scholarly journals 30.G. Round table: Health planning In Europe: preparing for the expected and the unexpected

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract The objective of this round table discussion is to highlight the need for careful and systematic health planning of health systems in Europe, illustrate how health planning can be used for policy and management and provide some useful tools for participants to bring home and apply in their own contexts. Participants will acquire knowledge on current health care planning in some leading international organisations, with examples from some countries and region Health in Europe is facing challenges and threats of both immediate and longer term character. In recent years, discussions on health care in the future has focussed on pressures coming from the increase in chronic diseases and demographic changes, such as the growing number of older people. Recently, the covid-19 outbreak has shown that newly emerging diseases can cause massive challenges to public health and health services. Both developments illustrate the need of health systems to be prepared for both expected and unexpected developments and to engage in careful planning of resource needs to ensure good health services to all. This session seeks to present approaches to health planning and discuss with the audience different methods for simulation and analysis of future health care needs and the resulting requirements for financial and human resources. The session will contribute to the development of health services and public health in Europe by highlighting the necessity to establish structures for comprehensive health planning and to seek ways to meet future challenges well in time. The round-table will have four participants, each of them giving an initial brief on some essential elements of health planning: projections of disease burden and health care needs,forecasting of health care costs and funding sources,health workforce needs in relation to disease burden projections, andplanning for unexpected events such as pandemics and climate threats Each brief will be given a short comment by one of the other participants. After all four briefs, panel members will give general or specific comments on the topic and subsequently, the audience will be invited to provide input and pose questions to the panel members. Based on the presentations given and the information provided in the discussions, a report on the session will be compiled and made available to participants and the wider public electronically. Key messages Health care planning is important for emergency preparedness and long term sustainable delivery of health services. The best available estimates of population health developments and the resulting needs for prevention and health care should be the basis for health services planning.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.


2014 ◽  
Vol 29 (6) ◽  
pp. 623-628 ◽  
Author(s):  
Kostas Kononovas ◽  
Georgia Black ◽  
Jayne Taylor ◽  
Rosalind Raine

AbstractIntroductionDue to their scale, the Olympic and Paralympic Games have the potential to place significant strain on local health services. The Sydney 2000, Athens 2004, Beijing 2008, Vancouver 2010, and London 2012 Olympic host cities shared their experiences by publishing reports describing health care arrangements.HypothesisOlympic planning reports were compared to highlight best practices, to understand whether and which lessons are transferable, and to identify recurring health care planning issues for future hosts.MethodsA structured, critical, qualitative analysis of all available Olympic health care reports was conducted. Recommendations and issues with implications for future Olympic host cities were extracted from each report.ResultsThe six identified themes were: (1) the importance of early planning and relationship building: clarifying roles early to agree on responsibility and expectations, and engaging external and internal groups in the planning process from the start; (2) the development of appropriate medical provision: most health care needs are addressed inside Olympic venues rather than by hospitals which do not experience significant increases in attendance during the Games; (3) preparing for risks: gastrointestinal and food-borne illnesses are the most common communicable diseases experienced during the Games, but the incidence is still very low; (4) addressing the security risk: security arrangements are one of the most resource-demanding tasks; (5) managing administration and logistical issues: arranging staff permission to work at Games venues (“accreditation”) is the most complex administrative task that is likely to encounter delays and errors; and (6) planning and assessing health legacy programs: no previous Games were able to demonstrate that their health legacy initiatives were effective. Although each report identified similar health care planning issues, subsequent Olympic host cities did not appear to have drawn on the transferable experiences of previous host cities.ConclusionRepeated recommendations and lessons from host cities show that similar health care planning issues occur despite different health systems. To improve health care planning and delivery, host cities should pay heed to the specific planning issues that have been highlighted. It is also advisable to establish good communication with organizers from previous Games to learn first-hand about planning from previous hosts.KononovasK, BlackG, TaylorJ, RaineR. Improving Olympic health services: what are the common health care planning issues?Prehosp Disaster Med. 2014;29(6):1-6.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1473-1476
Author(s):  
Ashwika Datey ◽  
Soumya Singhai ◽  
Gargi Nimbulkar ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche

The COVID 19 outbreak has been declared a pandemic by the world health organisation. The healthcare sector was overburdened and overstretched with the number of patient increasing and requiring health services. The worst-hit population always are the people with special needs, whether it is children, pregnant females or the geriatric population. The need for the emergency kind of health services was so inflated that the other special population which required them equally as those patients with the COVID 19 suffered a lot. Dentistry was not an exception, and even that is also one of the important components of the health care delivery system and people requiring oral health care needs were also more. Those undergoing dental treatments would not have completed the treatment, and this would have resulted in various complications. In this situation, some dental emergency guidelines have been released by Centres for Disease Control (CDC) for the urgent dental care those requiring special care dentistry during the COVID 19 pandemic. Children with special care needs were considered more vulnerable to oral diseases; hence priority should have been given to them for dental treatments moreover in the future also more aggressive preventive measures should be taken in order to maintain oral hygiene and prevent many oral diseases. Guardians/caregivers should be made aware and motivated to maintain the oral health of children with special health care needs. This review mainly focuses on the prevention and management of oral diseases in children's with special care needs.


2007 ◽  
Vol 12 (2) ◽  
Author(s):  
George K John ◽  
Martie S Lubbe ◽  
Jan HP Serfontein

In South Africa, 70% of the country’s population is dependent on the public health care sector (especially the primary health care structure) for their basic health care needs. Opsomming In Suid-Afrika is 70% van die land se bevolking van die openbare gesondheidsorgsektor (veral die primêre gesondheidsorgstruktuur) afhanklik vir hulle basiese behoeftes aan gesondheidsorg. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


1989 ◽  
Vol 154 (S4) ◽  
pp. 84-90 ◽  
Author(s):  
Juan E. Mezzich

The complex socio-cultural features of Latin peoples throughout the Americas represent a potent challenge to health care planning. Attempting to meet this challenge requires consideration of the suitability of diagnostic systems as key clinical and public health tools, as well as exploration of promising ways for improving them.


2015 ◽  
Vol 31 (5) ◽  
pp. 318-325 ◽  
Author(s):  
Dian L. Baker ◽  
Kathleen Hebbeler ◽  
Linda Davis-Alldritt ◽  
Lori S. Anderson ◽  
Heather Knauer

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