Shaping a strategic direction for health and health property in the Netherlands & Europe

Size: px
Start display at page:

Download "Shaping a strategic direction for health and health property in the Netherlands & Europe"

Transcription

1 Shaping a strategic direction for health and health property in the Netherlands & Europe Dr. MARINUS VERWEIJ Board of Directors, Netherlands Board for Healthcare Institutions Chairman, the European Health Property Network

2 Introduction College bouw

3 Symbols of a value system

4

5 The agenda for change in a European context

6 Increasing cost of healthcare Governments have strong influence on the provision of hospital/health care Increasing macro-economic constraints: rising % of GDP, yet costs of healthcare limited by national and EU budget constraints Health is not just a matter of costs, a healthy workforce is crucial for development and growth

7 Health Expenditure % GDP Source: OECD HEALTH DATA 2005 College bouw Australia Austria Belgium Canada Czech Republic Denmark Finland France Germany Greece Hungary Iceland Ireland Italy Japan Korea Luxembourg Mexico Netherlands New Zealand Norway Poland Portugal Slovak Republic Spain Sweden Switzerland Turkey United Kingdom United States

8 Market-reform & competition Many EU counties: market-reform and competition in healthcare In most countries health square meters are free: cost of capital is not charged Times are changing: product pricing, cost of capital in the DTC s introducing new incentives NHS-model countries experimenting with forms of PFI and PPP

9 The third age of healthcare Re-emergence & revitalisation Diversity Community, Lifestyle Morbidity compression but also Comorbidities Hospital Hospital Public Health Acute Care Chronic Illness Aged Care

10 From linear evolution to the uncertain Rapidity of technological change e.g. Dispersal - ICT; teleconferencing Spatial - miniaturisation; anaesthetic equipment Modalities - replacement therapies Changing principles of healthcare delivery Devolution Patient empowerment

11 European pressures College bouw health and health facilities Expectation Affordability cost Policy aims Social development needs Economic needs Unsustainable - social Unsustainable - economic

12 Changes in the Dutch Healthcare system Tasks Netherlands Board for Healthcare Institutions

13 Dutch health care sector in a nutshell Since 1945 the Bismarck system (social) private health insurance funds hospitals/health facilities are private trusts hospitals/health facilities are not for profit organisations ownership of assets belongs to the hospital/health facility

14 Financing investments capital costs through the life cycle capital cost interest depreciation capital costs years

15 NHC s in de DBC "Oude kapitaalslasten" versus Integrale Huisvestingscomponent Rente Aflossing Huisvestingscomponent

16 Changing system: consequence Positief en negatief NHC-resultaat uitgedrukt in % AK aantal ziekenhuizen Effecten relatief beperkt: 12 ziekenhuizen met meer dan 2% van budget, zowel positief als negatief

17 Tasks of the NBHF licensing of construction plans: health facilities submit their own plans developing guidelines for planning capacity: e.g. ageing, IC capacity, geographical distribution of emergency care building guidelines, with basic quality requirements and best practice centre of expertise technological innovation: e.g. operating theatres building costs and procurement

18 Wat is mapping? Functionality Adaptability Cbz Technical quality Monitoring

19 Colours for functions College bouw

20 Measuring space College bouw

21 Results functional quality 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Algemene verpleging Special care Polikliniek Beeldvormende technieken Spoedeisende hulp Verlosafdeling boven referentiewaarde, boven gemiddelde boven referentiewaarde, onder gemiddelde onder referentiewaarde bestaande bouw

22 Score general wards 30% 25% 25% 23% 20% 15% 10% 5% 4% 6% 6% 11% 11%11% 2% 0% voldoet op alle punten niet aan de referentiewaarden voor bestaande bouw voldoet gemiddeld aan referentiewaarden voor bestaande bouw voldoet op alle punten aan de prestatie-eisen voor nieuwbouw

23 Beds per ward 60% 50% 40% 30% 20% 10% 0% 1 1 met sluis 2 3 en 4 5 en 6 %-verdeling kamers %-verdeling bedden

24 Score special care 18% 16% 14% 12% 10% 15% 14% 12% 11% 9% 8% 6% 4% 5% 3% 3% 6% 5% 6% 5% 6% 2% 0% voldoet op alle punten niet aan de referentiewaarden voor bestaande bouw voldoet gemiddeld aan referentiewaarden voor bestaande bouw voldoet op alle punten aan de prestatie-eisen voor nieuwbouw

25 Results technical quality 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% gemiddeld totaal bouwkundig bouwkundig extern intern installaties uitstekend goed redelijk matig (zeer) slecht

26 Construction type aantal gebouwdelen Goed Redelijk Matig Slecht flexibiliteitsklasse

27 Consequences for asset strategy

28 Paradigm shift No longer a split between investment and recurrent budgets net present value Asset moves from a risk free environment to a risky business Strong drive towards efficient workforce engagement process re-engineering Drivers towards a better fit between primary process and the built environment Need for capacity building the CEO s

29 Capital investment risk management Clinical risk technology and models of care Workforce risk availability, change management Demand risk markets, consumerism and transitions Political risk policy shifts, public opinion Financial risk debt servicing and capitalisation

30 Answers to change Adaptable and fit for purpose

31 Financial integration: investment and recurrent Process re-engineering Adaptable, design concepts

32 Importance process redesign Care pathways at different levels Micro: process redesign in the hospital Intermediate: cross setting care pathways between service providers Macro: new service delivery models - disease management, especially for chronic illnesses

33 The care pathway challenge Win-win-win: better, safer, cheaper and client friendly Volume! research by P. Degeling, Durham: only 30 DRG s are responsible for 50% of hospital output Health asset consequences may prove to be substantial nobody really knows yet

34 Capital fit for purpose Adaptability in face of uncertainty: both internal and external flexibility Sustaining intrinsic value: maximising residual value

35

36

37

38 Delft Hospital - the Netherlands College bouw

39

40 Strategic asset approach Level 1- hot floor: theatres, diagnostics, intensive care etc. Level 2 - hotel accommodation: low care nursing Level 3 office accommodation: outpatients, administrative

41 Model general hospital Hot floor 33,5% Hotel 30,5% Office 23,2%

42 Hot Floor Specificity Investment cost Capacity fluctuation Asset marketability

43 Office Specificity Investment cost Capacity fluctuation Asset marketability

44

45

46 Patientlogistics Patientlogistics organised trough two principles Clinical/body grouping: mother/child, oncology etc. And/or Patientlogistics based on typology: acute, elective, chronic etc.

47

48 Life cycle costs Level 1: classic LCC: including energy saving, sustainability, choice of material Level 2: LCC as above, but including adaptability and flexibility of the building Level 3: Life cycle economy integrated model for the fit between the primary process and the building/asset

49 The Model: Discount to net present value Investment (capital) cost Annual MOM costs Replacement and periodic maintenance costs Life Time Cost Annuity Cost Functional Lifetime Consider: Cost of action Intervals of action Real rate of return Lifetime of building

50 Investment versus annual costs

51 Totalannualcosts College bouw

52 EuHPN Peer Review of case studies Utrecht, 13/10/06 6 central themes: Importance of whole systems approach The success of the business model within a public framework - competition Flexibility & adaptability to reduce risks The value of patient focussed architecture The importance of capital financing models The necessity for visionary leadership

53 To sum up: Adaptability

54 Thank you very much! Netherlands Board for Healthcare Institutions College bouw - Bouwcollege Churchilllaan 11, 7e etage 3527 GV UTRECHT The Netherlands

College bouw zorginstellingen. 9th Meeting EuHPN. 19-21 April 2006 Budapest Hungary. Marinus Verweij MD Chairman EuHPN

College bouw zorginstellingen. 9th Meeting EuHPN. 19-21 April 2006 Budapest Hungary. Marinus Verweij MD Chairman EuHPN 9th Meeting EuHPN 19-21 April 2006 Budapest Hungary Marinus Verweij MD Chairman EuHPN 1. Brussels - October 2000 2. Florence - June 2001 3. Dublin - March 2002 4. The Hague - October 2002 5. Oslo - June

More information

Life Cycle Costing (LCC) model in use

Life Cycle Costing (LCC) model in use Life Cycle Costing (LCC) model in use André Bode senior staffmember R&D department Netherlands Board for Healthcare Institutions (NBHI) The needs Financing of capital costs: Past (until now): real costing

More information

TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS. Paulo Magina Public Sector Integrity Division

TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS. Paulo Magina Public Sector Integrity Division TOWARDS PUBLIC PROCUREMENT KEY PERFORMANCE INDICATORS Paulo Magina Public Sector Integrity Division 10 th Public Procurement Knowledge Exchange Platform Istanbul, May 2014 The Organization for Economic

More information

Expenditure and Outputs in the Irish Health System: A Cross Country Comparison

Expenditure and Outputs in the Irish Health System: A Cross Country Comparison Expenditure and Outputs in the Irish Health System: A Cross Country Comparison Paul Redmond Overview This document analyzes expenditure and outputs in the Irish health system and compares Ireland to other

More information

Delegation in human resource management

Delegation in human resource management From: Government at a Glance 2009 Access the complete publication at: http://dx.doi.org/10.1787/9789264075061-en Delegation in human resource management Please cite this chapter as: OECD (2009), Delegation

More information

On What Resources and Services Is Education Funding Spent?

On What Resources and Services Is Education Funding Spent? Indicator On What Resources and Services Is Education Funding Spent? In primary, secondary and post-secondary non-tertiary education combined, current accounts for an average of 92% of total spending in

More information

PUBLIC VS. PRIVATE HEALTH CARE IN CANADA. Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007

PUBLIC VS. PRIVATE HEALTH CARE IN CANADA. Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007 PUBLIC VS. PRIVATE HEALTH CARE IN CANADA Norma Kozhaya, Ph.D Economist, Montreal economic Institute CPBI, Winnipeg June 15, 2007 Possible private contribution Possible private contribution in the health

More information

Hong Kong s Health Spending 1989 to 2033

Hong Kong s Health Spending 1989 to 2033 Hong Kong s Health Spending 1989 to 2033 Gabriel M Leung School of Public Health The University of Hong Kong What are Domestic Health Accounts? Methodology used to determine a territory s health expenditure

More information

Higher education institutions as places to integrate individual lifelong learning strategies

Higher education institutions as places to integrate individual lifelong learning strategies Higher education institutions as places to integrate individual lifelong learning strategies Andrzej Krasniewski Warsaw University of Technology Bologna Expert QUALIFICATIONS FRAMEWORKS AS INSTRUMENTS

More information

41 T Korea, Rep. 52.3. 42 T Netherlands 51.4. 43 T Japan 51.1. 44 E Bulgaria 51.1. 45 T Argentina 50.8. 46 T Czech Republic 50.4. 47 T Greece 50.

41 T Korea, Rep. 52.3. 42 T Netherlands 51.4. 43 T Japan 51.1. 44 E Bulgaria 51.1. 45 T Argentina 50.8. 46 T Czech Republic 50.4. 47 T Greece 50. Overall Results Climate Change Performance Index 2012 Table 1 Rank Country Score** Partial Score Tendency Trend Level Policy 1* Rank Country Score** Partial Score Tendency Trend Level Policy 21 - Egypt***

More information

The U.S Health Care Paradox: How Spending More is Getting Us Less

The U.S Health Care Paradox: How Spending More is Getting Us Less The U.S Health Care Paradox: How Spending More is Getting Us Less Elizabeth H. Bradley Yale School of Public Health Lauren A. Taylor Harvard Divinity School 1 The paradox Then there's the problem of rising

More information

PUBLIC & PRIVATE HEALTH CARE IN CANADA

PUBLIC & PRIVATE HEALTH CARE IN CANADA PUBLIC & PRIVATE HEALTH CARE IN CANADA by Norma Kozhaya, Ph.D. Economist, Montreal Economic Institute before the Canadian Pension & Benefits Institute Winnipeg - June 15, 2007 Possible private contribution

More information

Preventing fraud and corruption in public procurement

Preventing fraud and corruption in public procurement Preventing fraud and corruption in public procurement CRIM, European Parliament 24 September 2012 Brussels János Bertók Head of division Public Sector Integrity OECD Data on trends in procurement Size

More information

How Many Students Finish Tertiary Education?

How Many Students Finish Tertiary Education? Indicator How Many Students Finish Tertiary Education? Based on current patterns of graduation, it is estimated that an average of 46% of today s women and 31% of today s men in OECD countries will complete

More information

ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT

ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT 2 OECD RECOMMENDATION OF THE COUNCIL ON THE PROTECTION OF CRITICAL INFORMATION INFRASTRUCTURES ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT The OECD is a unique forum where the governments of

More information

Healthcare and Population Aging

Healthcare and Population Aging Healthcare and Population Aging Comisión Nacional de Seguros y Fianzas Seminario Internacional Mexico D.F. 10 11 Noviembre 2003 Howard J. Bolnick, FSA, MAAA, HonFIA Presidente, Sección de Salud, AAI Healthcare

More information

relating to household s disposable income. A Gini Coefficient of zero indicates

relating to household s disposable income. A Gini Coefficient of zero indicates Gini Coefficient The Gini Coefficient is a measure of income inequality which is based on data relating to household s disposable income. A Gini Coefficient of zero indicates perfect income equality, whereas

More information

Health Care Systems: Efficiency and Policy Settings

Health Care Systems: Efficiency and Policy Settings Health Care Systems: Efficiency and Policy Settings Summary in English People in OECD countries are healthier than ever before, as shown by longer life expectancy and lower mortality for diseases such

More information

Trends in Digitally-Enabled Trade in Services. by Maria Borga and Jennifer Koncz-Bruner

Trends in Digitally-Enabled Trade in Services. by Maria Borga and Jennifer Koncz-Bruner Trends in Digitally-Enabled Trade in Services by Maria Borga and Jennifer Koncz-Bruner Digitally-enabled are those for which digital information and communications technologies (ICT) play an important

More information

How many students study abroad and where do they go?

How many students study abroad and where do they go? From: Education at a Glance 2012 Highlights Access the complete publication at: http://dx.doi.org/10.1787/eag_highlights-2012-en How many students study abroad and where do they go? Please cite this chapter

More information

Expenditure on Health Care in the UK: A Review of the Issues

Expenditure on Health Care in the UK: A Review of the Issues Expenditure on Health Care in the UK: A Review of the Issues Carol Propper Department of Economics and CMPO, University of Bristol NIERC 25 April 2001 1 Expenditure on health care in the UK: The facts

More information

Judicial performance and its determinants: a cross-country perspective

Judicial performance and its determinants: a cross-country perspective No. 05 JUNE 2013 Judicial performance and its determinants: a cross-country perspective A GOING FOR GROWTH REPORT Box 1. Description of the data The data used in this study come primarily from three

More information

Health Care in Crisis

Health Care in Crisis Health Care in Crisis The Economic Imperative for Health Care Reform James Kvaal and Ben Furnas February 19, 2009 1 Center for American Progress Health Care in Crisis U.S. spends twice as much per capita

More information

Insurance corporations and pension funds in OECD countries

Insurance corporations and pension funds in OECD countries Insurance corporations and pension funds in OECD countries Massimo COLETTA (Bank of Italy) Belén ZINNI (OECD) UNECE, Expert Group on National Accounts, Geneva - 3 May 2012 Outline Motivations Insurance

More information

VULNERABILITY OF SOCIAL INSTITUTIONS

VULNERABILITY OF SOCIAL INSTITUTIONS VULNERABILITY OF SOCIAL INSTITUTIONS 2 December 2014 Paris Seminar in Demographic Economics Falilou FALL Senior Economist OECD Economics Department 1 Introduction and outline Social institutions and the

More information

PERMANENT AND TEMPORARY WORKERS

PERMANENT AND TEMPORARY WORKERS PERMANENT AND TEMPORARY WORKERS Australia Permanent worker: Permanent workers are employees with paid leave entitlements in jobs or work contracts of unlimited duration, including regular workers whose

More information

Government at a Glance 2015

Government at a Glance 2015 Government at a Glance 2015 Size of public procurement Strategic public procurement E-procurement Central purchasing bodies 135 Size of public procurement Public procurement refers to the purchase by governments

More information

What Is the Total Public Spending on Education?

What Is the Total Public Spending on Education? What Is the Total Public Spending on Education? Indicator On average, OECD countries devote 12.9% of total public expenditure to, but values for individual countries range from less than 10% in the Czech

More information

International comparisons of obesity prevalence

International comparisons of obesity prevalence International comparisons of obesity prevalence June 2009 International Comparisons of Obesity Prevalence Executive Summary Obesity prevalence among adults and children has been increasing in most developed

More information

Foreign Taxes Paid and Foreign Source Income INTECH Global Income Managed Volatility Fund

Foreign Taxes Paid and Foreign Source Income INTECH Global Income Managed Volatility Fund Income INTECH Global Income Managed Volatility Fund Australia 0.0066 0.0375 Austria 0.0045 0.0014 Belgium 0.0461 0.0138 Bermuda 0.0000 0.0059 Canada 0.0919 0.0275 Cayman Islands 0.0000 0.0044 China 0.0000

More information

SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness

SWECARE FOUNDATION. Uniting the Swedish health care sector for increased international competitiveness SWECARE FOUNDATION Uniting the Swedish health care sector for increased international competitiveness SWEDEN IN BRIEF Population: approx. 9 800 000 (2015) GDP/capita: approx. EUR 43 300 (2015) Unemployment

More information

Internationalization and higher education policy: Recent developments in Finland

Internationalization and higher education policy: Recent developments in Finland Internationalization and higher education policy: Recent developments in Finland Seminar on Cooperation between Russian and Finnish Institutions of Higher Education St Petersburg 5.-7.2.2008. Rector Anneli

More information

HEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE?

HEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE? HEALTH CARE DELIVERY IN BRITAIN AND GERMANY: TOWARDS CONVERGENCE? Background: Two different health care systems Generally speaking, the British and the German health care systems differ not only with respect

More information

(OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools

(OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools (OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools SPOTLIGHT REPORT: NETHERLANDS www.oecd.org/edu/equity This spotlight report draws upon the OECD report Equity

More information

STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE

STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE Möbel Zahlen Daten STATISTICS FOR THE FURNITURE INDUSTRY AND TRADE 01/36 Economical growth in the regions of the world-economy Changes of the gross domestic

More information

Figure 1 Statutory corporate income tax rates

Figure 1 Statutory corporate income tax rates Figure 1 Statutory corporate income tax rates 7 6 1982 2001 5 4 3 2 1 Austria Belgium Canada Finland France UK Germany Greece Ireland Italy Japan Netherlands Notes: For countries using different tax rates,

More information

Waiting times and other barriers to health care access

Waiting times and other barriers to health care access Dr. Frank Niehaus Wissenschaftliches Institut der PKV (Scientific Research Institute of the Association of German Private Health Insurers) Waiting times and other barriers to health care access 31.8 %

More information

Social health insurance in Belgium. Charlotte Wilgos & Thomas Rousseau

Social health insurance in Belgium. Charlotte Wilgos & Thomas Rousseau Social health insurance in Belgium Charlotte Wilgos & Thomas Rousseau Attachés NIHDI Content History Today Values Organizational overview Financial overview Evolutions and challenges Content History Today

More information

OECD review of the secondary school modernisation programme in Portugal

OECD review of the secondary school modernisation programme in Portugal ISSN 2072-7925 OECD review of the secondary school modernisation programme in Portugal CELE Exchange 2010/1 OECD 2010 OECD review of the secondary school modernisation programme in Portugal By Alastair

More information

Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments

Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments January 20, 2015 ShadEcEurope31_January2015.doc Size and Development of the Shadow Economy of 31 European and 5 other OECD Countries from 2003 to 2015: Different Developments by Friedrich Schneider *)

More information

Cross-country comparison of health care system efficiency

Cross-country comparison of health care system efficiency Cross-country comparison of health care system efficiency Isabelle Joumard, OECD, Economics Department IMF conference, June 21, 2011 Public Health Care Reforms: Challenges and Lessons for Advanced and

More information

Social insurance, private insurance and social protection. The example of health care systems in some OECD countries

Social insurance, private insurance and social protection. The example of health care systems in some OECD countries Social insurance, private insurance and social protection. The example of health care systems in some OECD countries References OECD publications on Health care Swiss Re publications Sigma No 6/2007 on

More information

What Proportion of National Wealth Is Spent on Education?

What Proportion of National Wealth Is Spent on Education? Indicator What Proportion of National Wealth Is Spent on Education? In 2008, OECD countries spent 6.1% of their collective GDP on al institutions and this proportion exceeds 7.0% in Chile, Denmark, Iceland,

More information

Culture Change in the Workforce in an Aging America: Are We Making Any Progress?

Culture Change in the Workforce in an Aging America: Are We Making Any Progress? Culture Change in the Workforce in an Aging America: Are We Making Any Progress? Anne Montgomery Center for Elder Care and Advanced Illness Anne.Montgomery@altarum.org Altarum Institute integrates independent

More information

Eliminating Double Taxation through Corporate Integration

Eliminating Double Taxation through Corporate Integration FISCAL FACT Feb. 2015 No. 453 Eliminating Double Taxation through Corporate Integration By Kyle Pomerleau Economist Key Findings The United States tax code places a double-tax on corporate income with

More information

Health Care a Public or Private Good?

Health Care a Public or Private Good? Health Care a Public or Private Good? Keith Schenone December 09, 2012 Economics & Institutions MGMT 7730-SIK Thesis Health care should be treated as a public good because it is not an ordinary commodity

More information

With data up to: May 2016. Monthly Electricity Statistics

With data up to: May 2016. Monthly Electricity Statistics With data up to: 216 Monthly Electricity Statistics Date of publication: 12 ust 216 Monthly Electricity Statistics TABLE OF CONTENTS Page # HIGHLIGHTS i ORGANISATIONAL AND REGIONAL TABLES OECD Total 1

More information

ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT

ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT 2 OECD RECOMMENDATION OF THE COUNCIL FOR ENHANCED ACCESS AND MORE EFFECTIVE USE OF PUBLIC SECTOR INFORMATION ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT The OECD is a unique forum where the

More information

Monitoring the Quality of School Buildings in Belgium s Flemish Community

Monitoring the Quality of School Buildings in Belgium s Flemish Community ISSN 2072-7925 Monitoring the Quality of School Buildings in Belgium s Flemish Community CELE Exchange 2009/8 OECD 2009 Monitoring the Quality of School Buildings in Belgium s Flemish Community By Geert

More information

SURVEY OF INVESTMENT REGULATION OF PENSION FUNDS. OECD Secretariat

SURVEY OF INVESTMENT REGULATION OF PENSION FUNDS. OECD Secretariat SURVEY OF INVESTMENT REGULATION OF PENSION FUNDS OECD Secretariat Methodological issues The information collected concerns all forms of quantitative portfolio restrictions applied to pension funds in OECD

More information

55-64. Percent of adults with postsecondary degree. Japan. Mexico. Canada. Poland. Denmark. Greece Germany. Italy. Austria. Korea.

55-64. Percent of adults with postsecondary degree. Japan. Mexico. Canada. Poland. Denmark. Greece Germany. Italy. Austria. Korea. 34 19 10 26 24 22 19 35 11 14 15 23 26 27 22 22 21 19 17 14 11 11 11 11 9 8 6 7 10 7 Turkey Percent of adults with postsecondary degree 55-64 New Zealand Switzerland Iceland Netherlands Greece Germany

More information

The Wharton School, University of Pennsylvania. Hillsdale College

The Wharton School, University of Pennsylvania. Hillsdale College Real Ways to Drive Down Healthcare Costs Scott E. Harrington The Wharton School, University of Pennsylvania www.scottharringtonphd.com com Free Market Forum Hillsdale College October 1, 2010 Outline The

More information

Reporting practices for domestic and total debt securities

Reporting practices for domestic and total debt securities Last updated: 4 September 2015 Reporting practices for domestic and total debt securities While the BIS debt securities statistics are in principle harmonised with the recommendations in the Handbook on

More information

How does Internet Usage Change in Turkey? An Assessment on Internet Users

How does Internet Usage Change in Turkey? An Assessment on Internet Users How does Internet Usage Change in Turkey? An Assessment on Internet Users Ü. Barış Urhan Research Associate İrem Kızılca Research Associate TEPAV Evaluation Note February 2011 How does Internet Usage Change

More information

THE LOW INTEREST RATE ENVIRONMENT AND ITS IMPACT ON INSURANCE MARKETS. Mamiko Yokoi-Arai

THE LOW INTEREST RATE ENVIRONMENT AND ITS IMPACT ON INSURANCE MARKETS. Mamiko Yokoi-Arai THE LOW INTEREST RATE ENVIRONMENT AND ITS IMPACT ON INSURANCE MARKETS Mamiko Yokoi-Arai Current macro economic environment is of Low interest rate Low inflation and nominal wage growth Slow growth Demographic

More information

1. Perception of the Bancruptcy System... 2. 2. Perception of In-court Reorganisation... 4

1. Perception of the Bancruptcy System... 2. 2. Perception of In-court Reorganisation... 4 Bankruptcy Systems and In-court Reorganisation of Firms, 2010 Content: 1. Perception of the Bancruptcy System... 2 2. Perception of In-court Reorganisation... 4 3. Perception of Creditor Committees, Fast

More information

Finland must take a leap towards new innovations

Finland must take a leap towards new innovations Finland must take a leap towards new innovations Innovation Policy Guidelines up to 2015 Summary Finland must take a leap towards new innovations Innovation Policy Guidelines up to 2015 Summary 3 Foreword

More information

32 nd National Conference on Law & Higher Education

32 nd National Conference on Law & Higher Education 32 nd National Conference on Law & Higher Education Improving the Quality of Student Learning Improving the quality of student learning and the level of degree attainment through common degree requirements

More information

Tax Concessions for Older People in OECD Countries, 2010

Tax Concessions for Older People in OECD Countries, 2010 Austria Belgium Czech Republic Tax credit of EUR 400 for low pension income up to EUR 17,000; the tax credit is fully phased out once pension income equals EUR 25,000. pension income of maximum EUR 1,901.19.

More information

Canada GO 2535 TM World Traveller's edition Maps of North America (Canada, US, Mexico), Western and Central Europe (including Russia) CAD 349,95

Canada GO 2535 TM World Traveller's edition Maps of North America (Canada, US, Mexico), Western and Central Europe (including Russia) CAD 349,95 Local products may have different maps, prices and products available. Please see below list for local information, prices in local currency and availability of services. An European device will have working

More information

(OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools

(OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools (OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools SPOTLIGHT REPORT: SPAIN www.oecd.org/edu/equity This spotlight report draws upon the OECD report Equity and Quality

More information

PRINCIPLES FOR EVALUATION OF DEVELOPMENT ASSISTANCE

PRINCIPLES FOR EVALUATION OF DEVELOPMENT ASSISTANCE PRINCIPLES FOR EVALUATION OF DEVELOPMENT ASSISTANCE DEVELOPMENT ASSISTANCE COMMITTEE PARIS, 1991 DAC Principles for Evaluation of Development Assistance Development Assistance Committee Abstract: The following

More information

Health Care Systems: An International Comparison. Strategic Policy and Research Intergovernmental Affairs May 2001

Health Care Systems: An International Comparison. Strategic Policy and Research Intergovernmental Affairs May 2001 Health Care Systems: An International Comparison Strategic Policy and Research Intergovernmental Affairs May 21 1 Most industrialized countries have established hybrid systems in which the public sector,

More information

Creating the Future of Public Education: Graduation Requirements in New York State. NYS Board of Regents Regional Forum

Creating the Future of Public Education: Graduation Requirements in New York State. NYS Board of Regents Regional Forum Creating the Future of Public Education: Graduation Requirements in New York State NYS Board of Regents Regional Forum 2011 1 60 Why Do We Need To Change? % 70 U.S. college graduation rates have stagnated

More information

Paul E. Lingenfelter President, State Higher Education Executive Officers

Paul E. Lingenfelter President, State Higher Education Executive Officers Paul E. Lingenfelter President, State Higher Education Executive Officers Western Interstate Commission on Higher Education Monday, November 5, 2007 Forces Flattening the Global Playing Field Fall of Berlin

More information

MAPPING THE IMPLEMENTATION OF POLICY FOR INCLUSIVE EDUCATION

MAPPING THE IMPLEMENTATION OF POLICY FOR INCLUSIVE EDUCATION MAPPING THE IMPLEMENTATION OF POLICY FOR INCLUSIVE EDUCATION MAPPING THE IMPLEMENTATION OF POLICY FOR INCLUSIVE EDUCATION (MIPIE) An exploration of challenges and opportunities for developing indicators

More information

INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES

INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES INEQUALITIES IN HEALTH CARE SERVICES UTILISATION IN OECD COUNTRIES Marion Devaux, OECD Health Division 2014 QICSS International Conference on Social Policy and Health Inequalities, Montreal, 9-May-2014

More information

COMMUNICATION FROM THE COMMISSION

COMMUNICATION FROM THE COMMISSION EUROPEAN COMMISSION Brussels, 17.9.2014 C(2014) 6767 final COMMUNICATION FROM THE COMMISSION Updating of data used to calculate lump sum and penalty payments to be proposed by the Commission to the Court

More information

A Comparison of the Tax Burden on Labor in the OECD

A Comparison of the Tax Burden on Labor in the OECD FISCAL FACT July 2015 No. 475 A Comparison of the Tax Burden on Labor in the OECD By Sam Jordan & Kyle Pomerleau Research Assistant Economist Key Findings Average wage earners in the United States face

More information

How intuitive design in schools can be achieved by engaging with the consumer

How intuitive design in schools can be achieved by engaging with the consumer ISSN 2072-7925 How intuitive design in schools can be achieved by engaging with the consumer CELE Exchange 2010/12 OECD 2010 How intuitive design in schools can be achieved by engaging with the consumer

More information

THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA

THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA THE ORGANISATION AND FINANCING OF HEALTH CARE SYSTEM IN LATVIA Eriks Mikitis Ministry of Health of the Republic of Latvia Department of Health Care Director General facts, financial resources Ministry

More information

What Are the Incentives to Invest in Education?

What Are the Incentives to Invest in Education? Indicator What Are the Incentives to Invest in Education? On average across 25 OECD countries, the total return (net present value), both private and public, to a man who successfully completes upper secondary

More information

(OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools

(OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools (OECD, 2012) Equity and Quality in Education: Supporting Disadvantaged Students and Schools SPOTLIGHT REPORT: AUSTRIA www.oecd.org/edu/equity This spotlight report draws upon the OECD report Equity and

More information

SOCIO-ECONOMIC IMPACT OF THE ICTS

SOCIO-ECONOMIC IMPACT OF THE ICTS SOCIO-ECONOMIC IMPACT OF THE ICTS Evidence from the on-going work of the OECD Dr. Andrea de Panizza Dr. Piotr Stryszowski The views expressed are those of the author in his private capacity and do not

More information

GfK PURCHASING POWER INTERNATIONAL

GfK PURCHASING POWER INTERNATIONAL GfK PURCHASING POWER INTERNATIONAL 1 Agenda 1. Europe 3 2. Americas 45 3. Asia & Near East 54 4. Afrika 66 5. Australia 68 6. Overview of countries and available levels 70 2 2 EUROPE 4 GfK

More information

The Impact of School Design on Academic Achievement in The Palestinian Territories

The Impact of School Design on Academic Achievement in The Palestinian Territories Please cite this paper as: Matar, M. and I. Brighith (2010), The Impact of School Design on Academic Achievement in The Palestinian Territories: An Empirical Study, CELE Exchange, Centre for Effective

More information

Review of R&D Tax Credit. Invitation for Submissions

Review of R&D Tax Credit. Invitation for Submissions Review of R&D Credit invitation for submissions Review of R&D Credit Invitation for Submissions February 2013 Economic and Fiscal Divisions Department of Finance Government Buildings, Upper Merrion Street,

More information

Health and welfare Humanities and arts Social sciences, bussiness and law. Ireland. Portugal. Denmark. Spain. New Zealand. Argentina 1.

Health and welfare Humanities and arts Social sciences, bussiness and law. Ireland. Portugal. Denmark. Spain. New Zealand. Argentina 1. Indicator to Which fields of education are students attracted? Women represent the majority of students and graduates in almost all OECD countries and largely dominate in the fields of education, health

More information

Bahrain Telecom Pricing International Benchmarking. April 2014

Bahrain Telecom Pricing International Benchmarking. April 2014 Bahrain Telecom Pricing International Benchmarking April 2014 2014 Contents of this report Report overview 3 PSTN basket results for GCC countries, including time series 4 Mobile basket results for GCC

More information

ON OECD I-O DATABASE AND ITS EXTENSION TO INTER-COUNTRY INTER- INDUSTRY ANALYSIS " Norihiko YAMANO"

ON OECD I-O DATABASE AND ITS EXTENSION TO INTER-COUNTRY INTER- INDUSTRY ANALYSIS  Norihiko YAMANO ON OECD I-O DATABASE AND ITS EXTENSION TO INTER-COUNTRY INTER- INDUSTRY ANALYSIS " Norihiko YAMANO" OECD Directorate for Science Technology and Industry" " 1 February 2012" INTERNATIONAL WORKSHOP ON FRONTIERS

More information

Improving the quality and flexibility of data collection from financial institutions

Improving the quality and flexibility of data collection from financial institutions Improving the quality and flexibility of data collection from financial institutions Milan Nejman 1, Otakar Cejnar 1, Patrick Slovik 2 Abstract: The recent financial crisis has revealed important limitations

More information

Education at a Glance. OECD Indicators. Annex: UOE Data Collection Sources

Education at a Glance. OECD Indicators. Annex: UOE Data Collection Sources Education at a Glance OECD Indicators Annex: UOE Data Collection Sources UOE DATA COLLECTION National Sources 2013 UNESCO/OECD/EUROSTAT (UOE) data collection on education statistics. Australia: The Commonwealth

More information

Global Effective Tax Rates

Global Effective Tax Rates www.pwc.com/us/nes Global s Global s April 14, 2011 This document has been prepared pursuant to an engagement between PwC and its Client. As to all other parties, it is for general information purposes

More information

Operations Research in Health Care or Who Let the Engineer Into the Hospital?

Operations Research in Health Care or Who Let the Engineer Into the Hospital? Operations Research in Health Care or Who Let the Engineer Into the Hospital? Michael W. Carter Health Care Resource Modelling Group Mechanical and Industrial Engineering University of Toronto 1 Outline

More information

Belgium (Fr.) Australia. Austria. England. Belgium (Fl.) United States 2. Finland 2. Norway 2. Belgium (Fr.) Australia. Austria Norway 2, 4.

Belgium (Fr.) Australia. Austria. England. Belgium (Fl.) United States 2. Finland 2. Norway 2. Belgium (Fr.) Australia. Austria Norway 2, 4. How Much Are Teachers Paid? Indicator The statutory salaries of teachers with at least 15 years of experience average USD 38 914 at the primary level, USD 41 701 at the lower level and USD 43 711 at the

More information

The Netherlands. Highlights from A Good Life in Old Age? Monitoring and Improving Quality in Long-Term Care, OECD Publishing, 2013.

The Netherlands. Highlights from A Good Life in Old Age? Monitoring and Improving Quality in Long-Term Care, OECD Publishing, 2013. Netherlands Sweden Denmark Norway Finland Belgium France Iceland OECD Switzerland (2009) New Zealand Canada Austria Japan Germany Slovenia (2008) Luxembourg Spain United States Korea Poland Hungary (2008)

More information

POLICY BRIEF. Private Health Insurance in OECD Countries. Introduction. Organisation for Economic Co-operation and Development

POLICY BRIEF. Private Health Insurance in OECD Countries. Introduction. Organisation for Economic Co-operation and Development POLICY BRIEF Private Health Insurance in OECD Countries September 04 What is the role of private health insurance in OECD countries? Does private health insurance improve access to care and cover? Does

More information

New Zealand: Modernising Schools in a Decentralised Environment

New Zealand: Modernising Schools in a Decentralised Environment ISSN 1609-7548 New Zealand: Modernising Schools in a Decentralised Environment PEB Exchange 2008/2 OECD 2008 New Zealand: Modernising Schools in a Decentralised Environment By Bruce Sheerin, Ministry of

More information

Is Medicare sustainable? and, Is this question helpful or not?

Is Medicare sustainable? and, Is this question helpful or not? Is Medicare sustainable? and, Is this question helpful or not? Stephen Duckett AHHA Roundtable 30 th Anniversary of Medicare Canberra January 2014 Agenda Policy memes Some facts about costs and health

More information

World Consumer Income and Expenditure Patterns

World Consumer Income and Expenditure Patterns World Consumer Income and Expenditure Patterns 2014 14th edi tion Euromonitor International Ltd. 60-61 Britton Street, EC1M 5UX TableTypeID: 30010; ITtableID: 22914 Income Algeria Income Algeria Income

More information

Appendix C. National Subscription Television Regulations

Appendix C. National Subscription Television Regulations Appendix C National Subscription Television Regulations Australia At least 10% of annual programme expenditure on pay TV drama services must be on new eligible (Australian) Same requirements as cable television

More information

The Determinants of Global Factoring By Leora Klapper

The Determinants of Global Factoring By Leora Klapper The Determinants of Global Factoring By Leora Klapper Factoring services can be traced historically to Roman times. Closer to our own era, factors arose in England as early as the thirteenth century, as

More information

ERASMUS+ MASTER LOANS

ERASMUS+ MASTER LOANS Ref. Ares(2015)660570-17/02/2015 ERASMUS+ MASTER LOANS Erasmus+ Master Loan: opening up access to more affordable lending for cross-border studies The Erasmus+ programme makes it possible for students

More information

PISA FOR SCHOOLS. How is my school comparing internationally? Andreas Schleicher Director for Education and Skills OECD. Madrid, September 22 nd

PISA FOR SCHOOLS. How is my school comparing internationally? Andreas Schleicher Director for Education and Skills OECD. Madrid, September 22 nd PISA FOR SCHOOLS How is my school comparing internationally? Andreas Schleicher Director for Education and Skills OECD Madrid, September 22 nd PISA in brief Over half a million students representing 28

More information

A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau

A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau FISCAL FACT Jun. 2014 No. 434 A Comparison of the Tax Burden on Labor in the OECD By Kyle Pomerleau Economist Key Findings Average wage earners in the United States face two major taxes: the individual

More information

ERASMUS+ MASTER LOANS

ERASMUS+ MASTER LOANS ERASMUS+ MASTER LOANS Erasmus+ Master Loan: opening up access to more affordable lending for cross-border studies The Erasmus+ programme makes it possible for students who want to take a full Masters level

More information

Labour Force Survey 2014 Almost 10 million part-time workers in the EU would have preferred to work more Two-thirds were women

Labour Force Survey 2014 Almost 10 million part-time workers in the EU would have preferred to work more Two-thirds were women 75/2015-27 April 2015 Labour Force Survey 2014 Almost 10 million part-time workers in the EU would have preferred to work more Two-thirds were women Among the 44.1 million persons in the European Union

More information

Ageing OECD Societies

Ageing OECD Societies ISBN 978-92-64-04661-0 Trends Shaping Education OECD 2008 Chapter 1 Ageing OECD Societies FEWER CHILDREN LIVING LONGER CHANGING AGE STRUCTURES The notion of ageing societies covers a major set of trends

More information