DOCSLIB.ORG

Private Sector Landscape in Mixed Health Systems

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Private Sector Landscape in Mixed Health Systems Private Sector Landscape in Mixed Health Systems © WHO / Karen Reidy. Ocial WHO Logo Font: Frutiger 67 Bold Condensed Color: Black or Pantone 2925 Private Sector Landscape Private Sector Landscape in Mixed Health Systems in Mixed Health Systems ISBN TBD (electronic version) ISBN TBD (print version) © World Health Organization 2020 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence This is a conference copy (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested This publication was undertaken under the overall guidance of citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this Dr Peter Salama (WHO) and Dr Zsuzsanna Jakab (WHO). translation. The original English edition shall be the binding and authentic edition”. The editor for this publication is David Clarke (technical lead Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the for WHOs work on private sector engagement for UHC). World Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/). Work on this publication has been coordinated by Aurelie Paviza (WHO) Suggested citation. Private Sector Landscape in Mixed Health Systems. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. with support from Anna Cocozza (WHO). Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. The authors of this publication are David Clarke (WHO), Dr Dominic Montagu (Metrics for Management), Nirali Chakraborty (Metrics for Management), Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. Andrea Sprockett (Insight Metrics), Shekwoduza Baba (Insight Metrics), Yuen Wai Hung (Impact for Health), Joel Klinton (Impact for Health), Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your Cynthia Eldridge (Impact for Health), Barbara O’Hanlon (O’Hanlon Health Consulting), responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims Dr. Mark Hellowell (University of Edinburgh), Gabrielle Appleford (Impact for Health). resulting from infringement of any third-party-owned component in the work rests solely with the user. This report could not have been produced without the strategic guidance provided by General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any members of WHO Advisory Group on the Governance of the Private Sector for UHC: opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the Dr. Gerald Bloom (Institute of Development Studies), Luke Boddam-Whetham (Palladium), delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. Nikki Charman (Population Services International), Dr. Mostafa Hunter (Consultant), Robinah Kaitiritimba (Uganda National Health Consumers' Organisation), The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by Dr. Dominic Montagu (University of California San Francisco), Dr. Samwel Ogillo WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products (Association of Private Health Facilities in Tanzania), Barbara O’Hanlon (O’Hanlon Consulting), are distinguished by initial capital letters. Dr. Madhukar Pai (McGill University), Dr. A. Venkat Raman (University of Delhi). All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material Financial support for the preparation and production of this publication was is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material provided by the UHC Partnership. lies with the reader. In no event shall WHO be liable for damages arising from its use. Abbreviations Foreword ADB Asia Development Bank MMV Medicines for Malaria Venture In 2019, the World Health Organization set up an advisory group on the AfDB Africa Development Bank MVI Malaria Vaccine Initiative AFRO WHO Regional Office for Africa NHA National Health Accounts Governance of the Private Sector for Universal Health Coverage. The group Non-Communicable Diseases AHME African Health Markets for Equity NCDs was formed with the primary goal of providing advice and recommendations AMC Advance Market Commitment NMDS National Minimum Data Set ANC Antenatal care NGO Non-government organizations on the regulation and engagement of the private sector in the context of ARI Acute Respiratory Infection NHI National Health Insurance WHO GPW goal of 1 billion more people benefiting from Universal Health BCC Behaviour change communication NMDS National Minimum Data Set BMGF Bill & Melinda Gates Foundation NORAD Norwegian Agency for Development Cooperation Coverage, and in particular outcome 1.1.4, “Countries enabled to ensure CHE Current Health Expenditure NTP National Treatment Programmes COP Conference of the Parties OECD Organization for Economic Cooperation and Development effective health governance”. COPD Chronic Obstructive Pulmonary Disease OOP Out of Pocket CSO Civil society organizations ORS Oral Rehydration Salts In late 2020, the advisory group finished a new The eight studies in this volume were commissioned CVI Childhood Vaccine Initiative PAHO Pan American Health Organization CVP Childhood Vaccine Program PBF Performance Based Financing strategy designed to help WHO facilitate a new by WHO to help the advisory group to complete its DFID Department for International Development PHC Primary Health Care way of governing mixed health systems by building work on the new strategy. Each of these studies DHS Demographic and Health Surveys PHSA Private Health Sector Assessment consensus around the means and strategies of also contributes valuable information to broader DOH Department of Health PPA Patient Pathway Analysis engaging the private health sector in health care discussions about the role of the private sector in DRG Diagnosis Related Group PPM Public Private Mix service delivery. This new strategy focuses on the health care and the growing momentum to using EMRO WHO Regional Office for Eastern Mediterranean PPPs Public Private Partnerships governance of the whole health system - both private cross-sector partnerships to achieve the health- EURO WHO Regional Office for Europe PSE Private Sector Engagement and public – to ensure that all people have access to related SDGs. FP Family Planning PSI Population Services International quality health care without suffering financial hardship, FBOs Faith Based Organisation PPD Public Private Dialogue irrespective of where they seek care. GAFTM Global Fund to Fight AIDS, TB and Malaria RDTs Rapid Diagnostic Tests GFF Global Financing Facility RH Reproductive Health GHED WHO Global Health Expenditure Database RMCNH Reproductive, maternal, child and nutrition health GIIN Global Impact Investing Network SARA WHO’s Service Availability and Readiness Assessment The eight studies in this volume were commissioned by WHO GP General Practitioners SDG Sustainable Development Goals GPPP Global Public-Private Partnerships SEARO WHO Regional Office for South East Asia to help the advisory group to complete its work on the strategy GPW General Programme of Work SHI Social Health Insurance HIC High Income Countries SHOPS Sustaining Health Outcomes through the to facilitate a new way of governing mixed health systems. HIES Household Income and Expenditure Surveys Private Sector HMIS Health Management Information Systems SM Social Marketing David Clarke, Health Systems Governance Department, WHO HMO Health Maintenance Organization SPA Service Provision Assessment HNP Health, Population and Nutrition STIs Sexually Transmitted Infections HSS Health System Strengthening TB Tuberculosis HQ Headquarters TMA Total Market Approach IAVI International Aids Vaccine Initiative UHC Universal Health Coverage IFC International Finance Corporation UN United Nations iNGOs International non-government organizations UNFPA United Nations Fund for Population Activities ITNs Insecticide-Treated Nets UNICEF United Nations Children’s Fund LMICs Low- and middle-income countries USAID US Agency for International Development MDSR Maternal Death Surveillance and Response WHO World Health Organization MICS Multiple
Load more

Recommended publications
  • Improving Healthcare Quality in Europe
    Cover_WHO_nr52.qxp_Mise en page 1 20/08/2019 16:31 Page 1 51 THE ROLE OF PUBLIC HEALTH ORGANIZATIONS IN ADDRESSING PUBLIC HEALTH PROBLEMS IN EUROPE PUBLIC HEALTH IN ADDRESSING ORGANIZATIONS PUBLIC HEALTH THE ROLE OF Quality improvement initiatives take many forms, from the creation of standards for health Improving healthcare 53 professionals, health technologies and health facilities, to audit and feedback, and from fostering a patient safety culture to public reporting and paying for quality. For policy- makers who struggle to decide which initiatives to prioritise for investment, understanding quality in Europe Series the potential of different quality strategies in their unique settings is key. This volume, developed by the Observatory together with OECD, provides an overall conceptual Health Policy Health Policy framework for understanding and applying strategies aimed at improving quality of care. Characteristics, effectiveness and Crucially, it summarizes available evidence on different quality strategies and provides implementation of different strategies recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies. Edited by Quality of care is a political priority and an important contributor to population health. This Reinhard Busse book acknowledges that "quality of care" is a broadly defined concept, and that it is often Niek Klazinga unclear how quality improvement strategies fit within a health system, and what their particular contribution can be. This volume elucidates the concepts behind multiple elements Dimitra Panteli of quality in healthcare policy (including definitions of quality, its dimensions, related activities, Wilm Quentin and targets), quality measurement and governance and situates it all in the wider context of health systems research.
    [Show full text]
  • 3.1 Health Expenditures in Sub-Saharan Africa Were Flat
    34418 Public Disclosure Authorized Public Disclosure Authorized Improving Health, Nutrition, and Population Public Disclosure Authorized Outcomes in Sub-Saharan Africa The Role of the World Bank Public Disclosure Authorized Improving Health, Nutrition, and Population Outcomes in Sub-Saharan Africa The Role of the World Bank Improving Health, Nutrition, and Population Outcomes in Sub-Saharan Africa The Role of the World Bank Washington, D.C. © 2005 The International Bank for Reconstruction and Development / The World Bank 1818 H Street, NW Washington, DC 20433 Telephone: 202-473-1000 Internet: www.worldbank.org E-mail: [email protected] All rights reserved. The findings, interpretations, and conclusions expressed herein are those of the author(s) and do not necessarily reflect the views of the Board of Executive Directors of the World Bank or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judg- ment on the part of the World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Rights and Permissions The material in this work is copyrighted. Copying and/or transmitting portions or all of this work with- out permission may be a violation of applicable law. The World Bank encourages dissemination of its work and will normally grant permission promptly. For permission to photocopy or reprint any part of this work, please send a request with complete information to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, USA, telephone 978-750-8400, fax 978-750-4470, www.copyright.com.
    [Show full text]
  • An All Time Low Budget for Healthcare in Pakistan Jamil Ahmed and Babar T
    COMMENTARY An All Time Low Budget for Healthcare in Pakistan Jamil Ahmed and Babar T. Shaikh INTRODUCTION basic governmental priority that the health of the nations The healthcare systems in most of the world employ should not suffer at the time of serious financial crisis. scientific mechanisms for financing and funding the Cuba is one such example which suffered in the 90’s expenses incurred on the health of the people. A due to downfall of the socialist bloc following the department for health in the government formally impositions of American embargoes. Cuban govern- manages this system. In Pakistan, the budget allocation ment sustained the health reforms and reduced the is federally administered and more than half is drawn military budget, spending around 7% of its GDP on from the broad indirect taxes. It is distributed to the health during that time. As a result their maternal and provinces according to the need but usually it is on an child health is as good as of any OECD countries.3 incremental pattern. There is complete lack of proper Another excellent example for tax and spend mapping mechanism of healthcare financing schemes. phenomenon in National Health Services is that of the The health budget is devised at the federal level based United Kingdom. The money collected through taxation on collection and generation for hierarchal distribution of is spent on health on the basis of need with great checks the money to the provinces. The national, provincials and balances. A significant feature of this system is a and local governments are engaged in planning and small expenditure of about 4% on medical technology final implementation of the budget.
    [Show full text]
  • Stressors Affecting Nursing Students in Pakistan
    This is a repository copy of Stressors affecting nursing students in Pakistan. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk/121667/ Version: Accepted Version Article: Watson, R., Rehman, S. and Ali, P.A. orcid.org/0000-0002-7839-8130 (2017) Stressors affecting nursing students in Pakistan. International Nursing Review. ISSN 0020-8132 https://doi.org/10.1111/inr.12392 Reuse Items deposited in White Rose Research Online are protected by copyright, with all rights reserved unless indicated otherwise. They may be downloaded and/or printed for private study, or other acts as permitted by national copyright laws. The publisher or other rights holders may allow further reproduction and re-use of the full text version. This is indicated by the licence information on the White Rose Research Online record for the item. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing [email protected] including the URL of the record and the reason for the withdrawal request. [email protected] https://eprints.whiterose.ac.uk/ Stressors Affecting Nursing Students in Pakistan Professor Roger Watson Professor of Nursing Faculty of Health and Social Care University of Hull Cottingham Raod HU6 7RX Email: [email protected] Ms. Salma Rehman, MScN, RN, RM PhD Candidate Faculty of Health and Social Care University of Hull Cottingham Road Hull HU6 7RX [email protected] Dr. Parveen Azam Ali, PhD, MScN, BScN, FHEA Lecturer The School of Nursing and
    [Show full text]
  • Pakistan Country Consultation Report on UHC2030
    Pakistan Country Consultation Report on UHC2030 1. An Overview of Pakistan to achieve UHC2030 1.1. Universal Health Coverage 2030 Achieving universal health coverage (UHC) is a global health priority embedded in the Sustainable Development Goals and 2019 is a year filled with opportunities to drive progress towards UHC. While there is no one-size fits all model for universal health coverage at a country level, the ideal health system would be one that is comprehensive, integrated, rights-based, non-discriminative and people- centred. 1.2. Pakistan Health Vision (2016-2025) and UHC 2030 The objective of the National Health Vision is to improve the health of all citizens, particularly women and children through providing universal access to affordable quality essential health services and delivering service through a resilient and responsive health system. Federal government will support and facilitate the provinces in developing and implementing their strategies by facilitating/advocating for financial and technical resource mobilization. Government of Pakistan Vision 2025 has identified 5 key enablers and 7 pillars of development for achieving SDGs; the document covers most of the SDGs. The first pillar of development ‘Putting People First’ addresses the need to strengthen the healthcare system in the country and ameliorate issues of poverty, hunger, disease, health, gender inequality, and access to water and sanitation. Specifically, in the context of health-related targets, the Vision aims to reduce child mortality, improve maternal health and combat HIV/AIDS, malaria and other diseases. Access to health is the second largest contributor to multidimensional poverty in the country, and improving access is one of the fundamentals of the Vision 2025 document, thereby, making it directly relevant to promotion of UHC as per SDG 3.8.
    [Show full text]
  • Evidence from a Controlled Trial of a Healthcare System
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Copenhagen University Research Information System Know where to go Evidence from a controlled trial of a healthcare system information intervention among immigrants Jervelund, Signe Smith; Maltesen, Thomas; Wimmelmann, Camilla Lawaetz; Petersen, Jørgen Holm; Krasnik, Allan Published in: B M C Public Health DOI: 10.1186/s12889-018-5741-x Publication date: 2018 Document version Publisher's PDF, also known as Version of record Document license: CC BY Citation for published version (APA): Jervelund, S. S., Maltesen, T., Wimmelmann, C. L., Petersen, J. H., & Krasnik, A. (2018). Know where to go: Evidence from a controlled trial of a healthcare system information intervention among immigrants. B M C Public Health, 18, [863]. https://doi.org/10.1186/s12889-018-5741-x Download date: 09. apr.. 2020 Jervelund et al. BMC Public Health (2018) 18:863 https://doi.org/10.1186/s12889-018-5741-x RESEARCHARTICLE Open Access Know where to go: evidence from a controlled trial of a healthcare system information intervention among immigrants Signe Smith Jervelund1* , Thomas Maltesen2, Camilla Lawaetz Wimmelmann1, Jørgen Holm Petersen2 and Allan Krasnik1 Abstract Background: Immigrants may face problems with accessing the Danish healthcare system due to, for example, lack of knowledge of how to navigate it, which may cause inappropriate healthcare-seeking. Danish municipalities provide a mandatory introduction and language programme for newly arrived immigrants, but no information on the healthcare system is offered. This study investigated what effects information about the Danish healthcare system may have on the hypothetical healthcare-seeking behaviour of newly arrived immigrants and their actual healthcare use.
    [Show full text]
  • Wales for Africa Health Links
    Wales for Africa Health Links Annual Report 2011 Wales for Africa Health Links Who are we? The Wales for Africa Health Links Network is open to any partnership between an organisation in Wales and a counter part in sub Saharan Africa that focuses primarily on health. It developed out of the first conference for Health Links in Wales in 2007. The overall aim is to facilitate a coordinated and effective approach to promoting the development of current health links in Wales (NHS and public health). It represents a unique response to addressing the Millennium Development Goals by harnessing the expertise and commitment that exists within the NHS in Wales and in partners in disadvantaged communities in Africa, to support their effort to improve health. The Network receives high level support from the NHS in Wales including the Public Health Wales NHS Trust and the Wales for Africa Program of the Welsh Government. NHS Wales has taken the lead in the UK, by explicitly supporting Links through employees’ support, the support of Boards and through the NHS small grants scheme (now £100,000 per year). The Welsh Government’s Wales for Africa Program funds the annual health links conference, as well as providing support for individual health links. Achievements of the Network of Health Links Networking In January this year, the members met and • Communication and networking between links, proposed the formation of a Board, which met for via ebulletins, events and facilitating contacts the first time in March and will meet quarterly. The • Empowering and encouraging volunteers Board members are: • Creating a health community • Mr Biku Ghosh, Chair (Southern Ethiopia Gwent • Sharing experiences and knowledge between Link) health links • Dr Cath Taylor (PONT) • Prof.
    [Show full text]
  • Pakistan Country Profile, 2017 LINK 5 COUNTRY PROFILE: PAKISTAN
    COUNTRY PROFILE Analysis for mental health campaigning and advocacy Authors: Onaiza Qureshi, Muhammad Ali, Taha Sabri Informal consultations conducted with: Aneeta Pasha (Interactive Research & Development Global), Dr. Murad Musa (Aga Khan University & Hospital), Dr. Rubina Kidwai (Sindh Mental Health Authority) Key Informant Interview conducted with: Dr. Ayesha Mian (Aga Khan University & Hospital) COUNTRY PROFILE: PAKISTAN THE PURPOSE of these profiles is to inform effective mental health advocacy by identifying and docu- menting national priorities for mental health campaigning efforts. This country profile is the culmination of desk research and consultations with experts in Pakistan. Based on the PESTLE1 framework of analysis, covering Political, Economic, Social, Technological, Legal and Environmental factors, it seeks to outline issues relevant to mental health, identify- ing resource gaps, challenges, opportunities and priorities of people affected, leading to recommendations for key actors working in mental health campaigning and advocacy in Pakistan. The development of country profiles was implemented through a partnership between the Speak Your Mind Campaign and the Mental Health Innovation Network. 1 Perera R. 2017. The PESTLE analysis. 2 COUNTRY PROFILE: PAKISTAN Photo: Pakistan LINK Political Factors ery of mental health in the country [Rubi- na Kidwai Interview], and only one province Institutional Framework: The Islamic Re- (KPK) has developed a Mental Health and public of Pakistan is a country in South Asia Psychosocial Support Strategic Plan (2018- under a parliamentary democratic system. 2022) with support from UNICEF and War 2 The National Health Services, Regulations Trauma . In recent years, the government and Coordination Ministry is responsible for has made positive moves in their recent- national level provision of medical services, ly launched National Health Vision (2016- health policy formulation and enforcement.
    [Show full text]
  • Cross-Border Health Care in Europe (Eng)
    POLICY SUMMARY 14 Cross-border health care in Europe Katharine Footman, Cécile Knai, Rita Baeten, Ketevan Glonti, Martin McKee eu Keywords: © World Health Organization 2014 (acting as the host organization for, and secretariat of, the European BURDEN OF ILLNESS Observatory on Health Systems and Policies) CHRONIC DISEASE COST EFFECTIVENESS Address requests about publications of the WHO Regional Offi ce for Europe to: DELIVERY OF HEALTH CARE, INTEGRATED Publications WHO Regional Offi ce for Europe HEALTH CARE ECONOMICS UN City, Marmorvej 51, AND ORGANIZATIONS DK-2100 Copenhagen Ø, Denmark HEALTH POLICY Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Offi ce web site (http://www.euro.who.int/pubrequest). All rights reserved. The Regional Offi ce for Europe of the World Health Organization welcomes requests for permission to reproduce or translate its publications, in part or in full. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. The mention of specifi c companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar This policy summary nature that are not mentioned. Errors and omissions is one of a new series excepted, the names of proprietary products are to meet the needs distinguished by initial capital letters.
    [Show full text]
  • Financing Health Care in the European Region
    Financing health care in the European Union Th e European Observatory on Health Systems and Policies supports and promotes evidence- based health policy-making through comprehensive and rigorous analysis of health systems in Europe. It brings together a wide range of policy-makers, academics and practitioners to analyse trends in health reform, drawing on experience from across Europe to illuminate policy issues. Th e European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Offi ce for Europe, the Governments of Belgium, Finland, Norway, Slovenia, Spain and Sweden, the Veneto Region of Italy, the European Investment Bank, the World Bank, the London School of Economics and Political Science and the London School of Hygiene & Tropical Medicine. Financing health care in the European Union Challenges and policy responses Sarah Thomson Thomas Foubister Elias Mossialos This study was requested and fi nanced by the European Parliament’s Committee on Employment and Social Affairs (EMPL). Keywords: FINANCING, HEALTH DELIVERY OF HEALTH CARE – economics HEALTH CARE COSTS HEALTH CARE REFORM EUROPEAN UNION © World Health Organization 2009, on behalf of the European Observatory on Health Systems and Policies All rights reserved. Th e European Observatory on Health Systems and Policies welcomes requests for permission to reproduce or translate its publications, in part or in full. Address requests about publications to: Publications, WHO Regional Offi ce for Europe, Scherfi gsvej 8, DK-2100 Copenhagen Ø, Denmark Alternatively, complete an online request form for documentation, health information, or for permission to quote or translate, on the Regional Offi ce web site (http://www.euro.who.int/pubrequest).
    [Show full text]
  • Financing Sustainable Healthcare in Europe: New Approaches for New Outcomes
    FINANCING SUSTAINABLE HEALTHCARE IN EUROPE: NEW APPROACHES FOR NEW OUTCOMES Conclusions from a collaborative investigation into contentious areas of healthcare February 2007 “Financing Sustainable Healthcare in Europe” presents the results of a year-long study into the sustainability of healthcare financing in Europe which was first proposed in Luxembourg in late 2004. It is endorsed by Luxembourg's Ministry of Health and by Sitra, the Finnish Innovation Fund, and is partnered by Pfizer, Inc. The views expressed in this work are those of the authors and do not necessarily represent the views and policies of the organisations to which they belong. The independence of the authors, and of all other parties who contributed to this work, is absolute. Pfizer’s intention in partnering this initiative was to stimulate novel thinking and to contribute to finding solutions for sustainable healthcare financing in Europe. TABLE OF CONTENTS Steering Committee 4 Rapporteurs 5 Contributors 5 Introduction to the report 7 Dr. Otto Graf Lambsdorff Setting the Scene 9 Pat Cox 1 Protecting equity while improving efficiency: Some possibilities for expanding the role of competition and choice in health care delivery 13 Jacques Cremer, Jean-Marie Lozachmeur (IDEI, University of Toulouse) Stephen Wright (European Investment Bank) 2 Ensuring value for money in health care: The role of HTA in the European Union 45 Corinna Sorenson, Panos Kanavos (LSE Health and Social Care) Michael Drummond (University of York) 3 Patient empowerment and efficient health outcomes 139 Reinhard Angelmar (INSEAD) Philip C. Berman (European Health Management Association) 4 Issues affecting the sustainability of health financing in several countries of south east Europe 163 Pia Schneider (The World Bank) FINANCING SUSTAINABLE HEALTHCARE IN EUROPE STEERING COMMITTEE The Steering Group had the role of guiding and overseeing the progress of the investigation.
    [Show full text]
  • Health Professional Mobility in a Changing Europe
    Cover_WHO_Health Professional Mobility_DRAFT_Mise en page 1 22/04/14 19:47 Page 1 32 HEALTH PROFESSIONAL MOBILITY HEALTH IN A CHANGING EUROPE Health professional mobility in Europe has become a fast moving target for policy AND DIVERSE RESPONSES MOBILE INDIVIDUALS NEW DYNAMICS, makers. It is evolving rapidly in direction and magnitude as a consequence of funda- Health Professional 32 mental change caused by EU enlargement and the financial and economic crisis. Health professional mobility changes the numbers of health professionals in countries and the skill-mix of the workforce, with consequences for health system performance. Mobility in Countries must factor-in mobility if they are forecasting and planning their workforce requirements. To this end they need clarity on mobility trends and the mobile Observatory workforce, and effective interventions for retaining domestic and integrating foreign- Studies Series trained health workers. Health professional mobility remains an unfinished agenda in a Changing Europe Europe, at a time when the repercussions of the financial crisis continue to impact on the European health workforce and its patterns of mobility. This book sheds new light on health professional mobility in this changing Europe. New dynamics, mobile individuals It is the second volume of the PROMeTHEUS project, following the previously published country case study volume. The 14 thematic chapters in this book are grouped in and diverse responses three parts: • The changing dynamics of health professional mobility Edited by James Buchan • The mobile individual Matthias Wismar • Policy responses in a changing Europe Irene A. Glinos Jeni Bremner The book goes well beyond situation analysis as it presents practical tools such as a yardstick for registry methodology, a typology of mobile individuals, qualitative tools for studying the motivation of the workforce and a set of concrete policy responses at EU-, national and organizational level including bi-lateral agreements, codes and workplace responses.
    [Show full text]