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Found 124 results
  1. Content Article
    The King's Fund compared the healthcare systems in different countries by doing three things: Reviewed the research literature and assessed previous attempts to rank and compare health care systems. Interviewed academic experts in international health care policy and experts who had extensive knowledge of the UK, German and Singaporean healthcare systems. Analysed the latest quantitative performance data for the UK health care system and the health systems of 18 higher-income peer countries.  They analysed data in three main domains:  the context the health system operates in (eg, the health status and behaviours of the population)  the resources a health system has (eg, levels of staffing, equipment and health care spending)  how well the health care systems uses its resources and what it achieves as a result (eg, measures of efficiency in delivering services, quality of care, financial protection from the costs of ill health, and health care outcomes). 
  2. News Article
    The number of adults living with diabetes worldwide will more than double by 2050, according to research that blames rapidly rising obesity levels and widening health inequalities. New estimates predict the number will rise from 529 million in 2021 to more than 1.3 billion in 2050. No country is expected to see a decline in its diabetes rate over the next 30 years. The findings were published in The Lancet and The Lancet Diabetes & Endocrinology journals. Experts described the data as alarming, saying diabetes was outpacing most diseases globally, presenting a significant threat to people and health systems. “Diabetes remains one of the biggest public health threats of our time and is set to grow aggressively over the coming three decades in every country, age group and sex, posing a serious challenge to healthcare systems worldwide,” said Dr Shivani Agarwal, of the Montefiore Health System and the Albert Einstein College of Medicine in New York. The research authors wrote: “Type 2 diabetes, which makes up the bulk of diabetes cases, is largely preventable and, in some cases, potentially reversible if identified and managed early in the disease course. However, all evidence indicates that diabetes prevalence is increasing worldwide, primarily due to a rise in obesity caused by multiple factors.” Structural racism experienced by minority ethnic groups and “geographic inequity” were accelerating rates of diabetes, disease, illness and death around the world, the authors said. Read full story Source: The Guardian, 22 June 2023
  3. Event
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    The WHO Asia-Pacific Patient Safety (APPS) Network has been established to provide a robust platform for patient safety practitioners and experts from the region to share practices, approaches, resources, ideas, experiences and opportunities in patient safety; to support building high reliability health care in the Asia-Pacific region. APPS Network is aligned to Global Patient Safety Action Plan (GPSAP) 2021 to 2030, with the aim to eliminate avoidable harm in healthcare, in order to scale up its implementation and facilitate real-time discussions on patient safety issues in the Asia-Pacific, to collectively work on possible patient safety solutions. The webinar will feature speakers from the Asia-Pacific region who will share on “Patient Safety Actions in the Asia-Pacific” and strategic approaches on how APPS can support collective efforts towards avoidable harm in healthcare. Register
  4. Content Article
    In this article in the New Yorker, Lucy Easthope, who has worked on major emergencies since 9/11, says that small interventions can make a significant difference.
  5. News Article
    Scientists have "super-engineered" polio vaccines to prevent them mutating into a dangerous form that can cause outbreaks and paralysis. The oral vaccines contain weakened live polio viruses and the genetic redesign locks them into that weakened state. The US and UK teams have now created upgraded vaccines against all three types of polio. However, better vaccines still need to reach every child in order to stop the disease. Read full story Source: BBC News, 14 June 2023
  6. Content Article
    Race and ethnicity have been associated with poor pregnancy outcomes in many countries. In the UK, the rates of baby death and stillbirth among Black and Asian mothers are double those for White women. Most studies examine trends for individual countries. This large database study explored how race and ethnicity is linked to pregnancy outcomes in wealthy countries. Key findings Black women consistently had worse outcomes than White women across the globe.  Hispanic women were three times more likely to experience baby death compared with White women.  South Asian women had an increased risk of early birth and having a baby with an unexpectedly low weight (small for the length of pregnancy) compared with White women.  Racial disparities in some outcomes were found in all regions. The researchers call for a global, joined-up approach to tackling disparities. Breaking down barriers to care for ethnic minorities, particularly Black women, could help. More research is needed to understand why outcomes are for worse for ethnic minorities. The researchers recommend routine collection of data on race and ethnicity. The link below takes you to the Plain English summary of the research, you can also view the full research study.
  7. News Article
    These are challenging times for hospitals. Covid-19 put unprecedented stress on health systems, as have inflation and global financial uncertainty. In the USA and around the world, leading hospitals are dealing with rising costs, aging populations and a medical workforce exhausted from battling a global pandemic. Among the hallmarks of great hospitals, however, are not just first-class care, first-class research and first-class innovation. The very best institutions also share another quality: consistency. The world's best hospitals consistently attract the best people and provide the best outcomes for patients as well as the most important new therapies and research. Of all the hospitals in the world, relatively few can do all those things year in and year out. To recognise them, Newsweek and global data firm Statista have put together their fifth annual listing of the World's Best Hospitals 2023. This year, they have ranked over 2,300 hospitals in 28 countries, including one that is new to the list, Taiwan. For the first time, they have ranked all top 250 global hospitals. They have listed the best hospitals by country; each country list also includes a listing of top specialty hospitals. Read full story Source: News Week
  8. News Article
    A study in 11 countries over four continents has shown the “catastrophic impact” of antibiotic resistance on babies with sepsis, with nearly one in five dying. The two year observational study enrolled 3204 babies with clinical sepsis in 19 hospitals in Africa, Asia, Europe, and Latin America. It found that 17.7% were blood culture pathogen positive, and mortality rates among infants up to 60 days old with culture positive sepsis was 17.7%. The research, published in PlOS Medicine, also highlighted wide variation in treatment and frequent switching of antibiotics because of resistance, with 206 antibiotic combinations used by the hospitals studied in Bangladesh, Brazil, China, Greece, India, Italy, Kenya, South Africa, Thailand, Vietnam, and Uganda. Read full story Source: BMJ, 9 June 2023
  9. News Article
    The World Health Organization’s new pandemic preparedness treaty is being watered down and stripped of the key stipulations needed to prevent another global health disaster, say leading international health experts and civil society groups. WHO’s 194 member states agreed in December 2021 to draw up a new convention to ensure that the world would be prepared for future global health threats and to prevent the “catastrophic failure” seen during the covid pandemic. The “zero draft” of the accord, published in February, had excited observers because its scope went beyond the closest existing legally binding framework, the International Health Regulations. That draft stipulated strong obligations for information sharing and the importance of having a strong health workforce and universal healthcare, among other requirements. The latest 42 page document, leaked during the World Health Assembly, has revealed that many passages that experts regard as key to improving global health have been weakened or made optional, meaning that they could be removed in the final draft. Read full story Source: BMJ, 31 May 2023
  10. News Article
    The world must urgently prepare for a global “tsunami” of millions of older cancer patients or risk healthcare systems being unable to cope, leading doctors have warned. With life expectancy increasing and a rapidly soaring population of older people, a looming increase in elderly patients with cancer was now a “serious public health concern”, the American Society of Clinical Oncology (ASCO) said in a report. Cancer centres must prepare for “the silver oncologic tsunami”, the experts added. At ASCO’s annual meeting in Chicago, the world’s largest cancer conference, Dr Andrew Chapman, the director of the Sidney Kimmel Cancer Center-Jefferson Health and a specialist in geriatric oncology, said: “As the population expands and the incidence goes way up, are we really prepared to deal with those needs? I think globally, we’re not prepared.” “We know cancer is a disease that is associated with ageing, and there are a number of biological mechanisms as to why that is,” Chapman said. “What is often times missed is that the older adults’ goals, wants, needs, preferences, and issues are much different than those of the average adult. “Sometimes there’s a nihilism – ‘if you’re older we’re not going to bother’ – which is horrible,” he added. Dr Julie Gralow, the chief medical officer and executive vice-president of ASCO, said healthcare systems should act immediately to avoid being overwhelmed by the dramatic rise in older cancer patients. “By 2040, the global burden is expected to grow to 27.5m new cancer cases and 16.3m cancer deaths simply due to the growth and ageing of the population.” Read full story Source: The Guardian, 5 June 2023
  11. Content Article
    This study in the Journal of Patient Safety and Risk Management aimed to assess the patient safety situation in Ghana across the World Health Organization's (WHO’s) 12 action areas of patient safety. The authors used interviews and observation including a WHO adapted questionnaire across 16 selected hospitals, including two teaching hospitals selected from the northern and southern parts of the Ghana. The key strength identified in the patient safety situational analysis was knowledge and learning in patient safety, while patient safety surveillance was the weakest action area identified. There were also weaknesses in areas such as national patient policy, healthcare associated infections, surgical safety, patient safety partnerships and patient safety funding.
  12. Content Article
    Multisectoral efforts to influence behaviours around healthy diet and exercise, while essential, have been insufficient to halt the rising prevalence of obesity. While these efforts must continue and escalate, it is now imperative to also deliver a corresponding health system response which ensures that services to prevent, treat and manage the disease are universally available, accessible, affordable, and sustainable. WHO “Health service delivery framework for prevention and management of obesity” offers a way forward.
  13. Event
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    H20 Summit 2023: Geopolitical Order at a Turning Point and Implications on the Future of Health4All – The Power of Cohesiveness in the G20 & G7 G20 and G7 policymakers, government ministers, multilateral organisations, the global health community, the private sector, economists and investors, civil society and academia, will join discussions to build upon the recommendations of the G7 Leaders Declaration and ensure cohesiveness and assess the G20 Presidency priorities ahead of this year’s G20 Health-, Finance Ministerial and Leaders’ meetings. The Summit will be opened by Dr Tedros Adhanom Ghebreyesus, Director-General of the WHO and Baroness Patricia Scotland, Secretary General of the Commonwealth with further speakers to be announced shortly. Day 1 Will focus on the role of global health in times of multipolar crises and the need for more proactive cohesiveness between the G20 and G7. The report “The Roadmap to Sustainable Finance in Health,” will be launched during the H20 and participants will highlight the misalignment between the health and finance community. They will discuss the trends in sustainable financing in health and assess the need to redesign the Global Health Architecture, given the multi-faceted challenges that impact Health4All including climate change, geopolitical turmoil, social exclusion and migration. Day 2 Will take stock of current political initiatives within the G20+ and their impact on rising challenges, such as antimicrobial resistance. Further panels will discuss the opportunities to improve Health4All by harnessing AI solutions. Panellists will also evaluate the risks on this path, potentially manifesting or increasing inequitable access to healthcare and innovation, triggered, amongst others, by social exclusion. Finally, participants will discuss the impact of the gender divide on healthcare and external risks such as climate change. Register
  14. News Article
    The head of the World Health Organisation warned on Tuesday that governments need to prepare for a disease even deadlier than Covid-19. Dr Tedros Adhanom Ghebreyesus, director general of WHO, told its annual health assembly in Geneva that it was time to advance negotiations on preventing the next pandemic. He warned that nation states cannot “kick this can down the road” and that the next global disease was bound to “come knocking”. Dr Tedros said: “If we do not make the changes that must be made, then who will? And if we do not make them now, then when?” He added: “The threat of another variant emerging that causes new surges of disease and death remains. And the threat of another pathogen emerging with even deadlier potential remains.” Read full story Source: The Independent, 24 May 2023
  15. News Article
    As excitement builds throughout health and information systems worldwide over the rich potential benefits of new tools generated by artificial intelligence (AI), the World Health Organization (WHO) has called for action to ensure that patients are properly protected. Cautionary measures normally applied to any new technology are not being exercised consistently with regard to large language model (LLM) tools, which use AI for crunching data, creating content, and answering questions, WHO warned. “Precipitous adoption of untested systems could lead to errors by healthcare workers, cause harm to patients, erode trust in AI, and thereby undermine or delay the potential long-term benefits and uses of such technologies around the world,” the agency said. As such, WHO proposed that these concerns are addressed and clear evidence of benefits are measured before their widespread use in routine health care and medicine. Read full story Source: United Nations News, 16 May 2023
  16. Content Article
    The world is facing challenges emerging from multiple crises, including pandemics, wars and climate change. Against this backdrop, the Government of Japan will host the Group of Seven (G7) Summit in Hiroshima and the G7 Health Ministers' Meeting in Nagasaki, Japan, in May 2023. This article in The Lancet outlines key recommendations for G7 action to address these challenges through a human security approach and a transformation of global health architecture: Enhance resilience to public health emergencies by boosting country-led efforts to achieve universal healthcare Advance timely and equitable access to life-saving medical countermeasures as common goods Promote a multilayered approach to global health governance, including financing, that facilitates effective collaboration among state and non-state actors beyond the health sector at global and regional levels.
  17. News Article
    Monkeypox is no longer a global public health emergency, the World Health Organization (WHO) has said, almost a year after the threat was raised. The virus is still around and further waves and outbreaks could continue, but the highest level of alert is over, the WHO added. The global health body's chief Tedros Adhanom Ghebreyesus called on countries to "remain vigilant". More than 87,000 cases and 140 deaths have been reported from 111 countries during the global outbreak, according to a WHO count. But almost 90% fewer cases were recorded over the last three months compared with the previous three-month period, meaning the highest level of alert is no longer required, Tedros said. Read full story Source: BBC News, 11 May 2023
  18. Content Article
    In this letter to The Lancet, Thomas Cueni, Director General of the International Federation of Pharmaceutical Manufacturers and Associations argues that the need to focus on equitable rollout of vaccines in the event of a future pandemic is a key global health priority. He proposes that Governments, pharma companies and other stakeholders should focus on the challenges that led to the inequitable rollout of vaccines, which he identifies as vaccine nationalism and need for more diverse manufacturing. He highlights an industry proposal for equitable response to future pandemics supported by vaccine manufacturers and biotechnologies. the proposal involves manufacturers setting aside a percentage of pandemic tools for allocation to susceptible populations in low-income countries.
  19. Content Article
    The Covid-19 pandemic has shown the power and potential of vaccination in real time. But it has also disrupted health services and caused supply chain challenges, resulting in stagnation and backsliding of routine vaccinations. For example, global coverage of the third dose of the diphtheria–tetanus–pertussis vaccine fell from 86% in 2019 to 81% in 2021—the lowest level since 2008. 25 million children missed out on life-saving measles, diphtheria, and tetanus vaccines in 2021. This editorial in The Lancet calls for a catch-up to return to pre-pandemic vaccination levels and looks at how this can be achieved.
  20. Content Article
    Brazil's community health workers (CHWs) have been critical in the effort to connect a majority of Brazilians to with primary healthcare, and have delivered significant impact across the country. They have reduced some of Brazil's socioeconomic and geographic inequities in access to healthcare and broadly improved health and social indicators. Find out more why they are exemplars in global health.
  21. News Article
    AI could harm the health of millions and pose an existential threat to humanity, doctors and public health experts have said as they called for a halt to the development of artificial general intelligence until it is regulated. Artificial intelligence has the potential to revolutionise healthcare by improving diagnosis of diseases, finding better ways to treat patients and extending care to more people. But the development of artificial intelligence also has the potential to produce negative health impacts, according to health professionals from the UK, US, Australia, Costa Rica and Malaysia writing in the journal BMJ Global Health. The risks associated with medicine and healthcare “include the potential for AI errors to cause patient harm, issues with data privacy and security and the use of AI in ways that will worsen social and health inequalities”, they said. One example of harm, they said, was the use of an AI-driven pulse oximeter that overestimated blood oxygen levels in patients with darker skin, resulting in the undertreatment of their hypoxia. Read full story Source: The Guardian, 10 May 2023
  22. News Article
    The World Health Organization (WHO) has declared that Covid-19 no longer represents a "global health emergency". The statement represents a major step towards ending the pandemic and comes three years after it first declared its highest level of alert over the virus. Officials said the virus' death rate had dropped from a peak of more than 100,000 people per week in January 2021 to just over 3,500 on 24 April. The head of the WHO said at least seven million people died in the pandemic. But Dr Tedros Adhanom Ghebreyesus said that the true figure was "likely" closer to 20 million deaths - nearly three times the official estimate - and he warned that the virus remained a significant threat. "Yesterday, the Emergency Committee met for the 15th time and recommended to me that I declare an end to the public health emergency of international concern. I've accepted that advice. It is therefore with great hope that I declare Covid-19 over as a global health emergency," Dr Tedros said. Read full story Source: BBC News, 6 May 2023
  23. Content Article
    On 23–24 February 2023, the 5th Global Ministerial Summit on Patient Safety in Montreux, Switzerland, marked the first convening of global leaders to discuss patient safety for more than 3 years. The summit provided the opportunity to reimagine the way safe care is delivered using learnings from the COVID-19 pandemic. In this correspondence in the Lancet, Shaw et al. hopes we will look back at the Montreux summit as a turning point in patient safety: the catalyst for moving from plans to actions, so that at future summits we can discuss shared learning and evaluation of health systems that deliver safe care to all.
  24. Content Article
    This is part of our series of Patient Safety Spotlight interviews, where we talk to people working for patient safety about their role and what motivates them. Beverley talks to us about setting up Thrombosis UK and how it has grown to have a national impact on patient safety in hospitals. She also describes the value of combining policy work with seeing patients face-to-face, and explores the need to find new ways of working to deal with the pressures facing the healthcare system.
  25. News Article
    The blanket use of antibiotics in farming has led to the emergence of bacteria that are more resistant to the human immune system, scientists have warned. The research suggests that the antimicrobial colistin, which was used for decades as a growth promoter on pig and chicken farms in China, resulted in the emergence of E. coli strains that are more likely to evade our immune system’s first line of defence. Although colistin is now banned as a livestock food additive in China and many other countries, the findings sound an alarm over a new and significant threat posed by the overuse of antibiotic drugs. “This is potentially much more dangerous than resistance to antibiotics,” said Prof Craig MacLean, who led the research at the University of Oxford. “It highlights the danger of indiscriminate use of antimicrobials in agriculture. We’ve accidentally ended up compromising our own immune system to get fatter chickens.” Read full story Source: The Guardian, 25 April 2023
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