Conference of EUREGHA ‘Addressing health inequalities in the regions of Europe’ Bruxelles

1. Conference of EUREGHA ‘Addressing health inequalities in the regions of Europe’ Bruxelles January 11th 2008 Inequalities in health care Determining health factors Innovating access to healthcare European Project - Proposal Solange MENIVAL Aquitaine Region – France Regional Councillor

2. Context Reducing health inequalities by improving access to healthcare services A common issue for European countries Important health disparities exist: - between European countries - between sub regional levels in the same country

3. Context To reduce health inequalities: a priority of the European Commission • Health Inequalities exist in all E.U. countries despite: • - increase in Health Expenditure • - multiple Health Reforms

4. Context Health inequalities and primary care: a priority of ‘ENRICH’ To consider a differentapproachto the analysis of people’shealth To reduceinequaltiesparticularlyat a subregionallevel

5. Objective of the project • To offerappropriate solutions for E.U. regions to reducehealthinequalities Hypothesis • Improved access to healthcare will reduce health inequalities To achievethis objective, wewant to develop an Europeanprojectto submit to the European Commission in May 2008

6. Method • Review of literature • Survey in different countries of E.U. on their practices to reduce inequalities at regional level • Selection and analysis of innovative interventions • Proposal of methods which could be adopted by various regions • Evaluation • Dissemination of information

7. Organisation The workwillbedividedinto six work packagesThe first three are mandatory Coordination work package:must ensure overall coordination, participate in other work packages, responsible for administrative aspects of the project Dissemination work package:must disseminate information to participants in the project and externally, during and at the end of the work Evaluation work package: must develop the method of evaluation and implement it

8. Organisation The workwillbedividedinto six work packagesThe remainingwork packages: Bibliography and exchanges work package:literature review and production of the newsletter Survey work package :develop a questionnaire, organise survey in the countries and regions, analyse responses Selection of best practice:select innovative or impressive activities and produce recommendations and proposals

9. Partnership • Main partner • Aquitaine • Associated partners • Members of Enrich • Other countries (regional correspondents) • Collaborating partners

10. Remarks • We are developing the project • It is a project which needs the participation and involvement of a number of partners

11. Conclusion This European project: A collective way to tackle inequalities in health

12. Questions • For further information, please contact the coordinators of the project: Dr André OCHOA Director of the Health Observatoryandre.ochoa@orange.frcontact@ors-aquitaine.org Anne RIOU Health officer – Aquitaine Regional Council anne.riou@aquitaine.fr

13. Conference of EUREGHA ‘Adressing health inequalities in the regions of Europe’ Bruxelles January 11th 2008 Inequalities in health care Determining health factors Innovating access to healthcare European Project - Proposal Solange MENIVAL Aquitaine Region – France Regional Councillor