Download Getting better : improving health system outcomes in Europe by Owen Smith PDF

By Owen Smith

Fifty years in the past, well-being results within the international locations of japanese Europe and crucial Asia weren't some distance at the back of these in Western Europe and good sooner than such a lot different areas of the area. yet growth on the grounds that then has been sluggish. whereas lifestyles expectancy within the ECA area at the present time is on the subject of the worldwide ordinary, the space with its western acquaintances has doubled, and different middle-income areas have all handed ECA. a few international locations within the area are doing higher, yet complete convergence with the world’s so much complicated healthiness platforms continues to be far off.

At an analogous time, survey facts means that the future health area is the head precedence for extra funding between populations around the sector. The event of high-income international locations additionally means that well known call for for powerful and obtainable well-being platforms will merely develop over the years. but those aspirations has to be reconciled with present financial realities. briefly, well-being region matters are a problem right here to stick for policy-makers around the ECA area.

This file attracts on new facts to discover the improvement problem dealing with well-being sectors in ECA, and highlights 3 key agendas to assist policy-makers looking to in achieving extra speedy convergence with the world’s most sensible acting future health platforms. the 1st is the healthiness time table, the place the duty is to bolster public future health and first care interventions to assist release the “cardiovascular revolution” that has taken position within the West in contemporary many years. the second one is the financing time table, within which turning out to be call for for remedy has to be happy with no enforcing undue burden on families or executive budgets. The 3rd schedule pertains to broader institutional preparations. right here there are a few key reform parts universal to such a lot complicated well-being platforms which are nonetheless lacking in lots of ECA international locations. a standard topic in each one of those 3 agendas is the emphasis on enhancing results, or “Getting Better”.

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Special effort should be made to ensure that improvements in financial protection and access to care benefit the poorest first, through targeted health programs. Better-off households typically have more options for obtaining health coverage and are more resilient in the face of unexpected medical bills. But the poor and nearpoor are much more vulnerable. Georgia offers a successful example of using a proxy means test to target additional health resources to the poor. But more government spending is not always necessary and does not automatically translate into improved financial protection outcomes.

Not surprisingly, there is a gap in this regard. ” In the EU-15, 74 percent of respondents said yes, whereas across the ECA region—in both the countries in the Commonwealth of Independent States (CIS) and the new EU member states—the average was close to 50 percent. Interestingly, in the EU-15, respondents had more confidence in their health care systems than in their national governments. In the CIS, it was the opposite: people had more confidence in their governments than in their health systems.

Alcohol use—and more specifically, binge drinking—is also a major problem in some countries. In general, awareness of the health risks associated with tobacco and alcohol use is strong, typically even more so than in Western Europe. A lack of knowledge of the health consequences of risky behaviors does not appear to be a major underlying reason for excessive smoking and drinking in ECA. While tobacco use is more prevalent, smokers in ECA are also more likely to report that they are trying to quit than those in the EU-15, and they usually cite health concerns as a major reason.

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