This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
While there may be consensus on the broader issues of the core objectives of the health care system, expectations differ between EU countries, and European national policy-makers. This book seeks firstly to assess the impact of the enlargement process and then to analyse the challenges that lie ahead in the field of health and health policy.
V šestih prispevkih monografije so analizirani obstoječi in porajajoči se izzivi na področju delovne mobilnosti v Evropski uniji, pri čemer jih avtorji obravnavajo skozi prizmo mobilnih delavcev v različnih poklicih. Z večdisciplinarnim pristopom in uporabo različnih metodoloških prijemov so avtorji ustvarili ogrodje za analitične diskusije o učinkih mobilnosti v EU, učinkovitosti in pravičnosti prostega pretoka oseb znotraj EU ter večplastnosti posledic za posameznike, države članice in nacionalne politike. Prvi prispevek je teoretski uvod v tematiko, ki mobilnost izčrpno predstavi kot teoretski koncept, politično agendo in temeljno evropsko vrednoto. Kompleksni preplet mnogoterih učinkov delovne mobilnosti, ki se pojavljajo na več ravneh, je v nadaljevanju obravnavan v petih študijah primera. Le-te osvetljujejo dileme, paradokse, učinke in posledice notranje mobilnosti v EU na primerih mobilnih zdravstvenih delavcev, umetnikov in kulturnih delavcev, napotenih delavcev, skrbstvenih delavk in visoko izobraženih delavcev. Vsi predstavljeni primeri so rezultat večletnih znanstvenoraziskovalnih prizadevanj in aktivnega delovanja avtorjev v različnih projektih s področja mobilnosti.
Patient mobility across Europe is markedly increasing and new generations will actively ask to be treated by the health-care system that best meets their needs. At a political level, the EU issued the EU Directive no. 24/2011/CE of 9th March 2011 concerning the application of patients’ rights in cross-border health care and has contributed to improving the level of freedom of choice for the European citizen, but it does not seem to have increased actual patient mobility across Europe. Freedom to choose is necessary to grant the people of Europe the same access to public-sector health-care services. The latter is a key instrument for an efficiently functioning “single market” ensuring real mobility within the EU. The aim of this book is to study the current European health care market and discuss the hypothesis of a European right of citizenship with reference to health-care services. It examines patients' mobility from several perspectives: determinants of patient mobility, governance of cross-border mobility at EU level as concerns patients and health-care professionals, policy implications, and case studies. It is intended for health researchers, decision-makers and professionals concerned with health-care provision and patient mobility. The goal is to provide, through scientific and methodological rigor, new informative tools useful for the implementation of new policies in the health-care sector in order to implement effective health-care integration in the European Union.
The steady expansion of the European Union’s involvement in health over the past 20 years has been accelerated by recent events. This handbook offers an up-to-date analytical overview of the most important topics in EU health law and policy. It outlines, as far as possible, the direction of travel for each topic and suggests research agenda(s) for the future.
This report describes recent trends in the international migration of doctors and nurses in OECD countries. Over the past decade, the number of doctors and nurses has increased in many OECD countries, and foreign-born and foreign-trained doctors and nurses have contributed to a significant extent. New in-depth analysis of the internationalisation of medical education shows that in some countries (e.g. Israel, Norway, Sweden and the United States) a large and growing number of foreign-trained doctors are people born in these countries who obtained their first medical degree abroad before coming back. The report includes four case studies on the internationalisation of medical education in Europe (France, Ireland, Poland and Romania) as well as a case study on the integration of foreign-trained doctors in Canada.
For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.
This open access book explores the role of family, public, market and third sector welfare provision for individual and households’ decisions regarding geographical mobility. It challenges the state-centred approach in research on welfare and migration by emphasising migrants’ own reflections and experiences. It asks whether and in which ways different welfare concerns are part of migrants’ decisions regarding (or aspirations for) mobility. Employing a transnational and a translocal perspective, the book addresses different forms of geographical mobility, such as immigration, emigration, and re-migration, circular and return migration. By bringing in empirical findings from across a variety of Western and non-Western contexts, the book challenges the Eurocentric focus in current debates and contributes to a more nuanced and more integrated global account of the welfare-migration nexus.
Decentralization has become a popular management strategy in many European health care systems. The term describes a wide variety of power transfer arrangements and accountability systems. The logic of decentralization is grounded in an intrinsically powerful idea; that smaller organizations, properly structured and steered, are inherently more agile and accountable than larger organizations. In a world where large organizations control wide swathes of both public and private sector activity, the possibility of establishing more locally operated, locally responsible institutions holds out great attraction. This text explores the capacity and impact of decentralization within European health care systems. It examines both the theoretical underpinnings as well as recent practical experiences, drawing upon both published literature and evidence collected directly from the field. The book also assesses the appropriateness of management processes within health systems for implementing a successful decentralization strategy. Decentralization in Health Care will appeal to health policy makers, postgraduates taking courses in health services management, HR, health policy and health economics, and human resource professionals.