On-Call Facility for International Healthcare Comparisons
Recognising that robust information on health systems in other countries can provide valuable lessons for the National Health Service in England, the Department of Health commissioned a team of researchers at RAND Europe and the London School of Hygiene and Tropical Medicine to provide an On-call Facility for International Healthcare Comparisons.
Project themes are selected in close consultation with the Department of Health. We provide in-depth analyses and rapid-response-type briefings based on information provided by a network of health policy experts in a range of OECD countries. Topics explored to date include funding intensive care; international benchmarking of healthcare quality; healthcare capacity planning; roles and responsibilities of national ministries of health; and regulation of competition between publicly financed hospitals.
The report reviews the published and grey literature on international variation in the use of medicines: osteoporosis, atypical anti-psychotics, dementia, rheumatoid arthritis, cardiovascular disease/lipid-regulating drugs (statins), and hepatitis C.
This report reviews approaches to funding intensive care in systems that use activity-based payment based on diagnosis-related groups to reimburse hospital care (Victoria/Australia, Denmark, France, Germany, Italy, Spain, Sweden, US-Medicare).
The report describes existing indicators to compare healthcare quality in different countries and their challenges. Case studies of avoidable mortality and cancer survival illustrate the potential of cross-national comparisons and their difficulties.