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Healthcare Roundtable Discussion

Please visit the Salzburg Global Seminar page on YouTube for the complete list of videos.
Schloss Leopoldskron
Women and Economic Growth:  Making Investments Count for the Future 
Reforming Health Care: Maintaining Social Solidarity and Quality in the Face of Economic, Health and Social Challenges
07 Nov - 12 Nov, 2010
(Session 474)
 Islamic and International Law: Searching for Common Ground

Jennifer Dixon (Chair) - Director, The Nuffield Trust, London
Angela Coulter - Director of Global Initiatives, the Foundation for Informed Medical Decision Making, Boston, Massachusetts
Leonardo Cubillos-Turriago - Consultant, World Bank Institute, Washington DC
Julio Frenk  
Fiona Godlee - Editor, the British Medical Journal, London
Sian Griffiths - Professor of Public Health, School of Public Health and Primary Care; and Director, School of Public Health and Primary Care, The Chinese University of Hong Kong
Naoki Ikegami - Professor and Chair, Department of Health Policy and Management, Keio University School of Medicine, Tokyo
Paul Kielstra - Scenario Planner
Chien Earn Lee - Head of Department of Public Health and Deputy Chief Medical Officer, Singapore Ministry of Health, Singapore
Kimmo Leppo - Former Director-General, Health Department, Ministry of Social Affairs and Health, Helsinki
M. Rashad Massoud - Director, U.S. Agency for International Development, Health Care Improvement Project, Washington DC
Marianne Olsson - Process Director, Sörmlands läns landsting
Navnit Pall - Chair, Pathfinder Healthcare Development Community Interest Company, London
Richard Smith - Director, Ovations Chronic Disease Initiative, UnitedHealth Group, Minneapolis, Minnesota

Additional Session Support:
Vidhya Alakeson (Resource Specialist) - Senior Fellow in Health Policy, The Nuffield Trust
Naomi Chambers (Resource Specialist) - Head of Health Policy Management, Manchester Business School
Nigel Edwards (Resource Specialist) - Acting Chief Executive, NHS Confederation
Stephen Thornton (Resource Specialist) - Chief Executive, The Health Foundation

All countries are facing an economic downturn which is acute but may have lasting effects. At the same time there are other significant challenges to healthcare arising from the increasing prevalence of chronic disease, longer life expectancy, the cost and possibilities of new technologies and changing expectations of what support should be available from the state to help people stay well and treat ill health.

In some respects, these powerful challenges are approached differently in different countries, in part depending upon the unique historical and political national and local contexts, the opportunities available, and the leadership to design effective policies. But in many respects health systems across the world, particularly those in Europe with a strong commitment to social solidarity and egalitarianism, have taken similar steps, and are learning from each other's experience. In particular, in the last two decades there have been attempts to increase competition between providers and purchasers of care; the widespread introduction of prospective payment for hospitals with (more latterly) pay-for-quality supplements; attempts to develop integrated provider systems, or payer/provider systems; taking on a full capitation payment for the care of an enrolled population and promoting wellness; attempts to boost primary care as a "medical home," and attempts to improve quality through better measurement of health outcomes and regulatory assessment.

Given the immediate economic challenge, it is timely to assess the most promising attempts across the world to reshape the financing, organisation, and underlying philosophy of health care to achieve better value with respect to efficiency, quality and equity. This session seeks to bring together senior policy experts with emerging leaders in the field for two days to discuss how different health systems are facing the immediate economic challenge, and then for emerging leaders for the following two days to reflect upon the longer term implications for health care.

This session is being organized in collaboration with the Nuffield Trust, one of the leading UK independent health policy charitable trusts. The session is also the first in a series of Salzburg policy forums on health and healthcare responding to the demographic, organizational, and financial challenges on the horizon for the coming generation. Among the outcomes will be a series of Salzburg papers on health and healthcare and a dedicated network of health and healthcare Fellows within the Salzburg Global Fellowship.

Click here to see the schedule
Click here to visit the Nuffield Trust
Click here to find out more about the criteria for applicants
Click here to view Session Position Paper: Reforming Healthcare: why we need to learn from international experience

The fee for this session is 3,300 EURO. The fee covers the cost of the program, accommodations, and meals. Limited scholarship funding may be available for those who are unable to pay the full fee (i.e. from developing countries or NGOs). Participants seeking scholarship assistance must submit an application for financial aid to our registration office.

Session Faculty

Paul Kielstra
Kimmo Leppo

Listen to excerpts or complete versions of Salzburg Global Seminar presentations

  • Naoki Ikegami - Podcast
  • Jennifer Dixon - Podcast
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    In collaboration with the Nuffield Trust

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