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The health systems we enjoy today, and expected medical advances in the future, will be difficult to finance from public resources without major reforms. Public health spending in OECD countries has grown rapidly over most of the last half century. These spending increases have contributed to ...
Preface: At the invitation of the Ministry of Health of the Czech Republic, this document is one of three reports produced by the Health Evidence Network and European Observatory on Health Systems and Policies for the Czech European Union Presidency Ministerial Conference on the Financial Sustainability of Health Systems (Prague, 10-12 May 2009): 1. Addressing financial sustainability in health systems - Policy summary -- 2. How can health systems respond to population ageing? - Policy brief 10 -- 3. How can European states design efficient, equitable and sustainable funding systems for long-term care for older people? - Policy brief 11. These reports reflect key priority areas for European health systems, and ones where learning from comparative experience is crucial to informing future policy choices. This report (Report 1) is a policy summary which underpins the key theme of the conference - financial sustainability in health systems. The report touches on the myriad elements involved in discussions on financial sustainability, and emphasizes the need for a clarification of the key concepts as a prerequisite to understanding both what is at stake and what is involved, in order to then consider potential policy decisions. Given the high level involvement at the conference, and towards enhancing the empirical relevance of the report and the research evidence it synthesizes, an earlier draft for consultation was presented at the conference. The current version represents the final report, taking into account the feedback received. Reports 2 and 3 are part of the joint Health Evidence Network-European Observatory on Health Systems and Policies policy brief series. The reports aim to respond to policy-makers' needs through the provision of accessible syntheses of the available research evidence, along with a discussion of the implementation issues around particular policy options. Earlier versions of the reports were presented during a review workshop hosted by the Czech Ministry of Health on 3 December 2008, involving the authors, representatives of the Czech Ministry, country experts, and key technical staff from the World Health Organization, the European Commission, the World Bank and the Organisation for Economic Co-operation and Development. The feedback and input received from the workshop participants were used in developing the final reports.
This volume contains an Open Access Chapter - This book provides a comprehensive understanding of the sustainability of health systems in Europe. Furthermore, it includes an introduction on how EU action in supporting health- care policies in the EU Member States, both looking at implemented actions and describing current priorities for the future.
Green Healthcare Institutions : Health, Environment, and Economics, Workshop Summary is based on the ninth workshop in a series of workshops sponsored by the Roundtable on Environmental Health Sciences, Research, and Medicine since the roundtable began meeting in 1998. When choosing workshops and activities, the roundtable looks for areas of mutual concern and also areas that need further research to develop a strong environmental science background. This workshop focused on the environmental and health impacts related to the design, construction, and operations of healthcare facilities, which are part of one of the largest service industries in the United States. Healthcare institutions are major employers with a considerable role in the community, and it is important to analyze this significant industry. The environment of healthcare facilities is unique; it has multiple stakeholders on both sides, as the givers and the receivers of care. In order to provide optimal care, more research is needed to determine the impacts of the built environment on human health. The scientific evidence for embarking on a green building agenda is not complete, and at present, scientists have limited information. Green Healthcare Institutions : Health, Environment, and Economics, Workshop Summary captures the discussions and presentations by the speakers and participants; they identified the areas in which additional research is needed, the processes by which change can occur, and the gaps in knowledge.
This publication explores the policy options to finance more resilient health systems whilst maintaining fiscal sustainability. It finds that the scale of the additional health financing needs requires ambitious and transformative policy changes.
The COVID-19 pandemic has brought to light the importance of not only improving the resilience of health systems to crises but also of ensuring their long-term sustainability. The Partnership for Health System Sustainability and Resilience (PHSSR) was established in 2020 with the goal of building more sustainable and resilient health systems around the world. One of the key objectives of PHSSR is to build knowledge, understanding, and consensus on the dimensions of health system sustainability and resilience, and how they can be improved. To achieve this goal, PHSSR focuses on seven key domains: Governance: the wide range of steering and rule-making related functions carried out by governments and decision-makers as they seek to achieve national health policy objectives. Financing: how health systems generate, pool, and allocate financial resources and pay for health services. Workforce: how health systems plan for, train, recruit, reward, and deploy their workforce, and shape the conditions in which health professionals work. Medicines and Technology: how health systems make use of medicines and (information) technologies in the delivery of health services. Service Delivery: how health services are organised and delivered, including ambulatory and hospital care, and public health. Population Health: how health systems address the social determinants of health and meet the needs and demands of the population. Environmental Sustainability: how health systems prevent and minimise their carbon footprint and the impacts of pollution on the population’s health. By examining each of these domains, PHSSR seeks to identify strengths, weaknesses, opportunities, and threats to health systems and to generate evidence-informed solutions and policy recommendations to improve sustainability and resilience.
A comprehensive resource to sustainability and its application to the environmental, industrial, agricultural and food security sectors Sustainability fills a gap in the literature in order to provide an important guide to the fundamental knowledge and practical applications of sustainability in a wide variety of areas. The authors – noted experts who represent a number of sustainability fields – bring together in one comprehensive volume the broad range of topics including basic concepts, impact assessment, environmental and the socio-economic aspects of sustainability. In addition, the book covers applications of sustainability in environmental, industrial, agricultural and food security, as well as carbon cycle and infrastructural aspects. Sustainability addresses the challenges the global community is facing due to population growth, depletion of non-renewable resources of energy, environmental degradation, poverty, excessive generation of wastes and more. Throughout the book the authors discuss the economics, ecological, social, technological and systems perspectives of sustainability. This important resource: • Explores the fundamentals as well as the key concepts of sustainability; • Covers basic concepts, impact assessment, environmental and socio-economic aspects, applications of sustainability in environmental, industrial, agricultural and food security, carbon cycle and infrastructural aspects; • Argues the essentiality of sustainability in ensuring the propitious future of earth systems; and • Authored by experts from a range of various fields related to sustainability. Written for researchers and scientists, students and academics, Sustainability: Fundamentals and Applications is a comprehensive book that covers the basic knowledge of the topic combined with practical applications.
"The presence, or absence, of neglected tropical diseases (NTDs) can be seen as a proxy for poverty and for the success of interventions aimed at reducing poverty. Today, coverage of the public-health interventions recommended by the World Health Organization (WHO) against NTDs may be interpreted as a proxy for universal health coverage and shared prosperity - in short, a proxy for coverage against neglect. As the world's focus shifts from development to sustainable development, from poverty eradication to shared prosperity, and from disease-specific goals to universal health coverage, control of NTDs will assume an important role towards the target of achieving universal health coverage, including individual financial risk protection. Success in overcoming NTDs is a "litmus test" for universal health coverage against NTDs in endemic countries. The first WHO report on NTDs (2010) set the scene by presenting the evidence for how these interventions had produced results. The second report (2013) assessed the progress made in deploying them and detailed the obstacles to their implementation. This third report analyses for the first time the investments needed to achieve the scale up of implementation required to achieve the targets of the WHO Roadmap on NTDs and universal coverage against NTDs. INVESTING TO OVERCOME THE GLOBAL IMPACT OF NEGLECTED TROPICAL DISEASES presents an investment strategy for NTDs and analyses the specific investment case for prevention, control, elimination and eradication of 12 of the 17 NTDs. Such an analysis is justified following the adoption by the Sixty-sixth World Health Assembly in 2013 of resolution WHA6612 on neglected tropical diseases, which called for sufficient and predictable funding to achieve the Roadmap's targets and sustain control efforts. The report cautions, however, that it is wise investment and not investment alone that will yield success. The report registers progress and challenges and signals those that lie ahead. Climate change is expected to increase the spread of several vector-borne NTDs, notably dengue, transmission of which is directly influenced by temperature, rainfall, relative humidity and climate variability primarily through their effects on the vector. Investments in vector-borne diseases will avoid the potentially catastrophic expenditures associated with their control. The presence of NTDs will thereby signal an early warning system for climate-sensitive diseases. The ultimate goal is to deliver enhanced and equitable interventions to the most marginalized populations in the context of a changing public-health and investment landscape to ensure that all peoples affected by NTDs have an opportunity to lead healthier and wealthier lives."--Publisher's description.
This important book outlines how, despite varying levels of global socio-economic development, governments around the world can guarantee their citizens’ fundamental right to basic healthcare. Grounded in the philosophical position that healthcare is an essential element to human dignity, the book moves beyond this theoretical principle to offer policy-makers a basis for health policies based on public accountability and social responsiveness. Also emphasizing the importance of global co-operation, particularly in the area of health promotion and communication, it addresses, too, the issue of financial sustainability, suggesting robust mechanisms of economic and social regulation. New opportunities created by e-health, evidence-based data and artificial intelligence are all highlighted and discussed, as is the issue of patient rights. Students and researchers across bioethics, public health and medical sociology will find this book fascinating reading, as will policy-makers in the field.