Health Care Systems

Health care systems organise the finance and delivery of health care. They vary by country, reflecting specific history, culture, and economics. To maximise coverage and efficiency they must evolve with changing demographics, needs, and technologies.

Insights

Reforming Primary Health Care in Middle-Income Countries: The Good, the Bad, and the Ugly

18 July 2022

A recent series of papers examines the effects of multiple primary health care interventions (introduction of health facility accreditation, introduction of user fees, and discontinuation of performance-based financing schemes) under Egypt’s Health Sector Reform Program between 2000 and 2014.

Insights

Ignoring the needs of our future workforce could have disastrous consequences for the UK NHS and its patients.

12 May 2022

Ignoring the needs of our future workforce could have disastrous consequences for the UK NHS and its patients. In economics, we have a pretty complicated name…

Invest to End TB. Save Lives. World TB Day 2022. Reflections on 60 years of OHE publications on TB
Insights

Invest to End TB. Save Lives. World TB Day 2022. Reflections on 60 years of OHE publications on TB

24 March 2022

Global TB deaths are increasing. CGD and OHE set out a “Market-Driven, Value-Based, Advance Commitment (MVAC)” that would create and guarantee a market for a breakthrough…

Flipping wooden cubes block which print screen stop smoking to good health condition
Insights

No Smoking Day 2022: Reflecting on OHE Projections from 1994

9 March 2022

Since 1984, the UK’s second Wednesday of each March is NO SMOKING DAY (NSD). The NSD aims to encourage smokers who want to quit. In 2022,…

US Capitol building at sunset Washington DC USA
Insights

OHE Critique of CBO’S Pharmaceutical Investment Model Provides Warning for Policymakers on Reliability of Estimates

3 December 2021

As US policymakers consider the potential implications of the drug pricing reforms contained within the Build Back Better Act, OHE releases a critique of the Congressional Budget Office scoring, demonstrating that the estimates are highly uncertain and policymakers should exercise caution when relying upon them.

Colorful stacked blocks with coin piles and rings on a pink background, suggesting growth or wealth building.
Insights

Allocating Public Spending Efficiently: Is There a Need for a Better Mechanism to Inform Decisions in the UK and Elsewhere?

16 June 2021

Our new paper explores the evidence currently being used to allocate budgets between public sector activities in the UK and its limitations. We argue that there…

Dandelion-inspired metal sculpture with radiating spokes silhouetted against a sunset sky at dusk, an outdoor art installation.
Insights

Efficiency Measurement in Primary Care: Time to Overcome the Challenges and Achieve Some Gains

10 March 2021

Why is the measurement of efficiency in health care so important, but equally challenging? And why is it especially so in primary care?

Panoramic view of Plaza de España in Seville: red-brick arches, ornate towers, a canal, and a stone bridge under a blue sky.
Insights

‘HispaNICE’: the Creation of an ‘Independent Authority for the Evaluation of Health Practices and Policies’ Gathers Momentum

24 February 2021

This blog summarises an initiative taken by more than 300 health economists and experts in support of the creation of an independent health technology assessment agency in Spain.

Making Outcome-Based Payment a Reality in the NHS. Phase Two: Practical Considerations
Publication

Making Outcome-Based Payment a Reality in the NHS. Phase Two: Practical Considerations

1 December 2021

Outcome-based payment (OBP) is a flexible payment mechanism linking the price the NHS pays for a medicine to the outcomes it achieves in practice for NHS…