scholarly journals Investigating Health Systems in the European Union: Outcomes and Fiscal Sustainability

2018 ◽  
Vol 10 (9) ◽  
pp. 3186 ◽  
Author(s):  
Madalina Popescu ◽  
Eva Militaru ◽  
Amalia Cristescu ◽  
Maria Vasilescu ◽  
Monica Maer Matei

Healthcare systems aim to provide access to good quality care, while ensuring equity and solidarity. The fiscal sustainability of healthcare systems has become a matter of concern in recent European Union (EU) debates, considering the ever increasing need for adequate healthcare determined by factors such as aging population, investments in technology and infrastructure, medical products and wages. Our paper seeks to measure the health system performances of the EU countries by building up a composite index, which will then be used as a tool in investigating the relationship between health performance and the fiscal sustainability of health systems. A principal components analysis (PCA) was applied to build the composite index through the use of the most relevant health indicators provided by Eurostat and the Sustainable Development Knowledge Platform. The composite index offers a comprehensive performance assessment and provides a clear ranking of the EU countries based on their health system performances. Further investigation of the link between health performance and fiscal sustainability revealed that higher ranks are associated with higher shares of health expenditures in gross domestic product (GDP), a large share of employment in the health sector, and higher duration of working life. These patterns are followed by efficient health systems, encountering reduced sustainability risks.

2022 ◽  
Vol 17 (1) ◽  
pp. 7-15
Author(s):  
Tamara Rađenović ◽  
◽  
Vladimir Radivojević ◽  
Bojan Krstić ◽  
Tanja Stanišić ◽  
...  

The COVID-19 pandemic has revealed the insufficient capacities and capabilities of countries around the world to deal with global infectious diseases and stressed the need to improve the international health security frame-work. An efficient and comprehensive health system that is able to cope with public health emergencies is an essential prerequisite for strengthening health security. The paper analyzes the efficiency of health systems in the European Union (EU) countries and their responsiveness to the COVID-19 pandemic. The research covers 27 EU countries and it is based on the secondary data contained in the 2019 Global Health Security Index Re-port. The aim of the paper is to identify key determinants for improving the efficiency of health systems in the EU, as well as to examine the interdependence between health expenditures and the efficiency of health system in this sample of countries. The research is conducted through descriptive statistics and correlation and regression analysis. The conclusions can be useful for the EU policy makers in formulating a strategy to improve the efficiency of Member States’ health systems and preparedness for possible new pandemics.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract In recent years, the European Union (EU) has been facing several serious outbreaks of vaccine-preventable diseases, including measles. Vaccination coverage rates for the first dose of the vaccine against measles vary from 85% in Italy to 99% in Luxembourg and Hungary, with the average for the EU (93.6%) falling below what is required to ensure herd immunity. Similar variations can be seen for other vaccinations, including influenza immunization programmes targeting older adults who are at greater risk of severe complications. Of particular concern is that in a number of EU countries anti-vaccine groups, aided by social and mainstream media, and sometimes populist politicians, are gaining traction and have started to influence public and health worker attitudes towards the safety and effectiveness of vaccinations. The EU has started to respond to these developments in a number of ways. In his 2017 State of the Union address, Jean-Claude Juncker, the President of the European Commission, has called for action to increase vaccination coverage and to ensure that everyone in the EU has access to vaccines. This was followed by a number of new policy and research activities initiated by the European Commission. The workshop provides an overview of some of these activities. It starts with an introductory presentation on recent initiatives of the European Commission to support national vaccination efforts. This is followed by a presentation on the work of the Expert Panel on effective ways of investing in Health and their report on vaccination programmes and health systems in EU countries. A third presentation presents EU-funded research on vaccine hesitancy in EU member states, based on the largest ever study on attitudes to vaccines and vaccination in the EU. A final presentation explores a study undertaken for the European Commission by the European Observatory on Health Systems and Policies on the organization and delivery of vaccination programmes in EU member states, based on detailed country fiches. The workshop will provide opportunity for the audience to comment on and discuss presentations and to consider current policy options in Europe to address vaccine hesitancy and improve vaccination coverage through health system interventions. It will be of interest to public health researchers, practitioners and policy-makers from across Europe. Key messages The workshop provides a forum for discussing European initiatives to overcome vaccine hesitancy and improve vaccination coverage. It explores policy options at the European and national level.


2015 ◽  
Vol 62 (4) ◽  
pp. 371-376
Author(s):  
Roxana Drăgan ◽  
◽  
Yoto Yotov ◽  
Crina Sinescu ◽  
◽  
...  

Heart disease is one of the most important causes of morbidity and mortality in the population of Romania. In this context, the accessibility of patients to accurate and complete cardiology services, and its circuit in the Romanian health system, is one of the major priorities. A good knowledge of health systems focused primarily on addressing cardiac pathology at the level of two neighboring countries, members of the European Union can only lead to the identification of positive aspects under both systems, which can form the basis for efficient policies health in this area.


2020 ◽  
pp. 92-97
Author(s):  
A. V. Kuznetsov

The article examines the norms of international law and the legislation of the EU countries. The list of main provisions of constitutional and legal restrictions in the European Union countries is presented. The application of the norms is described Human rights conventions. The principle of implementing legal acts in the context of the COVID-19 pandemic is considered. A comparative analysis of legal restrictive measures in the States of the European Union is carried out.


Energies ◽  
2021 ◽  
Vol 14 (6) ◽  
pp. 1570
Author(s):  
Tomasz Rokicki ◽  
Aleksandra Perkowska ◽  
Bogdan Klepacki ◽  
Piotr Bórawski ◽  
Aneta Bełdycka-Bórawska ◽  
...  

The paper’s main purpose was to identify and present the current situation and changes in energy consumption in agriculture in the European Union (EU) countries. The specific objectives were the determination of the degree of concentration of energy consumption in agriculture in the EU countries, showing the directions of their changes, types of energy used, and changes in this respect, establishing the correlation between energy consumption and changes in the economic and agricultural situation in the EU countries. All member states of the European Union were deliberately selected for research on 31 December 2018 (28 countries). The research period covered the years 2005–2018. The sources of materials were the literature on the subject, and data from Eurostat. Descriptive, tabular, and graphical methods were used to analyze and present materials, dynamics indicators with a stable base, Gini concentration coefficient, concentration analysis using the Lorenz curve, coefficient of variation, Kendall’s tau correlation coefficient, and Spearman’s rank correlation coefficient. A high concentration of energy consumption in agriculture was found in several EU countries, the largest in countries with the largest agricultural sector, i.e., France and Poland. There were practically no changes in the concentration level. Only in the case of renewable energy, a gradual decrease in concentration was visible. More and more countries developed technologies that allow the use of this type of energy. However, the EU countries differed in terms of the structure of the energy sources used. The majority of the basis was liquid fuels, while stable and gaseous fuels were abandoned in favor of electricity and renewable sources—according to which, in the EU countries, the research hypothesis was confirmed: a gradual diversification of energy sources used in agriculture, with a systematic increase in the importance of renewable energy sources. The second research hypothesis was also confirmed, according to which the increase in the consumption of renewable energy in agriculture is closely related to the economy’s parameters. The use of renewable energy is necessary and results from concern for the natural environment. Therefore, economic factors may have a smaller impact.


2021 ◽  
Vol 3 (11) ◽  
pp. 251-257
Author(s):  
Anzhelika L. Gendon ◽  
◽  
Galina F. Golubeva ◽  

The article examines the financial support (not tax) of the economy in the EU countries due to the pandemic. A comprehensive vision of the situation and strategic planning are the foundation of the Euro-pean Union's economic policy. These qualities help to develop comprehensive measures to stabilize the labor market and entrepreneurship in the countries of the European Union in the context of a global emergency. A positive factor is also the fact that in an epidemic situation, political decisions of various states are aimed at introducing socially oriented measures that support their citizens.


Author(s):  
Maryla Bieniek-Majka ◽  
Marta Guth

The aim of this study is to determine changes in the structure of horticultural farms in EU countries in the years 2007-2017 and their incomes and determine the share of subsidies of the Common Agricultural Policy in the income of horticultural farms in studied groups. Horticultural farms from the European Union Farm Accountancy Data Network (EUFADN) of all EU countries were surveyed. A dynamic analysis of the structure of farm numbers in particular groups of economic size (ES6) was carried out, and then the average change in income and the share of subsidies in income within these groups in 2007 and 2017 were presented. As a result of the conducted research, changes in the number of horticultural farms in various groups of economic size were taken into account and the assumptions concerning the decreasing scale of fragmentation of horticultural farms were confirmed by a decrease in the number of the economically weakest groups and an increase in the number of medium and large farms. It was noted that, in the studied groups, the strongest income growths concerned farms with medium or high economic strength, which may mean that income had a significant impact on the process. Moreover, it results from the conducted research that existing institutional solutions additionally supported the tendency to reduce the scale of fragmentation of horticultural farms in the EU-12 due to the fact that the shares of subsidies were higher in groups with higher economic strength.


2005 ◽  
Vol 11 (2) ◽  
pp. 163-167
Author(s):  
Romina Alkier

In the coming years, the number of tourist trips from and within the European Union can be expected to grow, as a result of ongoing integration processes, and also because it is becoming simpler and cheaper to travel. According to the WTO, tourism will grow at a moderate rate of four per cent annually in average, and by 2020 the number of tourist arrivals worldwide will reach 1.6 billion, of which 717 million tourist arrivals will be to Europe. Out of this number, more than half a million will be to present-day EU countries. Given the EU’s continuing enlargement, clearly this number will continue to increase, and with it the global importance of the EU. The EU’s tourist policy in the years to come will increasingly become better, more imaginative and more efficient. Regardless of the unchanging subsidiary principle, this policy will continue to develop, gradually adapting to new opportunities. The principles of the sector tourist policy are already being carried out in practice by all EU members, and any country aspiring to become a part this association will not only need to incorporate these principles, but respect them as well. Croatia is one of the countries which has embraced this orientation in tourism and it is aiming to address this “European challenge” at the level of market relations, taking efforts to avoid the pitfalls and threats of tourism marginalisation, given the harsh competition and protectionist measures existing within the EU.


2020 ◽  
pp. 096977642097061
Author(s):  
George Petrakos ◽  
Alexandra Sotiriou

Almost 30 years since the Maastricht Treaty and 20 years since the introduction of the euro, it is clear that the European Union (EU) has lost its appeal to wider constituencies and citizen groups that realize that the promises for convergence and prosperity have not been delivered. Rising dissatisfaction and Euroscepticism (expressed both in the ballot box and in Eurobarometer reports) is evident even in traditional pro-EU countries of the European core. As this long decade comes to an end, incidents (or accidents) like these ones, either in the form of open discontent, or in the form of rising populism, will exert pressure on the EU policy agenda that will either increase the frequency of deadlocks and inefficiency in policy making or will eventually lead to an honest effort to address the roots of these phenomena. This paper examines the drivers behind these two incidents (and the ones that may follow) and the limits of the current market and policy integration arrangements in the EU, arguing that a new policy agenda addressing the real weaknesses of the Union is inevitable if disintegration is to be avoided. Luckily enough, some elements of this new policy agenda may already be here.


Mathematics ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 646
Author(s):  
Álvaro Labella ◽  
Juan Carlos Rodríguez-Cohard ◽  
José Domingo Sánchez-Martínez ◽  
Luis Martínez

Nowadays, sustainability is an omnipresent concept in our society, which encompasses several challenges related to poverty, inequality, climate change and so on. The United Nations adopted the Agenda 2030, a plan of action formed of universal Sustainable Developments Goals (SDGs) and targets, which countries have to face in order to shift the world toward a sustainable future. One of the most relevant SDGs since the onset of the financial crisis in 2007 has been the so-called reduced inequalities, which consists of dealing with the inequality of opportunities and wealth between and within countries. However, reducing inequalities depends on many heterogeneous aspects, making it difficult to make a proper analysis that evaluates the European Union (EU) countries performance of this goal. In this study, we introduce a novel approach to evaluate the inequalities in EU countries based on a sorting a multi-criteria decision-making method called AHPSort II. This approach allows to obtain a classification of the EU countries according to their achievements in reducing inequalities to subsequently carry out a deep performance analysis with the aim of drawing conclusions as to the evolution of inequality in them along the years. The results are consistent with the main international organizations’ reports and academic literature, as shown in the Discussion Section.


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