scholarly journals Enhancing the rational use of new medicines across European health care systems

2008 ◽  
Vol 64 (12) ◽  
pp. 1137-1138 ◽  
Author(s):  
Silvio Garattini ◽  
Vittorio Bertele’ ◽  
Brian Godman ◽  
Alan Haycox ◽  
Björn Wettermark ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Rational Use ◽  
Care Systems ◽  
European Health

Doctor–patient communication in different European health care systems:

2000 ◽  
Vol 39 (1) ◽  
pp. 115-127 ◽  
Author(s):  
A. van den Brink-Muinen ◽  
P.F.M. Verhaak ◽  
J.M. Bensing ◽  
O. Bahrs ◽  
M. Deveugele ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Patient Communication ◽  
Doctor Patient Communication ◽  
Care Systems ◽  
European Health

The sustainability of European health care systems: beyond income and aging

2011 ◽  
Vol 13 (5) ◽  
pp. 623-634 ◽  
Author(s):  
Fabio Pammolli ◽  
Massimo Riccaboni ◽  
Laura Magazzini
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Care Systems ◽  
European Health

Patient Choice and Patient Empowerment in Northern European Health Systems: A Conceptual Framework

1994 ◽  
Vol 24 (2) ◽  
pp. 201-229 ◽  
Author(s):  
Richard B. Saltman
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Patient Empowerment ◽  
Patient Choice ◽  
Care Providers ◽  
Care Systems ◽  
European Health ◽  
The Impact

The issue of patient choice presents a complicated challenge to publicly operated health systems. Increased patient choice can strengthen the citizen's commitment to traditional welfare state objectives, or alternatively, it can severely damage that commitment, depending upon the design of the choice mechanism and the structural context within which patient choice occurs. For patient choice to be linked to true empowerment, choice must reinforce rather than undercut the accountability of health care providers to the population they serve. This article explores the basic issues involved in empowering patients within publicly operated health systems. The author first reviews the conceptual components that could or should be incorporated within the notion of empowered patients, then examines what would be required to actually empower patients within health systems, defined in terms of expanding not only logistical choice but also clinical influence and decision-making participation. The article concludes with a wide-ranging analysis of the impact of potential policies and mechanisms on the long-term objectives of achieving democratically accountable health care systems.

scholarly journals Transformations and Reforms of European Health Care Systems: The Case of Estonia

2014 ◽  
Vol 17 (3) ◽  
pp. 123-142 ◽  
Author(s):  
Jadwiga Suchecka
Keyword(s):  
Health Care ◽  
Global Financial Crisis ◽  
Health Management ◽  
Health Care Systems ◽  
Mixed System ◽  
The European Union ◽  
Care Systems ◽  
European Health ◽  
The Global Financial Crisis ◽  
The Impact

The purpose of this article is to present the main directions of changes in the Estonian health care system following the transformation of the national economy and the accession of Estonia to the European Union. Special attention has been paid to the ways of sourcing, and the collection and redistribution of financial resources allocated to health care in different periods of the transformation. The initial changes introduced far-reaching decentralization of the health system, while further reforms led to his re-centralization. The intensity of the re-centralization of finance and health management processes was accelerated after 2008, when the impact of the global financial crisis on the condition of the economy of Estonia was significant. As a result of the introduced changes, Bismarck’s mixed system – a hybrid system – has been formed.

scholarly journals From heterogeneity to harmonization? Recent trends in European health policy

2007 ◽  
Vol 23 (suppl 2) ◽  
pp. S133-S142 ◽  
Author(s):  
Thomas Gerlinger ◽  
Hans-Jürgen Urban
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care Systems ◽  
The European Union ◽  
Lisbon Strategy ◽  
Regulatory Requirements ◽  
Care Systems ◽  
European Health ◽  
Recent Trends ◽  
The Eu

In the European Union (EU), health policy and the institutional reform of health systems have been treated primarily as national affairs, and health care systems within the EU thus differ considerably. However, the health policy field is undergoing a dynamic process of Europeanization. This process is stimulated by the orientation towards a more competitive economy, recently inaugurated and known as the Lisbon Strategy, while the regulatory requirements of the European Economic and Monetary Union are stimulating the Europeanization of health policy. In addition, the so-called open method of coordination, representing a new mode of regulation within the European multi-level system, is applied increasingly to the health policy area. Diverse trends are thus emerging. While the Lisbon Strategy goes along with a strategic upgrading of health policy more generally, health policy is increasingly used to strengthen economic competitiveness. Pressure on Member States is expected to increase to contain costs and promote market-based health care provision.

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