Health care reforms in Europe and their implications for Japan. Peter C. Smith Centre for Health Economics University of York. Structure of presentation. Introduction Promoting cost-effectiveness Cost containment Markets and competition Quality improvement Other aspects of reform
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Peter C. Smith
Centre for Health Economics
University of York
Kanavos, P and Reinhardt, U (2003), “Reference Pricing For Drugs: Is It CompatibleWith U.S. Health Care?”, Health Affairs, 22(3), 16-30.
English performance ratings: episodesacute hospitals
Hospitals with the highest levels of performance
Hospitals that are performing well overall, but have not quite reached the same consistently high standards
Hospitals where there is some cause for concern regarding particular key targets
Hospitals that have shown the poorest levels of performance against key targets
… a satisfactory quality inspection.
York Hospital Performance Rating 2002 episodescontinued
Rectal Cancer Surgery
Esophageal and Gastric Cardia Cancer
Cervical Cancer Screening
Malignant Melanoma of Skin
Total Hip Replacement
Lumbar Spine Surgery
Spinal Cord Injury
…. about 50 in total.SWEDENSome active quality registries
Source: Rehnqvist, N. (2002), "Improving accountability in a decentralised system", in P. Smith, Measuring up: improving health systems performance in OECD countries, Paris: OECD.
DJ Spiegelhalter, R Kinsman, O Grigg and T Treasure. (2003) ‘Risk-adjusted sequential probability ratio tests: applications to Bristol, Shipman, and adult cardiac surgery’, International Journal for Quality in Health Care15:7–13.