This review focuses on existing immunization policies and practices for migrants and refugees and provides an overview of barriers and facilitators for access to and utilization of immunization services. Evidence was obtained by a scoping review of academic and grey literature in English and a further 11...
Health systems in Europe face a number of increasingly complex challenges.
Globalization, evolving health threats, an ageing society, fi nancial constraints on
government spending, and social and health inequalities are some of the most
pressing. Such challenges require not only different funding and org...
Policy-makers, stakeholders and knowledge brokers (including researchers) all
have a great deal they can learn from one another. Policy-makers need access
to good-quality health systems information that they can apply to a local issue.
Stakeholders may seek to influence health policy as well as make deci...
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...
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...
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...
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knowledge obtained during basic training may rapidly become out of date.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...
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 ...