scholarly journals The health care sector in the economies of the European Union: an overview using an input–output framework

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Pedro Gutiérrez-Hernández ◽  
Ignacio Abásolo-Alessón

Abstract Background This study aims to analyse the relative importance of the health care sector (health care activities and services), its interrelations with the rest of productive activities, aggregate supply and demand, employment requirements and apparent labour productivity in the European Union (EU) economy as a whole, and in the economies of member countries. Methods The methodology used is based on input–output analysis. Data are extracted from National Accounts and, specifically, from the input–output framework for 2010. Data in national currencies are adjusted using as a conversion factor, specific purchasing power parities for health. Results In the EU, market production predominates in the provision of health care activities, which are financed mainly by public funding. However, there is significant variability among countries, and, in fact, non-market production predominates in most EU countries. The health care sector has direct backward and forward linkages lower than the average for all sectors of the economy and the average for the services sector. Thus, this sector is relatively independent of the rest of the productive structure in the EU. The health care activities industry is key because of its ability to generate value added and employment. Regarding apparent labour productivity, there are significant differences among EU countries, showing that productivity is positively related to the weight of market production in health care activities and negatively related to the number of hours worked per person employed. Conclusions Our results provide useful insights for health authorities in the EU, as they analyse the effect of health policies on macroeconomic indicators using an input–output framework, as well as comparing these effects with those in EU member countries. To the best of our knowledge, an analysis of the health care sector in the EU economy and the countries that integrate it using an input–output framework has not been undertaken. In addition, to compare health care expenditure between countries, data in national currencies have been adjusted using specific purchasing power parities for “health”, and not ones referring to the total economy (GDP), which is common practice in many previous studies.

2018 ◽  
Vol 2 (1) ◽  
pp. 77-98
Author(s):  
Katarzyna Czarnota

The phenomenon of migration and the challenges in the new hosting country have been often analysed in relation to the newcomers arriving from states outside of the European Union. However, in Poland these are the citizens of the EU who face discrimination. At the same time, despite the principles of the EU programs concerning different spheres and operations of integrative and inclusive character aimed at foreign nationals, including sport initiatives, Roma have been systematically omitted and excluded since the 1990s. This situation caused this group to be deprived of the right to work, health care, welfare and adequate housing and education. Opportunities of participating in sporting activities are very limited. In Poland, only a few non-governmental organisations and anti-racist activist initiatives attempt to cooperate with the members of this community. The first part of the article contains a broad introduction to the situation of Romanian Roma in Poland which is necessary in the light of the lack of studies on this subject within Polish sociology, and allows the reader to grasp the wider context of the discussion on the issue of access to sporting activities. Then, drawing on the research and activist experience, the author describes local sport initiatives available to Roma children living in the Poznań encampment, with emphasis on informal initiatives.


2019 ◽  
Vol 43 (6) ◽  
pp. 1525-1547
Author(s):  
Cristiano Antonelli ◽  
Agnieszka Gehringer

Abstract The paper implements the competent demand-pull hypothesis that grafts the advances of the economics of knowledge on the Kaldor–Schmookler demand-pull approach. Demand-pulling effects occur only if the increase of derived demand for both capital and intermediary inputs is accompanied by knowledge interactions carried by market transactions. The competent demand-pull hypothesis rejuvenates the standard demand-pull approach through the focus on the sectoral architecture of market-embedded inter-sectoral knowledge linkages between competent users and innovative producers. We measure such market-embedded and competent influence with the derived demand for intermediates—taken from input–output tables—accounting for productivity increases downstream. The empirical evidence from dynamic panel estimations for the European Union (EU) over the period 1995–2007 suggests the presence of strong and positive competent demand impulses, but the effects vary between three EU sectoral systems, the EU core, the East and the South.


2018 ◽  
Vol 64 (1) ◽  
pp. 18-27 ◽  
Author(s):  
Andreja Nekrep ◽  
Sebastjan Strašek ◽  
Darja Boršič

Abstract This paper focuses on investment in research and development as a factor of labour productivity and economic growth. Our analysis confirms the link between expenditure for research and development (expressed in % of GDP) and labour productivity (expressed in the number of hours worked) based on selected data for EU Member States in the period 1995-2013. A causal link between variables of the concave parabola was confirmed, and the value of expenditure for research and development (2.85% of EU GDP) maximising productivity (per hour of work) was determined based on the examined data. In accordance with these findings, EU’s target of reaching 3% of GDP spent on research and development to be achieved by 2020 seems in support of reaching maximum productivity in the EU.


2007 ◽  
Vol 23 (suppl 2) ◽  
pp. S184-S192 ◽  
Author(s):  
Thomas Gerlinger ◽  
Rolf Schmucker

The establishment of the European Common Market has involved the free movement not only of capital and goods, but also of persons and services. The principles of free movement also apply to the health care sector, i.e. they allow for the free incorporation of health care providers and the cross-border delivery of services. Since the 1970s, the European Union (EU) has passed numerous regulations to enforce the mutual recognition of qualifications of physicians, nurses, and other health professionals by the Member States, considered an indispensable precondition for the free movement of services. Thus far, the establishment of a European job market for the health care professions has not led to extensive migration among the EU Member States. Likewise, the accession of Central and Eastern European countries to the EU in 2004 did not cause a "brain drain" to the better-off countries of Western and Northern Europe. However, the mobility among health care professions is expected to increase in the coming years.


Author(s):  
Guglielmo Schininá ◽  
Geertrui Lanneau

This chapter analyses legal and factual aspects of the provision of mental health care for migrants in the European Union (EU), framing migrants’ access to mental health care within the wider contexts of migration in the EU, the EU’s policies for migrants’ integration and access to health care, and EU policies on mental health care for all. The rates of various psychiatric disorders may vary across migrant groups and host populations. The issue of how services can be made more accessible for migrants is to be considered within the context of the provision of mental health care for all in the EU, where mental disorders are a serious public health concern. Various gaps are identified, and various options are suggested that policymakers and healthcare professionals can take into account, bearing in mind facts and figures of migration in Europe—with a particular focus on migration from non-EU countries—and the consideration of mental health care as a right for all migrants.


2019 ◽  
Vol 30 (4) ◽  
pp. 833-839 ◽  
Author(s):  
Désirée Vandenberghe ◽  
Johan Albrecht

Abstract Background Non-communicable diseases (NCDs) impose a significant and growing burden on the health care system and overall economy of developed (and developing) countries. Nevertheless, an up-to-date assessment of this cost for the European Union (EU) is missing from the literature. Such an analysis could however have an important impact by motivating policymakers and by informing effective public health policies. Methods Following the PRISMA protocol, we conduct a systematic review of electronic databases (PubMed/Medline, Embase, Web of Science Core Collection) and collect scientific articles that assess the direct (health care-related) and indirect (economic) costs of four major NCDs (cardiovascular disease, cancer, type-2 diabetes mellitus and chronic respiratory disease) in the EU, between 2008 and 2018. Data quality was assessed through the Newcastle–Ottawa Scale. Results We find 28 studies that match our criteria for further analysis. From our review, we conclude that the four major NCDs in the EU claim a significant share of the total health care budget (at least 25% of health spending) and they impose an important economic loss (almost 2% of gross domestic product). Conclusion The NCD burden forms a public health risk with a high financial impact; it puts significant pressure on current health care and economic systems, as shown by our analysis. We identify a further need for cost analyses of NCDs, in particular on the impact of comorbidities and other complications. Aside from cost estimations, future research should focus on assessing the mix of public health policies that will be most effective in tackling the NCD burden.


2021 ◽  
Vol 21 (3) ◽  
pp. 110-118
Author(s):  
Andrzej Habarta ◽  
◽  
Alexandr Novikov ◽  

The article examines the benefits and risks of the euro adoption for the Czech Republic. In the last decade, in the light of structural problems of the economic and monetary union of the European Union and the Czech euroscepticism that has intensified against this background, the problem has become more of political nature and one of burning issues in relations between the Czech Republic and the EU. The paper analyzes the benefits and risks of such a decision. Special attention is paid to political factors – starting from the possible membership in the EMU institutions and ending with the potential overall improvement of relations with the leading countries of the EU. The authors conclude that from an economic point of view, the eurozone membership is beneficial for the Czech Republic if the level of labour productivity increases before the adoption. However, this issue presents the problem of the overall geopolitical orientation of the Czech Republic, which has to choose between striving to get into the «core» of the integration or the relentless defense of its national sovereignty within the European Union.


2017 ◽  
Vol 17(32) (4) ◽  
pp. 120-129 ◽  
Author(s):  
Joanna Jaroszewska ◽  
Robert Pietrzykowski

The objective of the paper is to examine the changes in the level of diversification of the labour productivity in the European Union countries in the years 1998-2015, and then to determine whether there is any convergence of the labour productivity among these countries. The labour productivity has been calculated as a relation of the gross value added at constant prices per one full-time employee. The study used the Economic Accounts for Agriculture (EAA) and the Agricultural Labour Input (ALI). The study covered the European Union countries, broken down by the countries of the „old” EU (EU-15) and the countries admitted to the EU after 2004. In order to determine the changes occurring in these countries, sigma-convergence (σ) and beta-convergence (β) have been used. The study shows that after 2011 there was a process of convergence among the EU countries in terms of the labour productivity in agriculture.


Author(s):  
Tévécia Ronzon ◽  
Susanne Iost ◽  
George Philippidis

AbstractThe bioeconomy is a collective of activities charged with the production of biologically renewable resources or ‘biomass’ (e.g. agriculture, forestry), its diverse application (e.g. food, textiles, construction, chemicals) and subsequent reuse (e.g. compositing, waste management). Since the European Union (EU) launched its bioeconomy strategy in 2012, further bioeconomy policy initiatives have proliferated at regional, national and pan-European levels. Moreover, the EU Green Deal announced in 2019 targets a transition towards a low-carbon sustainable model of growth, food and energy security, biodiversity and natural resource management, where it is envisaged that the bioeconomy will play a key role. Despite a paucity of available data, the surge in policy interest has triggered the need for evidence-based monitoring of bioeconomy sectors and the efficient tailoring of policy support. Thus, on a Member State (MS) basis for the period 2008–2017, we (1) adopt an ‘output-based’ approach to construct a panel data of performance indicators and (2) characterise the sources of growth and transitional stage of the bioeconomy. Results reveal that the bioeconomy has maintained its relative importance within the total EU27 economy. At the EU level, agriculture and the food industry have played a key role in driving a transition in the primary and industrial bioeconomy sectors due to their significant labour productivity-enhancing impact. Four Northern MS exhibit a bioeconomy transition by modernising their bioeconomy activities and operating structural changes. Other Northern and Western EU MS are still in the early stages of a transition, whilst in Eastern and Central Europe, such a transition remains elusive.


2020 ◽  
Vol 19 (1) ◽  
pp. 71-80
Author(s):  
Michał Wielechowski ◽  
Łukasz Grzęda

The aim of the paper was to present health care systems and assess the recent trend in health care expenditure in the European Union countries. The data source was the World Bank and European Statistical Office (Eurostat). The adopted research period covered the years 2000–2016, due to data availability. The methodology of the study was based on an analysis of data indicator series related to health care expenditure, which evaluate the national health care system performance. The research results were presented using primarily Japanese candlestick charting. The study showed that health care expenditure represented an ever-increasing burden for all the EU economies, both in absolute values and in relation to GDP. However, substantial differentiations in the amount and structure of health care expenditure were observed at the country level, having roots in the level of a country’s economic development and diverse post-war economic and political evolution. The analysis of health care expenditure structure confirmed that all three types of health care systems (Beveridge, Bismarck and mixed one) were observed in the EU, but the last one had a marginal importance. The form of system did not determine its effectiveness. On average, more than three-fourths of health care expenses were financed by general government expenditure. Out-of-pocket spending varied widely among the analysed EU member states.


Sign in / Sign up

Export Citation Format

Share Document