Europe
description
Transcript of Europe
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EuropeEurope
AndrAndréé Meijer Meijer Universiteit Maastricht Universiteit Maastricht
Programme director European Public HealthProgramme director European Public Health
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European Community role European Community role on healthon health
(main source: Lecture dr. Merkel, dg sanco, in Maastricht)
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Europe 1957-2007Europe 1957-2007
The Treaty of Rome (25 March 1957) The Treaty of Rome (25 March 1957)
created our European familycreated our European family The Maastricht Treaty (1992) created a The Maastricht Treaty (1992) created a
specific public health role, still developingspecific public health role, still developing But health has always been an important But health has always been an important
part of the Community policiespart of the Community policies
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Health in Community policiesHealth in Community policies- but in which ones?- but in which ones?
Free movement of goodsFree movement of goods AgricultureAgriculture Free movement of persons, Free movement of persons,
services and capitalservices and capital Visas, asylum and Visas, asylum and
immigrationimmigration TransportTransport Competition and taxationCompetition and taxation Economic and monetary Economic and monetary
policypolicy EmploymentEmployment Commercial policyCommercial policy CustomsCustoms
Social policySocial policy CultureCulture Public healthPublic health Consumer protectionConsumer protection Trans-European networksTrans-European networks IndustryIndustry Economic and social Economic and social
cohesioncohesion Research and technological Research and technological
developmentdevelopment EnvironmentEnvironment Development cooperationDevelopment cooperation International cooperationInternational cooperation
(source: lecture dr. Merkel, dg sanco, in Maastricht)
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Health in Community policiesHealth in Community policies- all of them!- all of them!
Free movement of goodsFree movement of goods AgricultureAgriculture Free movement of persons, Free movement of persons,
services and capitalservices and capital Visas, asylum and Visas, asylum and
immigrationimmigration TransportTransport Competition and taxationCompetition and taxation Economic and monetary Economic and monetary
policypolicy EmploymentEmployment Commercial policyCommercial policy CustomsCustoms
Social policySocial policy CultureCulture Public healthPublic health Consumer protectionConsumer protection Trans-European networksTrans-European networks IndustryIndustry Economic and social Economic and social
cohesioncohesion Research and Research and
technological developmenttechnological development EnvironmentEnvironment Development cooperationDevelopment cooperation International cooperationInternational cooperation
(source: lecture dr. Merkel, dg sanco, in Maastricht)
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Public health actionsPublic health actions
Legislation to set European rules and Legislation to set European rules and standards standards
Open coordinationOpen coordination
Policy actions (of Commission and Sanco)Policy actions (of Commission and Sanco)
Support to Member States and society Support to Member States and society (through networks and projects)(through networks and projects)
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Policy actionsPolicy actions
In 2005 Commission introduced a processIn 2005 Commission introduced a process
which includes policy development on :which includes policy development on :
‘‘health’ and health’ and ‘‘health systems’ health systems’
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Future Health StrategyFuture Health Strategy
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Health Strategy: Consultation Health Strategy: Consultation 2004 2004
Results:Results: MainstreamingMainstreaming cross-policy cross-policy
approachapproach Focus (further) on Focus (further) on promotionpromotion Bridge Bridge health inequalitieshealth inequalities Tackle Tackle global health issuesglobal health issues Address other key issues: Address other key issues: ageing, ageing,
technology, cross border issuestechnology, cross border issues
(source: lecture dr. Merkel, dg sanco, in Maastricht)
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Expanding EU:growing health gaps
Ageing Population
Safety, Pandemic and
Bioterrorism Threats
New Technology and
Innovation Migration &
Cross Border Healthcare
Lifestyle Related Diseases
Globalisation
Citizens’ Agenda
Pharmaceutical ForumEU In Tech
E-HealthHTA
Healthy Life YearsHealth information
Health Portal
European Centre of Disease prevention
He S ec Com
Health services InitiativePatient Safety - Health Profs
Health investments in Structural FundsRegions for Econ Change
White paper on Nutrition
Communication on Alcohol
Tobacco control strategy
WHO, ENPThird
Countries
Current and Future ChallengesCurrent and Future Challenges
(source: lecture dr. Merkel, dg sanco, in Maastricht)
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The EU Health StrategyThe EU Health Strategy
Why an EU Health Strategy now?Why an EU Health Strategy now?
No No coherent strategic approachcoherent strategic approach to current and future challenges, no to current and future challenges, no overarching aims and objectivesoverarching aims and objectives
There is a need to:There is a need to:
Set out a strategic overall framework (10 years with a mid term Set out a strategic overall framework (10 years with a mid term review), including cross-sectoral work and partnership with Member review), including cross-sectoral work and partnership with Member States States
Set out aims and objectivesSet out aims and objectives
Trigger change - deliver concrete results through an effective Trigger change - deliver concrete results through an effective implementation processimplementation process
(source: lecture dr. Merkel, dg sanco, in Maastricht)
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Framing the Strategy 2008-17Framing the Strategy 2008-17
1. Core Issues 1. Core Issues to improve the health of to improve the health of EU citizens - promotion and EU citizens - promotion and prevention, inequalities, ageing, prevention, inequalities, ageing, cross-border issues; health cross-border issues; health services…services…
2. Health in all Policies 2. Health in all Policies - Regional - Regional development, structural funds, development, structural funds, environment, economic policy, social environment, economic policy, social policy, policy, research etc.research etc.
3. Global Health 3. Global Health - EU work at the global - EU work at the global level communicable diseases, level communicable diseases, pandemics, trade, health and pandemics, trade, health and development aiddevelopment aid
Core Issues
Health in all Policies
Global Issues
(source: lecture dr. Merkel, dg sanco, in Maastricht)
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Consultation process 2006-2007Consultation process 2006-2007
Sanco started with noteSanco started with note ASPHER participated and reacted formally (among 150 others)ASPHER participated and reacted formally (among 150 others) Impact Assessment includes data on administrative burden and Impact Assessment includes data on administrative burden and
administrative costs for the MSadministrative costs for the MS
White Paper on EU Health Strategy in mid/end 2007
See Commission website:See Commission website: http://ec.europa.eu/health/ph_overview/strategy/healthhttp://ec.europa.eu/health/ph_overview/strategy/health_strategy_en.htm_strategy_en.htm
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Health services initiativeHealth services initiative
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Free movement but…Free movement but…
Basic principle: Court has ruled that health services are Basic principle: Court has ruled that health services are provided for remuneration thus fall within scope of the provided for remuneration thus fall within scope of the TreatyTreaty
But barriers to free movement may still be justified, in But barriers to free movement may still be justified, in particular:particular: to protect public health;to protect public health; to ensure financial sustainability of health systems.to ensure financial sustainability of health systems.
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Health Services InitiativeHealth Services Initiative
Bring legal clarification and certaintyBring legal clarification and certainty
Help national health systems to better address Help national health systems to better address common challengescommon challenges
Reduce inequalities between Member States and Reduce inequalities between Member States and regionsregions
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Health Services Initiative:Health Services Initiative:the Consultationthe Consultation
Consultation closed 31/01/2007Consultation closed 31/01/2007 Over 270 replies receivedOver 270 replies received Individual replies already available in the InternetIndividual replies already available in the Internet Report of the consultation will be presented to the Report of the consultation will be presented to the
Informal Council in Aachen 19-20 April 2007Informal Council in Aachen 19-20 April 2007 After the Council, report will be available in the InternetAfter the Council, report will be available in the Internet Based on the consultation, the Impact Assessment will Based on the consultation, the Impact Assessment will
be launchedbe launched Proposal expected November 2007Proposal expected November 2007 http://ec.europa.eu/health/ph_overview/http://ec.europa.eu/health/ph_overview/
co_operation/mobility/co_operation/mobility/community_framework_en.htmcommunity_framework_en.htm
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EU 2008 and future plansEU 2008 and future plans
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Main topicsMain topics
Free movementFree movement Patient safetyPatient safety Sufficient and good health workforceSufficient and good health workforce
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Patient safetyPatient safety
Key concern of citizens – 78% of EU Key concern of citizens – 78% of EU citizens see patient safety as an important citizens see patient safety as an important problemproblem
Estimate of 10% of adverse eventsEstimate of 10% of adverse events Mainly Member State responsibility, but Mainly Member State responsibility, but
enormous potential for added valueenormous potential for added value
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Patient safetyPatient safety
Main objectivesMain objectives Reduce avoidable harmReduce avoidable harm Ensure citizens have confidence in healthcare Ensure citizens have confidence in healthcare
throughout the EUthroughout the EU Blame-free culture for professionalsBlame-free culture for professionals When mistakes happen, have mechanisms for When mistakes happen, have mechanisms for
learning from them and providing redresslearning from them and providing redress Sharing best practice to ensure high standards for all Sharing best practice to ensure high standards for all
EU health servicesEU health services Proposals in 2008Proposals in 2008
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Health workforce for EuropeHealth workforce for Europe
Shortages of health professionals for some Shortages of health professionals for some regions and specialismsregions and specialisms MigrationMigration Ageing of the health workforceAgeing of the health workforce Impact in developing countries as wellImpact in developing countries as well
Variations between countriesVariations between countries Initial training content, recognition of specialisms, Initial training content, recognition of specialisms,
continuing professional developmentcontinuing professional development Need collective action to addressNeed collective action to address
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Health workforce for EuropeHealth workforce for Europe
Establish a European Health Workforce Establish a European Health Workforce ForumForum Building on the work of the High Level Building on the work of the High Level
GroupGroup Bringing together all relevant stakeholdersBringing together all relevant stakeholders Develop shared ideas for next stepsDevelop shared ideas for next steps
Opportunity to rethink the health Opportunity to rethink the health workforce we need in Europeworkforce we need in Europe
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So what ?So what ?
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Draft proposalsDraft proposals
More focus in curricula for cross border, More focus in curricula for cross border, European and global developments in PHEuropean and global developments in PH
Cooperation and alliances with other European Cooperation and alliances with other European PH associationsPH associations
Common projectsCommon projects Support by members through Support by members through
Pool of expertsPool of experts Thematic committeesThematic committees
An office in Brussels with an active and An office in Brussels with an active and supportive staffsupportive staff
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2007 and further2007 and further
There is definitely a big role for
ASPHER to play in
• Brussels, • elsewhere in Europe
• and the world