Skill-mix initiatives focus on changing professional roles - directly and indirectly.They change roles directly through extension of roles or skills, delegation, andthe introduction of a new type of worker; they change them indirectly throughmodifications of the interface between services - that is, wher...
Key messagesPolicy issue and associated policy challenges• Population health is influenced by a variety of factors, many of whichrequire action outside the health system.• The health and socioeconomic costs of the key contributors to poor healthin Europe are substantial. Many of these health problems...
Policy issues• Health technology assessment (HTA) is an important tool for informing effective regulation of the diffusion and use of health technologies.• The key policy issues surrounding the use of HTA fall into three areas: (a) the bodies, decision-makers and other stakeholders involved, (b) the ...
The policy issue: patient engagementOccasionally, all citizens have to make important health decisions that affecthealth outcomes. Strategies to support patient education and engagementshould therefore be a fundamental plank of health policy. Also, patients canplay an important role in understanding the ...
The terms vertical and integrated are widely used in health service delivery, but
each describes a range of phenomena. In practice, the dichotomy between
them is not rigid, and the extent of verticality or integration varies between
programmes – including (1) a vertically funded, managed, delivered and...
The delivery of health care is changing. While the acute hospital will always play
a key role in the provision of health care, reflecting its important role in training
and research, as well as its capacity to manage complex and severe disorders, in
many countries there is an increasing interest in the s...
The concept of screening in health care – that is, actively seeking to identify
a disease or pre-disease condition in individuals who are presumed and
presume themselves to be healthy – grew rapidly during the twentieth
century and is now widely accepted in most of the developed world. Used
wisely, i...
Health systems have developed at different speeds, and with differing degrees
of complexity throughout the twentieth century, reflecting the diverse political
and social conditions in each country.
Notwithstanding their diversity, all systems, however, share a common reason
for their existence, namely th...
Mental health problems account for approximately 20% of the total burden of
ill health in Europe (WHO, 2004a). This estimate of burden is just the tip of the
iceberg; what makes mental health almost unique is the broad impact it can
have on all aspects of life, including physical health, family relations...
This policy brief provides a review of current information and issues relating to cross-border health care in Europe. Following an overview of current patterns of patient mobility, the policy brief looks in turn at the legal framework for mobility, the financial implications, approaches to quality monito...
