Definition of a frame of reference in relation to primary care with a special emphasis on financing systems and referral systems – European Commission EXpert Panel on Effective Ways of Investing in Health (EXPH) – 10 July 2014

Posted on July 22, 2014. Filed under: Health Economics, Primary Hlth Care | Tags: |

Definition of a frame of reference in relation to primary care with a special emphasis on financing systems and referral systems – European Commission EXpert Panel on Effective Ways of Investing in Health (EXPH) – 10 July 2014

“Abstract

In this opinion the Expert Panel on effective ways of investing in Health (EXPH), considers primary care to be the provision of universally accessible, integrated, person-centred, comprehensive health and community services, provided by a team of professionals accountable for addressing a large majority of personal health needs. These services are delivered in a sustained partnership with patients and informal care givers, in the context of family and community and play a central role in the overall coordination and continuity of people’s care.

The professionals active in primary care teams include, among others, dentists, dieticians, general practitioners/family physicians, nurses, occupational therapists, optometrists, pharmacists, physiotherapists, psychologists and social workers.

The Expert Panel notes that strong primary care systems contribute to equity and improved health outcomes but emphasises that primary care needs to continuously evolve if it is to respond to changing challenges in society.

A strong primary care system can be the starting point for effective referral and discharge systems, ensuring integration between different levels of care. Gate-keeping can offer advantages to patients, providers and the health system so long as important organisational and patient management factors are taken into account.

The Expert Panel emphasizes the importance of ensuring that primary care services are accessed by the population without facing financial hardship and notes that there is little evidence that user charges lead to more appropriate use and cost control. When user charges are present, there should be mechanisms to protect people with low incomes and those who regularly use health care.

European Union (EU) health systems show a trend towards blended provider payment systems in primary care, combining risk-adjusted capitation with some fee-for-service reimbursement. The Expert Panel describes factors that may contribute to the effectiveness of pay-for-performance (P4P) programs and implementation features that may weaken the effectiveness of financial incentives.

Finally, the Expert Panel formulates general research questions in relation to the development of primary care in Europe, specific research questions in relation to referral
and financing and strategic directions at different levels. ”

doi:10.2772/33238

 

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Q&A: New rules for clinical trials conducted in the EU – 2 April 2014

Posted on April 7, 2014. Filed under: Research | Tags: , |

Q&A: New rules for clinical trials conducted in the EU – 2 April 2014

Extract

“Why is the current legislation being replaced?

The 2001 Clinical Trials Directive has been criticised by patients, researchers and industry alike for its disproportionate regulatory requirements. High costs and a lack of harmonisation of the applicable rules necessary for multinational clinical trials are a few examples.

Taken together, these restrictions have contributed to a significant decline in the number of clinical trials in the EU – a reduction of about 25 % in the last few years.

The new Regulation aims at restoring the EU’s competitiveness in clinical research and the development of new and innovative treatments and medicines by cutting red-tape and bringing patient-oriented research back to Europe.

What are the main changes introduced by the Regulation?

The new Regulation will make it easier to conduct multinational clinical trials, i.e. conducted in more than one Member State, in the EU. Measures that cut red tape and simplify the current rules are:

– A straightforward authorisation procedure allowing for a fast and thorough assessment of the application by all Member States concerned and resulting in one single assessment outcome. The authorisation procedure allows the individual EU countries to determine the roles of the bodies in charge of the assessment, on the condition that the assessment is fully independent and based on the necessary expertise.

– Simplified reporting procedures so that researchers no longer have to submit largely identical information on the clinical trial separately to various bodies and Member States.

– The possibility for the Commission to conduct controls in EU countries and third countries to make sure the rules are being properly supervised and enforced.

Finally, the new legislation will take the legal form of a Regulation. This will ensure that the rules for conducting clinical trials are identical throughout the EU. This is vital to ensure that Member States, in authorising and supervising the conduct of a clinical trial, base themselves on identical rules.

What role will Ethics Committees have under the new rules?”

… continues on the site

For more information on clinical trials in the EU:

http://ec.europa.eu/health/human-use/clinical-trials/index_en.htm

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eHealth Action Plan 2012-2020 – Innovative healthcare for the 21st century – European Commission – 7 December 2012

Posted on January 3, 2013. Filed under: Health Informatics | Tags: , , |

eHealth Action Plan 2012-2020 – Innovative healthcare for the 21st century – European Commission – 7 December 2012

Media release

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eHealth Action Plan 2012-2020 public consultation – European Commission

Posted on April 14, 2011. Filed under: Health Informatics | Tags: , |

eHealth Action Plan 2012-2020 public consultation – European Commission 

“The public consultation is open for 8 weeks (from 31st March to 25th May 2011 16:00 Brussels time). Following this, the results of the consultation will be analysed, published on this page, and taken into consideration in drafting a policy document setting out an Action plan for eHealth, which is planned to be adopted by the Commission in 4Q 2011.”

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A Digital Agenda for Europe – European Commission – 19 May 2010

Posted on May 31, 2010. Filed under: Health Informatics | Tags: , |

A Digital Agenda for Europe – European Commission – 19 May 2010

Brussels, 19.05.2010    COM(2010) 245

“The overall aim of the Digital Agenda is to deliver sustainable economic and social benefits from a digital single market based on fast and ultra fast internet and interoperable applications.

… the Digital Agenda makes proposals for actions that need to be taken urgently to get Europe on track for smart, sustainable and inclusive growth. Its proposals will set the scene for the longer-term transformations that the increasingly digital economy and society will bring about.

The European Commission launched in March 2010 the Europe 2020 Strategy to exit the crisis and prepare the EU economy for the challenges of the next decade. Europe 2020 sets out a vision to achieve high levels of employment, a low carbon
economy, productivity and social cohesion, to be implemented through concrete actions at EU and national levels. This battle for growth and jobs requires ownership at top political level and mobilisation from all actors across Europe.

The Digital Agenda for Europe is one of the seven flagship initiatives of the Europe 2020 Strategy, set out to define the key enabling role that the use of Information and Communication Technologies (ICT) will have to play if Europe wants to succeed in its ambitions for 2020.”

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Patient safety and quality of healthcare – European Commission – April 2010

Posted on May 4, 2010. Filed under: Patient Safety | Tags: , |

Patient safety and quality of healthcare – European Commission – April 2010
Fieldwork September-October 2009
Publication April 2010

Conducted by TNS Opinion & Social at the request of Directorate-General for Health and Consumers Survey co-ordinated by  Directorate-General for Communication
SPECIAL EUROBAROMETER 327

“When being treated, patients hope and trust that their health-related problems will be appropriately handled and that they will be well looked after. However, it is estimated that in EU Member States between 8% and 12% of patients admitted to hospitals suffer from adverse events whilst receiving healthcare. In addition, the European Centre for Disease Prevention and Control (ECDC) estimates that healthcareassociated infections occur in 5% of hospitalised patients. This would equate to 4.1 million patients a year in the EU. They also estimate that 37 000 deaths are caused every year as a result of such infections.”     …continues

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Healthy ageing and the future of public healthcare systems – European Commission – November 2009

Posted on March 23, 2010. Filed under: Aged Care / Geriatrics, Public Hlth & Hlth Promotion | Tags: |

Healthy ageing and the future of public healthcare systems – European Commission – November 2009

ISBN 978-92-79-13120-2
doi: 10.2777/47289
ISSN 1018-5593

“The “Special issue on healthcare” is part of a series of publications produced by the European Foresight Monitoring Network (EFMN project, 2004-2008).   …
This paper exploits how the topic of “healthy ageing and the future of public healthcare systems” features in most recent forward looking exercises and prospective studies around the world focusing on the most important emerging challenges for the future. It consolidates the global perspective on healthy ageing and the future of public healthcare systems and how the issue is displayed by various communities/nations/regions.”

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