Health systems in OECD countries are under pressure to improve their performance. Against that background, this paper has three main aims: To compare concepts of the ‘performance’ of health care systems developed by the WHO and by the OECD, with ‘performance frameworks’ adopted in...

Sometimes it is argued that the content of a reform is less important in determining whether or not it receives public and legislative approval than the timing of the proposal; the way in which the reform is presented; the discussions with stakeholders; and a multitude of other factors. The OECD...

There is much interest in the Japanese health care system from the perspective of other OECD countries. The Japanese health care system appears to perform well. What explains this apparently good performance? This paper aims both to provide a description of how the Japanese health system works...

<OL><LI>Waiting times for elective surgery are a significant health policy concern in approximately half of all OECD countries. The main objectives of the OECD Waiting Times project were to: <I>i)</I> review policy initiatives to reduce waiting times in 12 OECD countries; and <I>ii)</I> to investigate the causes of...</i></i></li></ol>

<OL><LI>Policy-makers responsible for publicly-funded drug programmes face continual pressures between the demand to accommodate a steady stream of new and more effective drugs and the ongoing requirement to control costs.</LI> <LI>In the face of these pressures, a growing number of OECD countries are applying...</li></li></ol>

Waiting times for elective (non-urgent) surgery are a main health policy concern in approximately half of OECD countries. Mean waiting times for elective surgical procedures are above three months in several countries and maximum waiting times can stretch into years. They generate...

<OL><LI>There are reports of current nurse shortages in all but a few OECD countries. With further increases in demand for nurses expected and nurse workforce ageing predicted to reduce the supply of nurses, shortages are likely to persist or even increase in the future, unless action is taken to...</li></ol>

This paper represents an attempt to set out a conceptual framework for the OECD’s Health Care Quality Indicator (HCQI) Project. Two main issues are tackled: what concepts, or dimensions, of quality of health care should be measured and how, in principle, should they be measured. The need for a...