Obs presentation montevideo 2010 final 1
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The European Observatory on Health Systems and Policies: relevance and roles Reinhard Busse & Suszy Lessof
Transcript of Obs presentation montevideo 2010 final 1
The European Observatory
on Health Systems and
Policies: relevance and roles
Reinhard Busse & Suszy Lessof
Central Principles
• Comparative description of health systems & policies and analysis of existing evidence
• Bridge the gap between scientific evidence and the needs of policy makers
• Development of practical lessons and options in health policy making
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Our basic assumption: Evidence and evaluation for better health systems
Publishedliterature
„Grey“literature
Countryexperience
Our basic assumption: Evidence and evaluation for better health systems
Active &adequate
dissemination
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Our basic assumption: Evidence and evaluation for better health systems
& responsiveness& financial protection& equity & efficiency
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Our basic assumption: Evidence and evaluation for better health systems
Our basic assumption: Evidence and evaluation for better health systems
Performance assessment as evidence
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Central Principles
• Comparative description of health systems & policies and analysis of existing evidence
• Bridge the gap between scientific evidence and the needs of policy makers
• Development of practical lessons and options in health policy making
• Partnership
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How partnership is key
• Evidence on knowledge transfer – Knowing what is relevant – Knowing how to present it so it is accessible – Being timely – Being trusted
• Partners are key to bridging the gap between scientific evidence and policy makers
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• International agencies: WHO Regional Office for Europe, the European Commission, the World Bank, the European Investment Bank
• National and regional governments: Belgium, Finland, France, Greece, Ireland, Norway, the Netherlands, Spain, Sweden and Slovenia, as well as the Veneto Region of Italy
• Academia: the London School of Economics and Political Science (LSE), the London School of Hygiene & Tropical Medicine (LSHTM)
• Social insurance: UNCAM (association of sickness funds), France
The European Observatory partnership
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Governance
• Steering Committees twice a year • WHO and the Chair for day to day review • Ongoing updates, sharing of drafts, discussions• Independent, academic research directors• A professional and dedicated Secretariat
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WHO and management
• An international platform – Employment – Legal status – Financial stability and credibility
• Access to governments • Credibility
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Research teams, hubs and management
• Hubs based in academia– Berlin– LSE– LSHTM
• Academic inputs – networks • Culture and quality
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The Observatory’s core mission
We support and promote evidence-based health policy-making through comprehensive and rigorous analysis of the dynamics of health care systems in Europe:
• Country monitoring• Health systems and policy analysis• Assessing & comparing performance• Disseminating the evidence
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• Health Systems Reviews (HiT) profiles provide a detailed description and assessment,
• follow a standardised format• are based on a « template »
with questions to authors, • cover all European and some
other OECD countries
details next session
1. Country monitoring
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2. Health systems and policy analysis
Selection of topics: • relevance to policy/ open questions• can build on existing primary
research – but good comparative/ summarising work lacking
• detailed proposal & discussion in Steering Committee
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2. Health systems and policy analysis
Conduct of work: • Lead researchers/ editors & network
of researchers/ authors • Review of evidence & country case
studies• Workshop with authors & policy-
makersResulting work:• Policy options and (non normative)
lessons• Book & policy-dialogues etc. 17
Financing/ funding/ purchasing/ paymentProvision (by sector: hospitals, primary care ...)
Provision (by patient group: mental health, chronic diseases, infectious diseases, migrants ...)
Human resourcesQuality / Health Technology Assessment
Governance/ regulation (including role of EU)Sub regional / comparative (Central/ eastern Europe, countries with social health insurance ...)
Public health
Topic areas covered
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