Starter What do you think is meant by the term alliances? This picture may give you a clue…
Feasibility of Multi-Stakeholder Cooperative in Delivering Rural Home Care 2014 NCHN Annual Educational Conference Presentation by Susan Noble, Executive.
The European Union (Don’t write) Belgium, Denmark, France, Germany, United Kingdom, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain,
Paul Griffiths and Roland Simon Wrap-up presentation What has the EMCDDA learned ?
1 8 th Meeting 13, 14, 15 June 2005 Oulu – Finland Marinus Verweij, MD Chairman EuHPN.
Novi sad - 20 April 2007 Workers’ Mobility Within EU 27 ECAS - European Citizen Action Service Claire Damilano- Legal officer.
Health challenges in an enlarged Europe Report from Parallel Session A1 Dr. Natasha Azzopardi Muscat Ministry of Health - Malta.
Schools for Health in Europe SHE Goof Buijs NIGZ 8 June 2008 Vancouver, partnership track.
P R O F I T ( ) Policy Responses Overcoming Factors in the Intergenerational Transmission of Inequalities Priority 7, STREP CIT2-CT
The Green Paper on the EU Workforce for Health VENICE, 25 June 2009 Elizabeth Kidd Health Strategy & Health Systems Unit European Commission.
From Doctor to Chief Executive Dr Mark Newbold Chief Executive Officer Heart of England NHS Foundation Trust.
Annual Meeting of the ASADI – Science Academies as Partners for Improving the Impact of Policies in Africa Session V: Partnership Themes for Development.
THE EUROPEAN UNION.
Making development evaluation more coherent through Country-Led M&E Systems* Marco Segone, Systemic Management, UNICEF Evaluation Office, and former Vice.
Dr. Shahram Yazdani 1 Policy Support Function Dr. Shahram Yazdani Shahid Beheshti University of Medical Sciences School of Medical Education Strategic.
Youth in Action Youth in Action supports providing competencies for young people contributes to the Lisbon strategy builds on the previous.
Trade Union Training on Employment Policies – Focus on Youth Turin, 10 July 2007 Kristian Weise, ITUC.
Housing with Care and Support. Workforce challenges and solutions.
The Mission of CERN  Push back  Push back the frontiers of knowledge E.g. the secrets of the Big Bang …what was the matter like within the first moments.
Presented By: Carl Thomas Mosby III. Quick Facts: McKesson has been distributing healthcare products since 1833 McKesson Corporation is the fifty-seventh.
EQAVET Sectoral Seminar – Quality Assurance in the Healthcare sector in Europe May 2011 Stavanger, Norway Kim Faurschou.
                 HTA: political and ethical perspectives Presentation to Forum on Pharmaceutical Policy in the Enlarged Europe at 7 th.
Adult Autism Strategy for England Sarah Lambert Head of Policy
Statutory guidance to implement strategy for adults with autism in England consultation The Department of Health is asking for views on their draft statutory.
Immigration by Bill Bosshardt Election Economics.
21 ST CENTURY SKILLS Tabitha Thomas, CSI, Tabernacle Elementary.
WORK & EDUCATION Matching Skills to Labour Skills Market

David Heaney on behalf of the Recruit and Retain : Making it Work team
Marcom International for OSHA
SOCIAL DIALOGUE IN THE SOCIAL SERVICES SECTOR IN EUROPE
EU health institutional and policy developments
HUMAN RESOURCE PLANNING
§ EUROPEAN ASSOCIATION OF SENIOR HOSPITAL PHYSICIANS Brussels 2018.
Giles Denham Director of Strategic Relationships
THE ETF – HELPING countries develop through learning
HEALTH EQUITY EUROPE JOINT ACTION
Our attempt to bridge the Science Policy gap: Volunteers needed
Presentation transcript:

Promoting evidence-based health policy making: The European Observatory on Health Systems & Policies (in association with the University of Pennsylvania)

Context  Common health system challenges  Cross country learning potential –Transference of models and ideas  Limited availability of evidence about impact –Reforms rich in ideology but poor in knowledge –Transitory fashions  When available does not reach policy makers

Mission The European Observatory on Health Systems and Policies supports and promotes evidence- based health policy-making through comprehensive and rigorous analysis of the dynamics of health care systems in Europe

Principles  Working in partnership with governments to comprehensively describe health care systems and the changes they undergo  Comparative analysis of existing evidence  Bridging the gap between scientific evidence and the needs of policy makers  Development of practical lessons and options in health policy making

Partners  WHO Regional Office for Europe  8 governments (Belgium, Finland, Greece, Norway, Slovenia, Spain, Sweden, Veneto Region of Italy),  European Investment Bank, World Bank  Open Society Institute  London School of Hygiene & Tropical Medicine, London School of Economics & Political Science, CRP-Santé Luxembourg

Health Care Systems in Transition (HiT) country profiles  Analytical description of health care system and of reform initiatives in progress or under development  Covers (almost) all 52 Member States of WHO European Region (European Union, central and eastern Europe, former Soviet Union, South-East Europe, Turkey, Israel etc.) plus Mongolia

2. Comparative analysis / studies

The health workforce: From today’s newspaper Jobs shortage for new doctors BMA chief warns that thousands trained in Britain may need to emigrate The Observer, 25th June 2006

Who is in charge? “in four days my bedding was only changed once although soiled by blood, IV fluids, and a leaky catheter” “despite high fever and being constrained by attachment to an IV, my sheets were never even straightened” “a cannula was replaced at one point but the old one was not removed for three hours because the nurses and the phlebotomist could not agree whose responsibility this was” “three staff nurses remarked in a 10 minute period on how I was due for paracetamol but none returned to give me the tablet” Anonymous: Four days in a strange place. J Health Serv Res Pol 2006

… to put it mildly “perhaps the most telling example, though, was the struggle over my attempt to get discharged. … the only reason for detaining me was that I was receiving IV antibiotics. I pointed out firmly and repeatedly that this was absurd, since I could easily come and get these as an outpatient… junior clinicians told me it was organisationally impossible, but the consultant let slip that the problem was that they would have to ask the nurses to do them a favour by agreeing to manage the infusion”

The problem… “Care was being delivered by a group of professional and semi-professional workers, each of whom occupied their own silo, occasionally picking up information from others to initiate some action, or acting in ways that triggered actions by others, but who were unable to see how they formed part of a whole system”

Moving ahead Supply strategies –Need for vastly improved forecasting methods –… which take account of the unknowable Education and training strategies –Adapting training to needs –Life long learning Working environment strategies –Creating places where people want to work

The unknowable “there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do not know. But there are also unknown unknowns, the ones we don’t know we don’t know. And … it is the latter category that tend to be the difficult ones.”

Moving ahead Supply strategies –Need for vastly improved forecasting methods –… which take account of the unknowable Education and training strategies –Adapting training to needs –Life long learning Working environment strategies –Creating places where people want to work

… as does a trained workforce “OK, we’ll vote. How many say the heart has four chambers?” … Trained staff don’t appear overnight

Moving ahead Supply strategies –Need for vastly improved forecasting methods –… which take account of the unknowable Education and training strategies –Adapting training to needs –Life long learning Working environment strategies –Creating places where people want to work

A happy workforce makes a difference 39 hospitals defined prospectively as providing a good nursing environment; matched with 195 controls with similar characteristics in other areas; after adjustment for severity; magnet hospitals had a 4.6% lower mortality rate board certification, technology etc.. not relevant Source: Aiken & Sloane

Further reading

What are the critical gaps in the health workforce What are the critical challenges facing the health care workforce in the 21st century? –Nigel Edwards What are the critical skills that we will need (and who will have them) to meet those challenges? –Bonnie Sibbald What are the regulatory challenges to closing these critical workforce gaps? –Carl Ardy Dubois Discussion –Julie Sochalski