European Health Care Reform Trends

BBI Newsletter, The, Oct 1, 1998

>* Better primary care with a wider range of services * Limitations on secondary and tertiary care access by primary care referral * Greater emphasis on preventive health care * Fewer and smaller hospitals with greater focus on specialist services * More decentralization of decision-making to improve quality and to better control costs * Greater use of evidence-based medicine, outcome measurements and clinical audits in assessing clinical effectiveness * Greater use of information technology to stimulate evidence-based health care * Increasingly complex contracting and managed competition systems * Encouragement of greater individual responsibility in health care Source: The BBI Newsletter