Total: 734

    Configuring the hospital in the 21st century

    In this policy brief, we will take a fresh look at the hospital, and examine the questions that policy-makers need to be asking about its role in the health care system. Although most health care takes places outside hospitals, for most people, they have come to symbolize the health care system. The capa...

    What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services?

    Governments are searching for ways to improve the equity, efficiency, effectiveness, and responsiveness of their health systems. In recent years there has been an acceptance of the important role of primary health care in helping to achieve these aims. However, there have been no systematic reviews on pr...

    What are the equity, efficiency, cost containment and choice implications of private health-care funding in western Europe?

    Over the last 20 years the level of private spending on health care has risen in many western European countries, leading to concern about its impact. The main channels of private spending are private health insurance policies and cost-sharing schemes in public health systems....

    What are the most effective and cost-effective interventions in alcohol control?

    Europe plays a significant role in the production, trade and consumption of alcoholic beverages; it also carries a heavy social and economic burden of alcohol-related problems. Alcohol consumption is estimated to be responsible for about 10% of the total disease burden, increasing the risk of liver cirrh...

    Should mass screening for prostate cancer be introduced at the national level?

    Prostate cancer is a major cause of death among men, with over 56,000 deaths in the European Union in 1998. There are no obvious preventive strategies, therefore screening has been considered to reduce the number of deaths. Opportunistic screening is widely carried out but there are no known national pro...

    For which strategies of suicide prevention is there evidence of effectiveness?

    Suicide is a serious public health problem in the European Region, where rates vary from about 40 per million people (in Greece) to about 400 per million (in Hungary). Suicide rates among adolescents and young adults have also increased considerably over the last decades. Many widely-used suicide prevent...

    What are the palliative care needs of older people and how might they be met?

    Ageing populations are characteristic of many countries. The pattern of disease at the end of life is changing and more people are living with serious chronic circulatory and respiratory diseases as well as with cancer. More people will need help at the end of life, in a social context of changing family...

    What is the effectiveness of home visiting or home-based support for older people?

    The vast majority of older people wish to remain living in their own homes. Furthermore, institutional care is costly. Consequently there are social and economic imperatives to prevent ill health and disability in older people and enable them to remain in their own homes as long as possible. Home visitin...

    What is the effectiveness of old-age mental health services?

    The European Region had 15% of its population 65 years old or older and nearly 7% 75 or over in 2000, the world’s highest percentages. By 2030 these figures will increase to 24% and 12% respectively. The effect on health care will be amplified by a disproportionate increase in dementia, and depression,...

    What are the main risk factors for falls amongst older people and what are the most effective interventions to prevent these falls?

    Older people make up a large and increasing percentage of the population. As people grow older they are increasingly at risk of falling and consequent injuries. A fall may be the first indication of an undetected illness. The prevention of falls is of major importance because they engender considerable m...