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Europe

Europe. Andr é Meijer Universiteit Maastricht Programme director European Public Health. European Community role on health. (main source: Lecture dr. Merkel, dg sanco, in Maastricht). Europe 1957-2007. The Treaty of Rome (25 March 1957) created our European family

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Europe

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  1. Europe André Meijer Universiteit Maastricht Programme director European Public Health

  2. European Community role on health (main source: Lecture dr. Merkel, dg sanco, in Maastricht)

  3. Europe 1957-2007 • The Treaty of Rome (25 March 1957) created our European family • The Maastricht Treaty (1992) created a specific public health role, still developing • But health has always been an important part of the Community policies

  4. Free movement of goods Agriculture Free movement of persons, services and capital Visas, asylum and immigration Transport Competition and taxation Economic and monetary policy Employment Commercial policy Customs Social policy Culture Public health Consumer protection Trans-European networks Industry Economic and social cohesion Research and technological development Environment Development cooperation International cooperation Health in Community policies- but in which ones? (source: lecture dr. Merkel, dg sanco, in Maastricht)

  5. Free movement of goods Agriculture Free movement of persons, services and capital Visas, asylum and immigration Transport Competition and taxation Economic and monetary policy Employment Commercial policy Customs Social policy Culture Public health Consumer protection Trans-European networks Industry Economic and social cohesion Research and technological development Environment Development cooperation International cooperation Health in Community policies- all of them! (source: lecture dr. Merkel, dg sanco, in Maastricht)

  6. Public health actions • Legislation to set European rules and standards • Open coordination • Policy actions (of Commission and Sanco) • Support to Member States and society (through networks and projects)

  7. Policy actions In 2005 Commission introduced a processwhich includes policy development on : • ‘health’ and • ‘health systems’

  8. Future Health Strategy

  9. Health Strategy: Consultation 2004 • Results: • Mainstreaming cross-policy approach • Focus (further) on promotion • Bridge health inequalities • Tackle global health issues • Address other key issues: ageing, technology, cross border issues (source: lecture dr. Merkel, dg sanco, in Maastricht)

  10. (source: lecture dr. Merkel, dg sanco, in Maastricht) Current and Future Challenges Health investments in Structural Funds Regions for Econ Change Health information Health Portal Healthy Life Years WHO, ENP Third Countries European Centre of Disease prevention He Sec Com White paper on Nutrition Communication on Alcohol Tobacco control strategy Pharmaceutical Forum EU In Tech E-Health HTA Health services Initiative Patient Safety - Health Profs

  11. (source: lecture dr. Merkel, dg sanco, in Maastricht) The EU Health Strategy Why an EU Health Strategy now? • No coherent strategic approach to current and future challenges, no overarching aims and objectives • There is a need to: • Set out a strategic overall framework (10 years with a mid term review), including cross-sectoral work and partnership with Member States • Set out aims and objectives • Trigger change - deliver concrete results through an effective implementation process

  12. (source: lecture dr. Merkel, dg sanco, in Maastricht) Framing the Strategy 2008-17 1. Core Issues to improve the health of EU citizens - promotion and prevention, inequalities, ageing, cross-border issues; health services… 2. Health in all Policies - Regional development, structural funds, environment, economic policy, social policy, research etc. 3. Global Health - EU work at the global level communicable diseases, pandemics, trade, health and development aid

  13. Consultation process 2006-2007 • Sanco started with note • ASPHER participated and reacted formally (among 150 others) • Impact Assessment includes data on administrative burden and administrative costs for the MS • White Paper on EU Health Strategy in mid/end 2007 • See Commission website: http://ec.europa.eu/health/ph_overview/strategy/health_strategy_en.htm

  14. Health services initiative

  15. Free movement but… • Basic principle: Court has ruled that health services are provided for remuneration thus fall within scope of the Treaty • But barriers to free movement may still be justified, in particular: • to protect public health; • to ensure financial sustainability of health systems.

  16. Bring legal clarification and certainty Help national health systems to better address common challenges Reduce inequalities between Member States and regions Health Services Initiative

  17. Consultation closed 31/01/2007 Over 270 replies received Individual replies already available in the Internet Report of the consultation will be presented to the Informal Council in Aachen 19-20 April 2007 After the Council, report will be available in the Internet Based on the consultation, the Impact Assessment will be launched Proposal expected November 2007 http://ec.europa.eu/health/ph_overview/co_operation/mobility/community_framework_en.htm Health Services Initiative:the Consultation

  18. EU 2008 and future plans

  19. Main topics • Free movement • Patient safety • Sufficient and good health workforce

  20. Patient safety • Key concern of citizens – 78% of EU citizens see patient safety as an important problem • Estimate of 10% of adverse events • Mainly Member State responsibility, but enormous potential for added value

  21. Patient safety • Main objectives • Reduce avoidable harm • Ensure citizens have confidence in healthcare throughout the EU • Blame-free culture for professionals • When mistakes happen, have mechanisms for learning from them and providing redress • Sharing best practice to ensure high standards for all EU health services • Proposals in 2008

  22. Health workforce for Europe • Shortages of health professionals for some regions and specialisms • Migration • Ageing of the health workforce • Impact in developing countries as well • Variations between countries • Initial training content, recognition of specialisms, continuing professional development • Need collective action to address

  23. Health workforce for Europe • Establish a European Health Workforce Forum • Building on the work of the High Level Group • Bringing together all relevant stakeholders • Develop shared ideas for next steps • Opportunity to rethink the health workforce we need in Europe

  24. So what ?

  25. Draft proposals • More focus in curricula for cross border, European and global developments in PH • Cooperation and alliances with other European PH associations • Common projects • Support by members through • Pool of experts • Thematic committees • An office in Brussels with an active and supportive staff

  26. 2007 and further • There is definitely • a big role for • ASPHER • to play in • Brussels, • elsewhere in Europe • and the world

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