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Investing in Health from the EU Structural Funds : Hospital Perspective and Beyond

Investing in Health from the EU Structural Funds : Hospital Perspective and Beyond Rostislava Dimitrova Policy officer Unit” Health Strategy and Health Systems” DG Health and Consumers European Commission. Content.

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Investing in Health from the EU Structural Funds : Hospital Perspective and Beyond

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  1. Investing in Health from the EU Structural Funds : Hospital Perspective and Beyond Rostislava Dimitrova Policy officer Unit” Health Strategy and Health Systems” DG Health and Consumers European Commission

  2. Content • Political context for the health systems in the EU • Post 2013 Cohesion policy and Health • Investing in hospitals of the future

  3. Political Context for the Health Systems in the EU • EPSCO Council Social Protection Committee and OMC - access, quality and equity of healthcare • ECOFIN Ecinomic Policy Commitee : manadate to Ageing Woriking Group in March 2010 to produce a report on health sysems efficiency ECOFIN Council Conclusions December 2010 on health systems efficiency

  4. Post 2013 Cohesion Policy • Social, economic and territorial cohesion • Aligned to Europe 2020 targets and the integrated guidlines for implementation • Improve effectiveness : conditionalities • Improve outcomes/results

  5. Post 2013 Cohesion Policy and Health Investing in health: • Support cohesion: reduce health inequalities • Support growth: aligned with Europe 2020 targets and integrated guidlines and National Reform Programmes • Improve health and HLY • Reforms enhancing growth and economic development - health system transformatinal change • Cross- border cooperation in health

  6. Hospitals of Today • Hospitals • Hospitals – key for provision of healthcare and social cohesion and harmonious regional development • Hospitals contributing to growth - health, research , employment • Up to 50% of health spending • Hospital efficiency - EPC report on health systems efficiency and identified 10 challenges for Member States

  7. Investing in Hospitals of the Future • Invetsing in • Intergrated services and long term investments • Innovative solutions : responsible innovation • Good health and prevention • Investing in health workforce • Investing in effective technologies (HTA) Hospitals of the future: • Intelligent and well –intercontected hopsitals • Part of integrated health services for the patients • No „one size fits all“ What could be the „common sense“ principles which to be identified as an essential precondition for sustainable and effective investment in the health sector , e.g. hospitals?

  8. Health Investment:Conditionalities and Outcomes • Conditionalities • Ex- ante • Regulatory • Strategic • Infrastructural –planning • Institutional • Structural reforms • Macro - economic • Performance related • Indicators to prove outcomes

  9. Thank you!

  10. EU Cohesion Policy 2007-2013 Total Budget: EUR 349 Billion (35% of EU-Budget) Of which 82% for Convergence Regions

  11. €5 billion have been allocated to OPs to support health infrastructure (fixed assets) + €6 billion earmarked for ageing and e-services priorities (incl e-health) + € X for ESF (amounts being investigated) (out of € 349 billion) Health infrastructure: Percentage of planned investments in health infrastructure in relation to the total amount of Structural Funds allocated to Member States in 2007-13. Source: European Commission, Dg SANCO 2007

  12. Allocation per country -infrastructures

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