European Child Health Services And Systems: Lessons Without Borders


Book Description

The book focuses on three key aspects of delivery of child health services: service integration and coordination, public health measures, and enhancing the quality of care for children.




Issues and Opportunities in Primary Health Care for Children in Europe


Book Description

The ebook edition of this title is Open Access and is freely available to read online. This book presents the scientific findings of a three-year project across 30 EU and EEA countries assessing primary care for children throughout the life-course, drawing from 20 academic partners' analysis of evidence produced by agents in each of the countries.




The Changing Role of the Hospital in European Health Systems


Book Description

Hospitals today face a huge number of challenges, including new patterns of disease, rapidly evolving medical technologies, ageing populations and continuing budget constraints. This book is written by clinicians for clinicians and hospital managers, and those who design and operate hospitals. It sets out why hospitals need to change as the patients they treat and the technology to treat them changes. In a series of chapters by leading authorities in their field, it challenges existing models, reviews best practice from many countries and presents clear policy recommendations for policymakers and hospital administrators. It covers the main patient groups and conditions as well as those departments that make modern effective care possible, in imaging and laboratory medicine. Each chapter looks at patient pathways, aspects of workforce, required levels of specialisation and technology, and the opportunities and challenges for optimising the delivery of services in the hospital of the future. This title is also available as Open Access on Cambridge Core.




EBOOK: Economic Crisis, Health Systems and Health in Europe: Impact and Implications for Policy


Book Description

Economic shocks pose a threat to health and health system performance by increasing people’s need for health care and making access to care more difficult – a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical. This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:  analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery assess the impact of these responses on health systems and population health identify policies most likely to sustain the performance of health systems facing financial pressure explore the political economy of implementing reforms in a crisis The book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.




Paying for Performance in Health Care Implications for Health System Performance and Accountability


Book Description

This report examines recent activation policies in the United Kingdom aimed at moving people back into work. It offers insight into how countries can improve the effectiveness of their employment services and also control spending on benefits.




Revitalizing Residential Care for Children and Youth


Book Description

"This volume addresses the question of how societies with developed welfare and social service systems are assessing current needs and future directions in their residential child and youth care sectors. This includes dealing with the historical concerns raised about the placement of children and youth in residential care settings as well as identifying innovative strategies, which offer new pathways for the integration of this often neglected area of service with families and communities. This review builds on an emergent and growing literature of cross-national child welfare policies and practices including child protection arrangements (Gilbert et al., 2011) and meeting the needs of migrant children (Skivenes et al., 2014). Our contributors share a common child welfare goal of seeking to ensure healthy growth and development for children served in order to achieve desired social outcomes for the community at large. Each of the sixteen countries selected for inclusion will be viewed through a common template including the policy context (historical developments, key trends and policy initiatives), promising programmatic innovations, and information obtained from a matrix developed in an earlier research effort (Erasmus+ Project) by Sigrid James and colleagues from five European countries (James et al., 2021). The Erasmus+ project, along with the matrix and rationale for its use, is described in detail in Chapter 3"--




Facets Of Public Health In Europe


Book Description

This book takes a broad but detailed approach to public health in Europe and offers the most comprehensive analysis of this region currently available.




Paying for Performance in Healthcare: Implications for Health System Performance and Accountability


Book Description

Health spending continues to grow faster than the economy in most OECD countries. In 2010, the OECD published a study of strategies to increase value for money in health care, in which pay for performance (P4P) was identified as an innovative tool to improve health system efficiency in several OECD countries. However, evidence that P4P increases value for money, boosts quality of processes in health care, or improves health outcomes is limited.This book explores the many questions surrounding P4P such as whether the potential power of P4P has been over-sold, or whether the disappointing results to date are more likely rooted in problems of design and implementation or inadequate monitoring and evaluation. The book also examines the supporting systems and process, in addition to incentives, that are necessary for P4P to improve provider performance and to drive and sustain improvement. The book utilises a substantial set of case studies from 12 OECD countries to shed light on P4P programs in practice.Featuring both high and middle income countries, cases from primary and acute care settings, and a range of both national and pilot programmes, each case study features: Analysis of the design and implementationdecisions, including the role of stakeholders Critical assessment of objectives versus results Examination of the of 'net' impacts, includingpositive spillover effects and unintended consequences The detailed analysis of these 12 case studies together with the rest of this critical text highlight the realities of P4P programs and their potential impact on the performance of health systems in a diversity of settings. As a result, this book provides critical insights into the experience to date with P4P and how this tool may be better leveraged to improve health system performance and accountability. This title is in the European Observatory on Health Systems and Policies Series.




Strengthening Health System Governance: Better Policies, Stronger Performance


Book Description

Highly Commended in Health and Social Care in the 2017 BMA Medical Book Awards. Governance is the systematic, patterned way in which decisions are made and implemented. The governance of a health system therefore shapes its ability to respond to the various well-documented challenges that health systems face today, and its capacity to cope with both everyday challenges and new policies and problems. This book provides a robust framework that identifies five key aspects of governance, distilled from a large body of literature, that are important in explaining the ability of health systems to provide accessible, high-quality, sustainable health. These five aspects are transparency, accountability, participation, organizational integrity and policy capacity. Part 1 of this book explains the significance of this framework, drawing out strategies for health policy success and lessons for more effective governance. Part 2 then turns to explore eight case studies in a number of different European regions applying the framework to a range of themes including communicable diseases, public-private partnerships, governing competitive insurance market reform, the role of governance in the pharmaceutical sector, and many more. The book explores how: - Transparency, accountability, participation, integrity and capacity are key aspects of health governance and shape decision making and implementation - There is no simply “good” governance that can work everywhere; every aspect of governance involves costs and benefits. Context is crucial. - Governance can explain policy success and failure, so it should be analysed and in some cases changed as part of policy formation and preparation. - Some policies simply exceed the governance capacity of their systems and should be avoided. This book is designed for health policy makers and all those working or studying in the areas of public health, health research or health economics.




Assessing Health-related Quality of Life of Children


Book Description

Assessing health-related quality of life (HRQOL) of Children has been a popular topic in recent years worldwide. However, there are several issues/gaps in this research area which need to be addressed. For instance, previous studies on HRQOL of Children populations have normally used HRQOL instruments designed for adults. These measurements may not be suitable for children as they are in a series of cognitive developmental stages and have different perspectives towards the relative importance of HRQOL dimensions. In order to tackle this issue and to accurately measure children’s HRQOL, a set of dedicated HRQOL instruments should be first developed and validated. The validated instruments could then be applied to the population measuring their HRQOL. In addition, the HRQOL information collected could be translated into health utility score if it is measured by utility instruments (e.g., EQ-5D-Y) for the population. Moreover, the relevant studies on these issues is still lacking especially in non-western countries.