Quarterly of the European Observatory on Health Systems and Policies EUROHEALTH RESEARCH • DEBATE • POLICY • NEWS European Health Forum Gastein 2016 • Inter-culturally competent health care • Innovation and patient benefit › 2016 Demographics and • Health literacy • Hearing loss | Diversity in Europe : • EU policies to aid innovation • Health priorities of Slovak EU Presidency • Dementia challenges New Solutions Number 3 • Refugees and German | • Life-course approach and hospital care for Health intersectoral action • Big data for health services • Life-course vaccination research :: Special Issue :: Volume 22 EUROHEALTH Quarterly of the European Observatory on Health Systems and Policies Eurostation (Office 07C020) Place Victor Horta / Victor Hortaplein, 40 / 10 1060 Brussels, Belgium List of Contributors T: +32 2 524 9240 Karam Adel Ali w European Centre for Disease Martin McKee w The London School of Hygiene and F: +32 2 525 0936 Prevention and Control (ECDC), Sweden Tropical Medicine and European Observatory on Health Systems and Policies, United Kingdom Email: [email protected] Vytenis Andriukaitis w EU Commissioner for Health http://www.healthobservatory.eu and Food Safety, Belgium Yannis Natsis w European Public Health Alliance, Belgium SENIOR EDITORIAL TEAM Natasha Azzopardi Muscat w European Public Sherry Merkur: +44 20 7955 6194 [email protected] Health Association (EUPHA), Belgium Sabine Oberhauser w Federal Minister of Health, Austria Anna Maresso: [email protected] Richard Bergström w European Federation of Herwig Ostermann w Austrian Public Health Institute; David McDaid: +44 20 7955 6381 [email protected] Pharmaceutical Industries and Associations (EFPIA), and University for Health Sciences, Medical Informatics Belgium and Technology, Hall/Tyrol (AT), Austria EDITORIAL ADVISOR Julia Bobek w Austrian Public Health Institute, Willy Palm w European Observatory on Health Systems Willy Palm: [email protected] Austria and Policies, Belgium FOUNDING EDITOR Helmut Brand w Maastricht University, The Netherlands Lucia Pastore Celentano w European Centre for Disease Elias Mossialos: [email protected] and European Health Forum Gastein, Austria Prevention and Control (ECDC), Sweden Isabel De La Mata Barranco w DG Sante, European Tapani Piha w DG Sante, European Commission, LSE Health, London School of Economics Commission, Belgium Belgium and Political Science Houghton Street, London WC2A 2AE, United Kingdom Patrick D’Haese w Med-EL Medical Electronics, Austria Arila Pochet w DG Sante, European Commission, Belgium T: +44 20 7955 6840 Tomáš Drucker w Minister of Health, Slovakia F: +44 20 7955 6803 Anna-Theresa Renner w Austrian Public Health Institute, Josep Figueras w European Observatory on Health Austria http://www2.lse.ac.uk/LSEHealthAndSocialCare/ Systems and Policies, Belgium aboutUs/LSEHealth/home.aspx Nina Renshaw w European Public Health Alliance Gauden Galea w World Health Organization Regional (EPHA), Belgium EDITORIAL ADVISORY BOARD Office for Europe, Denmark Dominik Schnichels w DG Sante, European Commission, Paul Belcher, Reinhard Busse, Josep Figueras, Dominika Greisigerova w Ministry of Health, Slovakia Walter Holland, Julian Le Grand, Willy Palm, Belgium Manfred Huber w World Health Organization Regional Suszy Lessof, Martin McKee, Elias Mossialos, Marc Schreiner w German Hospital Federation, Germany Office for Europe, Denmark Richard B. Saltman, Sarah Thomson Eva Slovakova w Ministry of Health, Slovakia Zsuzsanna Jakab w Regional Director, World Health DESIGN EDITOR Organization Regional Office for Europe (WHO/Europe), Ljubiša Stojanovic´ w Swiss Federal Office of Public Steve Still: [email protected] Denmark Health, Switzerland Dorli Kahr-Gottlieb w European Health Forum Gastein, Els Torreele w Open Society Foundations, United States CONTENTS PRODUCTION MANAGER Austria Jonathan North: [email protected] Tobias Vogt w Max Planck Institute for Demographic Martin Knapp w London School of Economics and Research, Rostock, Germany SUBSCRIPTIONS MANAGER Political Science; and NIHR School for Social Care Matthias Wismar w European Observatory on Health Caroline White: [email protected] Research, United Kingdom Systems and Policies, Belgium Monika Kosinska w World Health Organization Regional Article Submission Guidelines Olga Zajicova w Ministry of Health, Slovakia Office for Europe, Denmark Available at: http://tinyurl.com/eurohealth Tomas Kuca w Ministry of Health, Slovakia Eurohealth is a quarterly publication that provides a forum Gunta Lazdane w World Health Organization Regional for researchers, experts and policymakers to express Office for Europe, Denmark their views on health policy issues and so contribute to a constructive debate in Europe and beyond. The views expressed in Eurohealth are those of the authors alone and not necessarily those of the European Observatory on Health Systems and Policies or any of its partners or sponsors. Articles are independently commissioned by the editors or submitted by authors for consideration. The European Observatory on Health Systems and Policies is a partnership between the World Health Organization Regional Office for Europe, the Governments of Austria, Belgium, Finland, Ireland, Norway, Slovenia, Sweden, Switzerland, the United Kingdom and the Veneto Region of Italy, the European Commission, the World Bank, UNCAM (French National Union of Health Insurance Funds), London School of Economics and Political Science and the London School of Hygiene & Tropical Medicine. © WHO on behalf of European Observatory on Health Systems and Policies 2016. No part of this publication may be copied, reproduced, stored in a retrieval system or transmitted in any form without prior permission. Eurohealth is available online at: http://www.euro.who.int/en/about-us/partners/observatory/publications/eurohealth and Design and Production: Steve Still in hard-copy format. If you want to be alerted when a new publication goes online, please sign up to the Observatory e-bulletin: http://www.euro.who.int/en/home/projects/observatory/publications/e-bulletins ISSN 1356 – 1030 To subscribe to receive hard copies of Eurohealth, please send your request and contact details to: [email protected] Back issues of Eurohealth are available at: http://www.lse.ac.uk/lsehealthandsocialcare/publications/eurohealth/eurohealth.aspx 1 DEMOGRAPHY,DIVERSITY, HOWCANINNOVATIVE 2 DEMOCRACY,SOLIDARITY, 37 TECHNOLOGIESIMPROVETHE SECURITY…ANDHEALTH – QUALITYOFLIFE FOR PEOPLE Josep Figueras, Willy Palm and SUFFERING FROM HEARING LOSS? – Helmut Brand Patrick D’Haese THE HEALTHPRIORITIES OF Eurohealth Observer 40 THE SLOVAKREPUBLIC’S EU PRESIDENCY – Dominika RECONCILINGDEMOGRAPHICS Greisigerova, Olga Zajicova, 4 ANDDIVERSITY – A COMMON Tomas Kuca and Eva Slovakova EUROPEAN CHALLENGE – Tobias Vogt and Helmut Brand Eurohealth Systems CULTURE MATTERS – DELIVERING and Policies 7 INTERCULTURALLYCOMPETENT HEALTHCARE – Dorli Kahr-Gottlieb REFUGEESANDASYLUM and Martin McKee 42 SEEKERS IN GERMANY’S HOSPITALS – Marc Schreiner VOICESFROMEUROPE 10 BIGDATAFORHEALTHSERVICE RESEARCH: BALANCING POTENTIALS HEALTHLITERACYINEUROPE: 46 AND CHALLENGES – Anna-Theresa GETTING TO THE NEXT LEVEL – 14 Renner, Julia Bobek and Herwig Matthias Wismar, Helmut Brand Ostermann and Ljubiša Stojanovic´ DEMOGRAPHICSANDDIVERSITY 18 INEUROPE – INNOVATIVE SOLUTIONS Eurohealth Monitor CONTENTS FOR HEALTH – Isabel De La Mata Barranco, Dominik Schnichels, NEW PUBLICATIONS Tapani Piha and Arila Pochet 49 DEMENTIA: PRESSING POLICY NEWS 21 CHALLENGES – Martin Knapp 50 IMPLEMENTATIONOFTHELIFE- 25 COURSE APPROACH THROUGH STRENGTHENED INTERSECTORAL ACTION – Manfred Huber, Gauden Galea, Gunta Lazdane and Monika Kosinska Eurohealth International FINDINGTHEBALANCEINLIFE- 29 COURSEVACCINATION – Karam Adel Ali and Lucia Pastore Celentano Quarterly of the European Observatory on Health Systems and Policies EUROHEALTH RESEARCH • DEBATE • POLICY • NEWS European Health Forum Gastein 2016 “HEALTHY”INNOVATION: 33 PRIORITISINGPATIENTBENEFIT OVERECONOMICINTERESTS – Els Torreele and Yannis Natsis › • Inter-culturally competent health care • Innovation and patient benefi t Demographics and 2016 • Health literacy • Hearing loss | Diversity in Europe: • EU policies to aid innovation • Health priorities of Slovak EU Presidency New Solutions • Dementia challenges Number 3 • Refugees and German | • Life-course approach and hospital care for Health inter-sectoral action • Big data for health services • Life-course vaccination research :: Special Issue :: Volume 22 Ausblick genießen gespiegelt © Gasteinertal Tourismus GmbH Eurohealth — Vol.22 | No.3 | 2016 2 DEMOGRAPHY,DIVERSITY, DEMOCRACY,SOLIDARITY, SECURITY…ANDHEALTH Once again the theme of this year’s European Health Forum Gastein touches upon the very core of current European policy debates. Many of the events that are now dominating the news relate in one way or another to demographic change and increasing cultural and socio- economic diversity in our societies. Our steadily ageing population is combined with growing migration flows. This, together with the aftermath of a financial crisis that not only hit our economies hard but also severely shook trust in our political and financial institutions, is creating dangerous waves of insecurity and fear on which several populist politicians are surfing and which may even threaten our fundamental values of solidarity and democracy. For some time now many pundits have begun to and that mobility and inflow of young people from