Resultados: 64

Matching form to function: designing organizational models to support knowledge brokering in European health systems

Most existing organizational models for knowledge brokering comprise a set of design features that reflect an evolving effort, typically by researchers and research organizations, to balance a variety of competing objectives such as independence and relevance. These design features are rarely selected to...

Do surgical interventions to treat obesity in children and adolescents have long- versus short-term advantages and are they cost-effective?

During the last decades the prevalence of childhood and adolescent obesity in Europe has grown. Although it is possibly levelling off in some areas of Europe, the scale of childhood obesity and its associated morbidities and costs remains considerable. Obese children and adolescents are more likely than ...

Policy summary 4: health system performance comparison: an agenda for policy, information and research

International health system performance comparisons have the potential to provide a rich source of evidence as well as policy influence.• Country comparisons that are not conducted with properly validated measures and unbiased policy interpretations may prompt adverse policy impacts and so caution is r...

Policy brief 12: how can gender equity be addressed through health systems?

Gender differences in health and in how well health systems and health care services meet the needs of women and men are well known: in Europe, there are variations in terms of life expectancy, the risk of mortality and morbidity, health behaviours and in the use of health care services. There is also in...

Policy brief: when do vertical (stand-alone) programmes have a place in health systems?

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...

Policy brief: how can chronic disease management programmes operate across care settings and providers?

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 ...

Policy brief: how can the migration of health service professionals be managed so as to reduce any negative effects on supply?

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...

Policy brief: do lifelong learning and revalidation ensure that physicians are fit to practise?

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...

How can the impact of health technology assessments be enhanced?

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 ...

What is known about the effectiveness of economic instruments to reduce consumption of foods high in saturated fats and other energy-dense foods for preventing and treating obesity?

Overweight and obesity are increasingly prevalent in Europe. In the European Region, the growing prevalence of overweight – a body mass index (BMI) over 25 kg/m2 – ranges from about 25% to 75% of the adult population. Up to a third of the adult population, about 130 million people, are obese – with...