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This article explores the actions taken by the European Union to reduce health inequalities in the new EU Member States and candidate countries. It discusses the main challenges faced by these countries in their health systems and highlights the specific recommendations given by the EU. The article also delves into the EU's initiatives, such as the European Semester and Structural Funds, to address health inequalities. Additionally, it looks at the issue of equal access to high-quality healthcare and the need for transparency and cooperation between Member States in addressing pricing of medicines.
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What does the EU do to reduce health inequalities in the new EU Member States Nathalie Chaze SANCO.D2 HEALTH INEQUALITIES IN THE NEW EU MEMBER STATES AND CANDIDATE COUNTRIES 26 February 2013 – European Parliament
Health inequalities in the EU Source: Eurostat
Health indicators in the new EU MS Source: Eurostat, OECD (2010 data)
Access to health: self-reported unmet needs for medical examination Source: SILC data, Eurostat
Bulgaria – Health System • Main challenges: • Population health • Inequalities in access (urban vs. rural; economic reasons) • Funding/financing of the system • Capacity and organization of the hospital sector • Human Resources strategy • Referral GP to specialist; inpatient vs. outpatient
EU action on health inequalities • European Semester • Country Specific Recommendations • 11 in 2013 regarding Health (AT, BG, CZ, DE, FI, FR, MT, PL, RO, SP and SK) • Bulgaria: "Ensure effective access to healthcare and improve the pricing of healthcare services by linking hospitals’ financing to outcomes and developing outpatientcare." • Romania: "Pursue health sector reforms to increase its efficiency, quality and accessibility, in particular for disadvantaged people and remote and isolated communities. Reduce the excessive use of hospital care including by strengthening outpatient care."
EU action on health inequalities • Structural Funds • Report on Health Inequalities • Equity Action - Joint Action on Health Inequalities http://www.health-inequalities.eu/ • Finalizes its work in February 2014 • Conference on 23 January 2014 in Brussels
Equalaccess to high qualityhealthcare • Consensus on a principle – Council Conclusions 2006 • But missing elements: • equal development of quality strategies across EU • clear and transparent information on quality of healthcare confidence of EU citizens on good quality healthcare in EU • How to address them?
Pricing of medicines • Different systems in EU Member States • Is there a shared understanding of the different systems? • Are the Member States aware of • advantages and disadvantages of each system? • consequences of their systems to the other Member States? • Need for more transparency and cooperation between Member States?