Improved health care, lifestyle changes and changing demography mean that
more people are living longer and often with chronic diseases that cannot
currently be cured. Advances in health care that support longer life are to be
celebrated, but health care systems cannot cope with the increasing incidence
...
In some countries, pressure is growing to demonstrate that practising physicians
continue to meet acceptable standards, driven in part by concerns that the
knowledge obtained during basic training may rapidly become out of date. This
takes various forms, from expectations – in some cases backed by vari...
The international migration of health professionals has been a growingfeature of the global health agenda since the late 1990s. In Europe, theaccession of more countries to the European Union (EU) since 2004 hasincreased the scope for mobility among health workers and raisedadditional issues within the E...
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...
Clinical research has led to spectacular developments in health care. It has provided us
with knowledge about how to prevent diseases, like heart disease, how to reduce the
consequences of disease, such as complications of diabetes, and to alleviate symptoms,
such as those of lung disease, and how to reh...
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 optimal balance between institutional, home-based and community care
for older adults requires an effective mix of organizational, funding and delivery
mechanisms for target populations. This spans health and social care, and the
coordination of care must respect older people’s care preferences and...
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...
