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Economic shocks pose a threat to health and health system performance by increasing people’s need for health care and making access to care more difficult – a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:  analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery assess the impact of these responses on health systems and population health identify policies most likely to sustain the performance of health systems facing financial pressure explore the political economy of implementing reforms in a crisis The book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.
Economic shocks pose a threat to health and health system performance by increasing people's need for health care and making access to care more difficult - a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:' analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery 'assess the impact of these responses on health systems and population health' identify policies most likely to sustain the performance of health systems facing financial pressure' explore the political economy of implementing reforms in a crisisThe book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.--
The financial and economic crisis has had a visible but varied impact on many health systems in Europe, eliciting a wide range of responses from governments faced with increased financial and other pressures. This book maps health system responses by country, providing a detailed analysis of policy changes in nine countries and shorter overviews of policy responses in 47 countries. It draws on a large study involving over one hundred health system experts and academic researchers across Europe. Focusing on policy responses in three areas--public funding of the health system, health coverage and health service planning, purchasing and delivery--this book gives policymakers, researchers and others valuable, systematic information about national contexts of particular interest to them, ranging from countries operating under the fiscal and structural conditions of international bailout agreements to those that, while less severely affected by the crisis, still have had to operate in a climate of diminished public sector spending since 2008. Along with a companion volume that analyzes the impact of the crisis across countries, this book is part of a wider initiative to monitor the effects of the crisis on health systems and health, to identify those policies most likely to sustain the performance of health systems facing fiscal pressure and to gain insight into the political economy of implementing reforms in a crisis.
This book builds on the lessons of the most recent global financial crisis, especially in Europe and Central Asia and proposes a more effective role for the health sector as part of a safety net function and as a stabilizer for the population during a crisis.
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.
Scientific Essay from the year 2016 in the subject Health - Public Health, grade: 27/30, UniNettuno University, language: English, abstract: This paper deals with challenges faced by local health managers in times of economic crisis, since almost nothing in our modern healthcare system is preserved from both immediate and long term effects of economic oscillations. The healthcare becomes more and more subject to higher technologies with a growing number of private, well organized and benefit-oriented hospitals. Researchers found that approximately 50% of health improvements were due to access to better technology, whereas remaining gains resulted from income improvements and better education. Healthcare is actually referenced to as one of the most complex, costly and challenged sector of our contemporary societies. Just as health conditions at any time improve with income level, so too, might adverse income shocks have detrimental effects on health. Economic downturns have been linked to increased morbidity and mortality, and to poor nutrition and mental health. The recent economic crisis through the increasing socioeconomic disparities and difficulties such as unemployment, extreme poverty, homelessness, stigma, discrimination and social isolation and through the budgetary constraints and poor policies for financing prevention and treatment, have been translated to heightened risk behaviors on the individual level and impaired public health response on the population level. The negative impacts can also be observed at the societal level, as all sensitive social indicators have been distorted. In European countries, the late 2000's economic crisis laid to a consistent tendency of European governments to diminish the spending on healthcare. This have led to considerable decrease in the number of people accessing healthcare as in countries with weak health insurance policy people had to use money from their pocket. The economic crisis provokes certainly the need for multifactorial adjustments at all health managerial levels. To powerfully address this issue health managers should have clear understanding of the impacts of economic crisis on their ability to maintain and promote an adequate healthcare provision. The present paper will discuss indeed, the main challenges that a health services manager can face regarding the impact of an economic crisis to a local society.
In the last 40 years the health of Europeans overall has improved markedly yet progress has been very uneven from country to country. Successes and Failures of Health Policy in Europe considers the impact health policy has had on population health in Europe. It asks key questions about mortality trends and health policy activity, such as: Do between-country differences in rates of smoking-related diseases reflect differences in tobacco-control policies? What would be a country's health gain if it implemented the policies of the best-performing country? Which social, economic and political factors influence a country's success in health policy? This book fills an important gap by offering a comparative analysis of the successes and failures of health policy in different European countries. In doing so it helps readers identify best practices in health improvement from which other countries can learn. The book explores how policy impact can be quantified and identifies which aspects of policy we can learn from when tackling the determinants of health in our populations. Written by experts and based on the latest evidence-based research, this volume is a must have for policy makers and those working in healthcare as professionals, researchers and students alike.
Recoge: 1. Introduction - 2. The economic importance of the health sector - 3. Past and recent trends in health expenditure and brief overview of the EPC/EC expenditure projections - 4. Survey of health system efficiency, effectiveness and sustainability issues - 5. Health system characteristics and their relation to health expenditure - 6. Main challenges ahead to contain costs and make the health systems more efficient - Annexes.
The 2020 edition of Health at a Glance: Europe focuses on the impact of the COVID‐19 crisis. Chapter 1 provides an initial assessment of the resilience of European health systems to the COVID-19 pandemic and their ability to contain and respond to the worst pandemic in the past century.