Organization and Financing of Public Health Services in Europe

Organization and Financing of Public Health Services in Europe

Author: Centers of Disease Control

Publisher: World Health Organization

Published: 2018-06-29

Total Pages: 148

ISBN-13: 9289051701

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What are public health services? Countries across Europe understand what they are or what they should include differently. This study describes the experiences of nine countries detailing the ways they have opted to organize and finance public health services and train and employ their public health workforce. It covers England France Germany Italy the Netherlands Slovenia Sweden Poland and the Republic of Moldova and aims to give insights into current practice that will support decision-makers in their efforts to strengthen public health capacities and services. Each country chapter captures the historical background of public health services and the context in which they operate; sets out the main organizational structures; assesses the sources of public health financing and how it is allocated; explains the training and employment of the public health workforce; and analyses existing frameworks for quality and performance assessment. The study reveals a wide range of experience and variation across Europe and clearly illustrates two fundamentally different approaches to public health services: integration with curative health services (as in Slovenia or Sweden) or organization and provision through a separate parallel structure (Republic of Moldova). The case studies explore the context that explain this divergence and its implications. This study is the result of close collaboration between the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe Division of Health Systems and Public Health. It accompanies two other Observatory publications Organization and financing of public health services in Europe and The role of public health organizations in addressing public health problems in Europe: the case of obesity alcohol and antimicrobial resistance (both forthcoming).


The Oxford Handbook of Swedish Politics

The Oxford Handbook of Swedish Politics

Author: Jon Pierre

Publisher: Oxford University Press

Published: 2016

Total Pages: 737

ISBN-13: 0199665672

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The Handbook provides a broad introduction to Swedish politics, and how Sweden's political system and policies have evolved over the past few decades.


The Welfare State in Transition

The Welfare State in Transition

Author: Richard B. Freeman

Publisher: University of Chicago Press

Published: 2008-04-15

Total Pages: 490

ISBN-13: 0226261859

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Once heralded in the 1950s and 1960s as a model welfare state, Sweden is now in transition and in trouble since its economic plunge in the early 1990s. This volume presents ten essays that examine Sweden's economic problems from a U.S. perspective. Exploring such diverse topics as income equalization and efficiency, welfare and tax policy, wage determination and unemployment, and international competitiveness and growth, they consider how Sweden's welfare state succeeded in eliminating poverty and became a role model for other countries. They then reflect on Sweden's past economic problems, such as the increase in government spending and the fall in industrial productivity, warning of problems to come. Finally they review the consequences of the collapse of Sweden's economy in the early 1990s, exploring the implications of its efforts to reform its welfare state and reestablish a healthy economy. This volume will be of interest to policymakers and analysts, social scientists, and economists interested in welfare states.


Reforming the Welfare State

Reforming the Welfare State

Author: Richard B. Freeman

Publisher: University of Chicago Press

Published: 2010-04-15

Total Pages: 350

ISBN-13: 0226261913

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Over the course of the twentieth century, Sweden carried out one of the most ambitious experiments by a capitalist market economy in developing a large and active welfare state. Sweden's generous social programs and the economic equality they fostered became an example for other countries to emulate. Of late, Sweden has also been much discussed as a model of how to deal with financial and economic crisis, due to the country's recovery from a banking crisis in the mid-1990s. At that time economists heatedly debated whether the welfare state caused Sweden's crisis and should be reformed—a debate with clear parallels to current concerns over capitalism. Bringing together leading economists, Reforming the Welfare State examines Sweden's policies in response to the mid-1990s crisis and the implications for the subsequent recovery. Among the issues investigated are the way changes in the labor market, tax and benefit policies, local government policy, industrial structure, and international trade affected Sweden's recovery. The way that Sweden addressed its economic challenges provides valuable insight into the viability of large welfare states, and more broadly, into the way modern economies deal with crisis.


Institutional Competition

Institutional Competition

Author: Andreas Bergh

Publisher: Edward Elgar Publishing

Published: 2008-01-01

Total Pages: 281

ISBN-13: 1848441231

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This book has much to commend it, because of the richness and diversity of the issues addressed. Indira Rajaraman, Tax Justice Focus The volume offers substantial insights into the nature of institutional competition, focusing mostly on governmental institutions, and shows the many subtleties in understanding and analyzing the role of institutions. Institutional competition is a small subset of institutional analysis, but an important one, and while the volume does cover the more familiar tax and expenditure topics, it also delves more deeply into the subject. Randall G. Holcombe, Public Choice While economists typically praise the merits of competition among market-based enterprises, they are not so sure when it comes to competition among institutions, especially governments. I am aware of no better source for thoughtful reflection on competition among institutions than the ten essays presented in this book. Richard E. Wagner, George Mason University, US Why is competition between institutions usually viewed in a negative light, when competition is considered positive in most other economic contexts? The contributors to this volume introduce new perspectives on this issue, analytically and empirically exploring reasons for this perception. Negative assessments of institutional competition emphasize that such competition may lead to a race to the bottom in terms of eroding government revenues, redistributing wealth from workers to capitalists, and limiting democracy by forcing politicians to prioritize international investment capital rather than working for their voters. In this volume, however, many of the essays draw attention to the positive learning and information effects. The contributors conclude that competition may actually lead to institutions becoming more efficient in allocating resources. Students and scholars of economics, political economy, international relations and political science will find the book s non-traditional take on institutional competition a must-read, as will policy analysts and those with an interest in taxation and welfare states.


Population Ageing - A Threat to the Welfare State?

Population Ageing - A Threat to the Welfare State?

Author: Tommy Bengtsson

Publisher: Springer Science & Business Media

Published: 2010-08-02

Total Pages: 137

ISBN-13: 364212612X

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Tommy Bengtsson Population ageing, the shift in age distribution towards older ages, is of immense global concern. It is taking place to a varying degree all over the world, more in Europe and some Asian countries, less on the African continent. The worldwide share of people aged 65 years and above is predicted to increase from 7. 5% in 2005 to 16. 1% in 2050 (UN 2007, p. 11). The corresponding ?gures for developed countries are 15. 5 and 26. 2% and for developing countries 5. 5 and 14. 6%. While population ageing has been going on for some time in the developed world, and will continue to do so, most of the change is yet to come for the developing world. The change in developing countries, however, is going to be much faster than it has been in the developed world. For example, while it took more than 100 years in France and more than 80 years in Sweden for the population group aged 65 and above to increase from 7 to 14% of the population, the same change in Japan took place over a 25-year period (UN 2007, p. 13). The scenario for the future is very similar for most developing countries, including highly populated countries like China, India and Brazil. While the start and the speed differ, the shift in age structure towards older ages is a worldwide phenomenon, stressing the signi?cance of the concept global ageing.


The social construction of Swedish neutrality

The social construction of Swedish neutrality

Author: Christine Agius

Publisher: Manchester University Press

Published: 2013-07-19

Total Pages: 422

ISBN-13: 1784990027

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The end of the Cold War and the ‘War on Terror’ has signalled a shift in the security policies of all states. It has also led to the reconsideration of the policy of neutrality, and what being neutral means in the present age. This book examines the conceptualisation of neutrality from the Peloponnesian War to today, uncovering how neutrality has been a neglected and misunderstood subject in International Relations (IR) theory and politics. By rethinking neutrality through constructivism, this book argues that neutrality is intrinsically linked to identity. Using Sweden as a case study, it links identity, sovereignty, internationalism and solidarity to the debates about Swedish neutrality today and how neutrality has been central to Swedish identity and its worldview. It also examines the challenges to Swedish neutrality and neutrality broadly, in terms of European integration, globalisation, the decline of the state and sovereignty, and new threats to security, such as international terrorism, arguing that the norms and values of neutrality can be reworked to contribute to a more cosmopolitan international order.


Assuring the Quality of Health Care in the European Union

Assuring the Quality of Health Care in the European Union

Author: Helena Legido-Quigley

Publisher: World Health Organization

Published: 2008

Total Pages: 242

ISBN-13: 9289071931

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People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.