scholarly journals Gaps in coverage and access in the European Union

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Webb ◽  
W Palm ◽  
E van Ginneken ◽  
S Lessof ◽  
L Siciliani ◽  
...  

Abstract Background At the request of the European Commission, the Observatory on Health Systems and Policies and the HSPM network have undertaken a study to explore gaps in universal health coverage in the European Union and increase the level of granularity in terms of areas or groups where accessibility is sub-optimal. Methods To explore these gaps more systematically a survey was developed based on the so-called cube model that comprises different dimensions determining health coverage, including population coverage, service coverage and cost coverage. In addition, access can also be hampered by other factors, which relate more to the physical availability of care, a person's ability to obtain necessary care or the attitude of the provider. The survey was sent to country contacts from the Health Systems and Policy Monitor network. Results Within the diversity of country cases found in the survey, the most significant barriers for accessing health care still seem to be associated with social and income status, rather than specific medical conditions. However, groups like mentally ill, homeless, frail elderly, undocumented migrants are more likely to face multiple layers of exclusion and complex barriers to access. Conclusions Health system interventions can close access gaps for these vulnerable groups and address inequities in access to care. Through detailed coverage design countries can indeed determine the extent to which financial hardship and catastrophic out-of-pocket spending can be prevented. Furthermore, scope exists to improve current data collection practice.

2017 ◽  
pp. 114-127
Author(s):  
M. Klinova ◽  
E. Sidorova

The article deals with economic sanctions and their impact on the state and prospects of the neighboring partner economies - the European Union (EU) and Russia. It provides comparisons of current data with that of the year 2013 (before sanctions) to demonstrate the impact of sanctions on both sides. Despite the fact that Russia remains the EU’s key partner, it came out of the first three partners of the EU. The current economic recession is caused by different reasons, not only by sanctions. Both the EU and Russia have internal problems, which the sanctions confrontation only exacerbates. The article emphasizes the need for a speedy restoration of cooperation.


2018 ◽  
Vol 20 (2) ◽  
pp. 135-156
Author(s):  
Marco Inglese

Abstract This article seeks to ascertain the role of healthcare in the Common European Asylum System (CEAS). The article is structured as follows. First, it outlines the international conceptualisation of healthcare in the International Covenant of Economic, Social and Cultural Rights (ICESCR) and the European Social Charter (ESC) before delving into the European Convention on Human Rights (ECHR). Second, focusing on the European Union (EU), it analyses the role of Article 35 of the Charter of Fundamental Rights of the European Union (the Charter) in order to verify its impact on the development of the CEAS. Third, and in conclusion, it will argue that the identification of the role of healthcare in the CEAS should be understood in light of the Charter’s scope of application. This interpretative approach will be beneficial for asylum seekers and undocumented migrants, as well as for the Member States (MSs).


2020 ◽  
Vol 18 (4) ◽  
pp. 9-26
Author(s):  
Paweł Turczyński ◽  

The coronavirus pandemic that hit the world in early 2020 has weakened Europe very severely. In the first period (January-February), the disease was often neglected, which allowed it to spread rapidly. In March, panic struck European societies, the health systems of many countries collapsed, and governments introduced drastic restrictions on civil liberties and on the functioning of the economy. The European Union, which was helpless in the first period, took steps in the spring to restore the European economy after the end of the epidemic.


2016 ◽  
Vol 37 (1) ◽  
Author(s):  
Elisabetta De Vito ◽  
Chiara de Waure ◽  
Maria Lucia Specchia ◽  
Paolo Parente ◽  
Elena Azzolini ◽  
...  

Health Policy ◽  
2020 ◽  
Vol 124 (9) ◽  
pp. 1041
Author(s):  
Luigi Siciliani ◽  
Claudia Wild ◽  
Martin McKee ◽  
Dionne Kringos ◽  
Margaret M. Barry ◽  
...  

Author(s):  
Cyril Benoît ◽  
Marion Del Sol ◽  
Philippe Martin

AbstractResearch has paid little attention to date on how the European Union (EU) affects private (usually voluntary) health insurance at domestic level and more broadly, the political economy of the public-private mix in healthcare. Our argument in this Introduction is that EU law and regulation is, essentially, likely to do so through the provisions applicable to the insurance sector as a whole. We then explain why it could potentially be a vehicle for transformative changes of private health insurers, and why, by extension, it could interact with the prior effects of domestic policy choices in healthcare. Ultimately, such interactions could also help change the nature and scope of health coverage. On the basis of these statements, we develop an analytical approach to elucidate, characterize and prove this influence. We then outline the research design and case selection processes and discuss the various methods applied in the nine contributions to this book. After a short summary of their respective findings, we reflect in a concluding section on how they echo wider debates in the literature on the role of private actors in contemporary Welfare States and on EU influence in healthcare.


2008 ◽  
Vol 13 (12) ◽  
pp. 5-6
Author(s):  
K Fernandez de la Hoz ◽  
D Manissero ◽  
on behalf of the Tuberculosis Disease Programme*

Many European Union (EU) Member States show a decline in tuberculosis (TB) incidence and many have low incidence rates (15 countries reported less than 10 cases per 100,000 population in 2006). However, despite the progress in curbing the TB epidemic, the disease remains a public health threat in the EU. The epidemiological patterns are still very diverse between countries and control efforts are challenged by problems such as multidrug-resistant (MDR TB) and extensively drug-resistant tuberculosis (XDR TB), TB/HIV co-infection and the concentration of cases within vulnerable groups.


2020 ◽  
Vol 13 (3) ◽  
pp. 51-68
Author(s):  
Dragan Rastovac ◽  
Dragan Dukić ◽  
Milica Ničić

Based on current data and documents available from relevant statistical organizations, this paper presents and analyzes statistical and economic indicators of software product development in Serbia, with a parallel review of adequate data for the European Union. A descriptive method for comparative analysis was used for the analysis of data related to the number of enterprises, number of employees, average realized earnings per employee, and the realized turnover in Telecommunications, Computer programming, and Information sectors. Due to considerable differences in terms of areas that countries cover and the strength of their economies, trends in the mentioned areas and monitored and analyzed parameters (e.g. employment, average earnings and total exports, i.e. turnover of services) were observed. The obtained results indicate that Serbia has exceptional potential in the field of computer programming, while other activities in the field of information dissemination and communication, for now, do not record significant growth. On the other hand, in the European Union, the analyzed areas show stability of the analyzed parameters in the observed period. This indicates that a high level of development has been reached in the EU and that significant progress is now being made more slowly. With this development trend, the field of computer programming will probably be the first economic area in which Serbia can catch up with the European level.


2015 ◽  
Vol 8 (1) ◽  
pp. 77-83
Author(s):  
Eva Turk ◽  
Stephen Leyshon ◽  
Morten Pytte

Patient safety is a right and it raises particular issues in the context of cross-border care. Patients should be able to have trust and confidence in the healthcare structure as a whole; they must be protected from the harm caused by poorly functioning health systems, medical errors and adverse events. This paper addresses the state of cross-border healthcare in the European Union, the state of patient safety, the question of quality assurance and the role of accreditation as a risk based approach.


2017 ◽  
Vol 53 (1) ◽  
pp. 139-158 ◽  
Author(s):  
Luka Marković ◽  
Danijel Baturina ◽  
Zdenko Babić

The welfare state takes a stand against the demands of modernization by seeking to care for society’s most vulnerable groups. People with disabilities are in a particularly vulnerable position, facing numerous obstacles to the labor market. Social enterprises, especially work integration social enterprises (WISE), can provide an important access point for their integration. The present analysis of five post-socialist countries in the European Union – Poland, Slovenia, Slovakia, Czech Republic, and Croatia – identifies several general characteristics essential for WISE development, such as the existence of some form of financing as well as certain legislative and institutional frameworks that remain underdeveloped. Lack of awareness and promotion of WISEs as well as a shortage of necessary skills have delayed WISE development in these countries, particularly in Croatia, where WISEs are few with small numbers of employees. This study provides recommendations for improving the situation of WISEs in Croatia in order to help them facilitate the employment and social inclusion of people with disabilities and other vulnerable groups.


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