Strategic Contracting For Health Systems And Services

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Strategic Contracting for Health Systems and Services

Author : Eric de Roodenbeke
Publisher : Routledge
ISBN 13 : 135148799X
Total Pages : 560 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis Strategic Contracting for Health Systems and Services by : Eric de Roodenbeke

Download or read book Strategic Contracting for Health Systems and Services written by Eric de Roodenbeke and published by Routledge. This book was released on 2017-07-05 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system.This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation.The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.

Strategic Contracting for Health Systems and Services

Author : Eric de Roodenbeke
Publisher : Routledge
ISBN 13 : 1351487981
Total Pages : 540 pages
Book Rating : 4.3/5 (514 download)

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Book Synopsis Strategic Contracting for Health Systems and Services by : Eric de Roodenbeke

Download or read book Strategic Contracting for Health Systems and Services written by Eric de Roodenbeke and published by Routledge. This book was released on 2017-07-05 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: Until the start of the new century, efforts to strengthen health systems focused solely on the public sector and health programs overseen by public bodies. The private sector was sidelined in certain countries and even banned in others. At the same time, some private-sector stakeholders readily adapted themselves to this special situation so as to avoid becoming part of a structured health system.This volume notes profound changes in health care around the world in two areas. The stakeholders involved in the health sector are increasing in number and diversifying as a result of the development of the private sector. They are also responding to a process of democratization and decentralization. These developments have been paralleled by greater functional differentiation. Various stakeholders are increasingly specializing in particular areas of the health system: service delivery, procurement, management, financing, and regulation.The interdependence of health stakeholders becomes more evident along with the increased complexity of delivery systems as these respond to changing demand. There is a compelling need to forge relationships. Such relationships are in fact emerging in developed countries and, more recently, in developing countries. They may be informal, but are increasingly organized and structured.

Managed Care Contracting

Author : William A. Garofalo
Publisher : Jossey-Bass
ISBN 13 : 9780787945817
Total Pages : 0 pages
Book Rating : 4.9/5 (458 download)

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Book Synopsis Managed Care Contracting by : William A. Garofalo

Download or read book Managed Care Contracting written by William A. Garofalo and published by Jossey-Bass. This book was released on 1999-01-06 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today's heath care marketplace is highly competitive, requiring managed care providers to contract with dozens of insurers to survive. Each of these contracts comes with their its unique terms and conditions-making the contracting process overwhelmingly complex and giving many health care executives major headaches. Written by three of the country's leading health care consultants and attorneys, Managed Care Contracting is the first book to offer executives with no legal background practical, step-by-step advice on how to create winning contracts between health care organizations, payers, and employers. In straightforward language, free of legalese and jargon, this much-needed resource demystifies managed care contracting and prescribes some critical advice for hospital and physician group practice executives. The authors present helpful guidelines for evaluating the various types of managed care contracts and explain the most significant terms and concepts executives are likely to encounter. A treasure trove of information for health care executives no matter what their experience level, Managed Care Contracting Examines how to develop a contracting strategy Reviews the fundamentals of negotiating the contract Frames the key steps in the contracting process Provides a managed care contract negotiations checklist Dissects sample hospital and physician contracts Analyzes the contract risk factors by the type of payment explores the implications of changing financial incentives Outlines the most up-to-date information in the regulatory environment Includes illustrative examples and helpful tables and chartsFor health care executives who are just beginning the complex contracting process and for the more experienced who require the most current information on the topic, Managed Care Contracting provides the knowledge and tools they need to succeed. "Managed Care Contracting is a very timely

Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309477891
Total Pages : 399 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Crossing the Global Quality Chasm by : National Academies of Sciences, Engineering, and Medicine

Download or read book Crossing the Global Quality Chasm written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-01-27 with total page 399 pages. Available in PDF, EPUB and Kindle. Book excerpt: In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Strategic Analysis for Healthcare

Author : Michael Wayland
Publisher : Asociation of University Programs in Health Administration/Health Administration Press
ISBN 13 : 9781567937510
Total Pages : 0 pages
Book Rating : 4.9/5 (375 download)

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Book Synopsis Strategic Analysis for Healthcare by : Michael Wayland

Download or read book Strategic Analysis for Healthcare written by Michael Wayland and published by Asociation of University Programs in Health Administration/Health Administration Press. This book was released on 2016 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Instructor Resources: PowerPoint slides with teaching tips. An applied learning approach that will keep students engaged The healthcare environment is changing rapidly, and so are the skill sets needed for successful organizational leadership in the field. Strategic Analysis for Healthcare: Concepts and Practical Applications arms readers with strategic analysis methods, tools, and frameworks, and builds a foundation of practical experience to prepare students for their future careers. This unique workbook introduces students to analysis and strategy development through examples within healthcare as well as from outside industries where strategic analysis has been key to organizations' survival and success. After a brief introduction to business strategy, the book covers a sequence of strategic analysis tools, logically arranged into sections on broad analysis, focused analysis, integrative analysis, strategy development, and strategy selection. Application exercises grow in complexity from one chapter to the next as students develop new skills. Topics include the following: Future-perfect thinking and affinity charts Five forces, PEST, and SWOT analyses Financial statement and ratio analyses Life cycle and corporate culture analyses Internal-external and grand strategy matrices Quantitative strategic planning matrix and profitability projections The book can be used as a stand-alone text or in conjunction with existing textbooks to facilitate applied learning. Comprehensive yet practical, it can also be used in a capstone course. Perforated pages allow for easy use of the activities as gradable assignments.

Public Ends, Private Means

Author : Alexander S. Preker
Publisher : World Bank Publications
ISBN 13 : 0821365487
Total Pages : 440 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Public Ends, Private Means by : Alexander S. Preker

Download or read book Public Ends, Private Means written by Alexander S. Preker and published by World Bank Publications. This book was released on 2007-01-01 with total page 440 pages. Available in PDF, EPUB and Kindle. Book excerpt: Great progress has been made in recent years in securing better access and financial protection against the cost of illness through collective financing of health care. Managing scarce resources effectively and efficiently is an important part of this story. Experience has shown that, without strategic policies and focused spending, the poor are likely to get left out. The use of purchasing to enhance public sector performance is well-documented in other sectors. Extension to the health sector of lessons from this experience is now successfully implemented in many developing countries. Public.

OECD Reviews of Health Systems: Latvia 2016

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264262784
Total Pages : 138 pages
Book Rating : 4.2/5 (642 download)

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Book Synopsis OECD Reviews of Health Systems: Latvia 2016 by : OECD

Download or read book OECD Reviews of Health Systems: Latvia 2016 written by OECD and published by OECD Publishing. This book was released on 2016-09-21 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: This review aims to support Latvia in continuing reform of its health system, informed by international best practice.

America's Health Care Safety Net

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030906497X
Total Pages : 304 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis America's Health Care Safety Net by : Institute of Medicine

Download or read book America's Health Care Safety Net written by Institute of Medicine and published by National Academies Press. This book was released on 2000-09-04 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's Health Care Safety Net explains how competition and cost issues in today's health care marketplace are posing major challenges to continued access to care for America's poor and uninsured. At a time when policymakers and providers are urgently seeking guidance, the committee recommends concrete strategies for maintaining the viability of the safety netâ€"with innovative approaches to building public attention, developing better tools for tracking the problem, and designing effective interventions. This book examines the health care safety net from the perspectives of key providers and the populations they serve, including: Components of the safety netâ€"public hospitals, community clinics, local health departments, and federal and state programs. Mounting pressures on the systemâ€"rising numbers of uninsured patients, decline in Medicaid eligibility due to welfare reform, increasing health care access barriers for minority and immigrant populations, and more. Specific consequences for providers and their patients from the competitive, managed care environmentâ€"detailing the evolution and impact of Medicaid managed care. Key issues highlighted in four populationsâ€"children with special needs, people with serious mental illness, people with HIV/AIDS, and the homeless.

Integrating Social Care into the Delivery of Health Care

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309493439
Total Pages : 195 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Integrating Social Care into the Delivery of Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

The Future of the Public's Health in the 21st Century

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309133181
Total Pages : 536 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Future of the Public's Health in the 21st Century by : Institute of Medicine

Download or read book The Future of the Public's Health in the 21st Century written by Institute of Medicine and published by National Academies Press. This book was released on 2003-02-01 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

EBOOK: Purchasing to Improve Health Systems Performance

Author : Josep Figueras
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 0335225004
Total Pages : 322 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis EBOOK: Purchasing to Improve Health Systems Performance by : Josep Figueras

Download or read book EBOOK: Purchasing to Improve Health Systems Performance written by Josep Figueras and published by McGraw-Hill Education (UK). This book was released on 2005-03-16 with total page 322 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purchasing is championed as key to improving health systems performance. However, despite the central role the purchasing function plays in many health system reforms, there is very little evidence about its development or its real impact on societal objectives. This book addresses this gap and provides: ·A comprehensive account of the theory and practice of purchasing for health services across Europe ·An up-to-date analysis of the evidence on different approaches to purchasing ·Support for policy-makers and practitioners as they formulate purchasing strategies so that they can increase effectiveness and improve performance in their own national context ·An assessment of the intersecting roles of citizens, the government and the providers Written by leading health policy analysts, this book is essential reading for health policy makers, planners and managers as well as researchers and students in the field of health studies. Contributors: Toni Ashton, Philip Berman, Michael Borowitz, Helmut Brand, Reinhard Busse, Andrea Donatini, Martin Dlouhy, Antonio Duran, Tamás Evetovits, André P. van den Exter, Josep Figueras, Nick Freemantle, Julian Forder, Péter Gaál, Chris Ham, Brian Hardy, Petr Hava, David Hunter, Danguole Jankauskiene, Maris Jesse, Ninel Kadyrova, Joe Kutzin, John Langenbrunner, Donald W. Light, Hans Maarse, Nicholas Mays, Martin McKee, Eva Orosz, John Øvretveit, Dominique Polton, Alexander S. Preker, Thomas A. Rathwell, Sabine Richard, Ray Robinson, Andrei Rys, Constantino Sakellarides, Sergey Shishkin, Peter C. Smith, Markus Schneider, Francesco Taroni, Marcial Velasco-Garrido, Miriam Wiley

Redefining Health Care

Author : Michael E. Porter
Publisher : Harvard Business Press
ISBN 13 : 1422133362
Total Pages : 540 pages
Book Rating : 4.4/5 (221 download)

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Book Synopsis Redefining Health Care by : Michael E. Porter

Download or read book Redefining Health Care written by Michael E. Porter and published by Harvard Business Press. This book was released on 2006-04-24 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: The U.S. health care system is in crisis. At stake are the quality of care for millions of Americans and the financial well-being of individuals and employers squeezed by skyrocketing premiums—not to mention the stability of state and federal government budgets. In Redefining Health Care, internationally renowned strategy expert Michael Porter and innovation expert Elizabeth Teisberg reveal the underlying—and largely overlooked—causes of the problem, and provide a powerful prescription for change. The authors argue that competition currently takes place at the wrong level—among health plans, networks, and hospitals—rather than where it matters most, in the diagnosis, treatment, and prevention of specific health conditions. Participants in the system accumulate bargaining power and shift costs in a zero-sum competition, rather than creating value for patients. Based on an exhaustive study of the U.S. health care system, Redefining Health Care lays out a breakthrough framework for redefining the way competition in health care delivery takes place—and unleashing stunning improvements in quality and efficiency. With specific recommendations for hospitals, doctors, health plans, employers, and policy makers, this book shows how to move health care toward positive-sum competition that delivers lasting benefits for all.

Competitive Strategy for Health Care Organizations

Author : Alan Sheldon
Publisher : Beard Books
ISBN 13 : 1587981351
Total Pages : 194 pages
Book Rating : 4.5/5 (879 download)

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Book Synopsis Competitive Strategy for Health Care Organizations by : Alan Sheldon

Download or read book Competitive Strategy for Health Care Organizations written by Alan Sheldon and published by Beard Books. This book was released on 2002 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presents the elements of competitive strategic action to assist managers of health care organizations in making sound decisions and implementing them.

Spending Wisely

Author : Alexander S. Preker
Publisher : World Bank Publications
ISBN 13 : 0821359185
Total Pages : 434 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Spending Wisely by : Alexander S. Preker

Download or read book Spending Wisely written by Alexander S. Preker and published by World Bank Publications. This book was released on 2005 with total page 434 pages. Available in PDF, EPUB and Kindle. Book excerpt: This publication examines how public spending on health care can be made more efficient and equitable in developing countries, focusing on strategic purchasing and contracting of services from non-governmental providers. It is divided into six sections under the headings of: the conceptual framework; how to make strategic purchasing pro-poor; purchasing health services; purchasing inputs; supply, demand and markets; legal and regulatory issues.

Improving Health Sector Performance

Author : Hossein Jalilian
Publisher : Institute of Southeast Asian
ISBN 13 : 9814345520
Total Pages : 451 pages
Book Rating : 4.8/5 (143 download)

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Book Synopsis Improving Health Sector Performance by : Hossein Jalilian

Download or read book Improving Health Sector Performance written by Hossein Jalilian and published by Institute of Southeast Asian. This book was released on 2011 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt:

There is growing international evidence that the effectiveness of health services stems primarily from the extent to which the incentives facing providers and consumers are aligned with ""better health"" objectives. Efficiency in health service provision requires that providers and consumers have incentives to use healthcare resources in ways that generate the maximum health gains. Equity in at least one sense requires that consumers requiring the same care are treated equally, irrespective of their ability to pay. Efficiency in the use of health services requires that consumers are knowledgeable about the services on offer and which are most appropriate to their needs. The papers in this volume are selected from an international conference organised by the CDRI, Cambodia, that tried to deal with some of these issues. With participation of international and local experts, it aimed at collecting major experiences and innovative solutions from inside and outside the country to improve health sector performance, with particular focus on institutions, motivations and incentives.

HBR's 10 Must Reads on Strategy for Healthcare (featuring articles by Michael E. Porter and Thomas H. Lee, MD)

Author : Harvard Business Review
Publisher : Harvard Business Press
ISBN 13 : 1633694313
Total Pages : 207 pages
Book Rating : 4.6/5 (336 download)

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Book Synopsis HBR's 10 Must Reads on Strategy for Healthcare (featuring articles by Michael E. Porter and Thomas H. Lee, MD) by : Harvard Business Review

Download or read book HBR's 10 Must Reads on Strategy for Healthcare (featuring articles by Michael E. Porter and Thomas H. Lee, MD) written by Harvard Business Review and published by Harvard Business Press. This book was released on 2018-05-15 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for an uncertain future with a solid vision and innovative practices. Is your healthcare organization spending too much time on strategy--with too little to show for it? If you read nothing else on strategy, read these 10 articles. We've combed through hundreds of Harvard Business Review articles and selected the most important ones for healthcare professionals to help you catalyze your organization’s strategy development and execution. Leading strategy experts, such as Michael E. Porter, Jim Collins, W. Chan Kim, and Renee Mauborgne, provide the insights and advice you need to: Understand how the rules of corporate competition translate to the healthcare sector Craft a vision for an uncertain future Segment your market to better serve diverse patient populations Achieve the best health outcomes--at the lowest cost Learn what disruptive innovation means for healthcare Use the Balanced Scorecard to measure your progress This collection of articles includes "What Is Strategy?" by Michael E. Porter; "The Five Competitive Forces That Shape Strategy," by Michael E. Porter; "Health Care Needs Real Competition," by Leemore S. Dafny and Thomas H. Lee; "Building Your Company's Vision," by Jim Collins and Jerry I. Porras; "Reinventing Your Business Model," by Mark W. Johnson, Clayton M. Christensen, and Henning Kagermann; "Will Disruptive Innovations Cure Health Care?" by Clayton M. Christensen, Richard Bohmer, and John Kenagy; "Blue Ocean Strategy," by W. Chan Kim and Renee Mauborgne; "Rediscovering Market Segmentation," by Daniel Yankelovich and David Meer; "The Office of Strategy Management," by Robert S. Kaplan and David P. Norton; and "The Strategy That Will Fix Health Care," by Michael E. Porter and Thomas H. Lee.

State of Health in the EU Latvia: Country Health Profile 2019

Author : OECD
Publisher : OECD Publishing
ISBN 13 : 9264647651
Total Pages : 24 pages
Book Rating : 4.2/5 (646 download)

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Book Synopsis State of Health in the EU Latvia: Country Health Profile 2019 by : OECD

Download or read book State of Health in the EU Latvia: Country Health Profile 2019 written by OECD and published by OECD Publishing. This book was released on 2019-11-28 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: This profile provides a concise and policy-relevant overview of health and the health system in Latvia as part of the broader series of the State of Health in the EU country profiles. It provides a short synthesis of: the health status in the country; the determinants of health, focussing on behavioural risk factors; the organisation of the health system; and the effectiveness, accessibility and resilience of the health system. This profile is the joint work of the OECD and the European Observatory on Health Systems and Policies, in co-operation with the European Commission.