Part,  Chapter, Paragraph

4501   IV,    11.  6.  5    |                  Union. Copenhagen, World Health Organization on behalf of
4502   IV,    11.  6.  5    |                   European Observatory on Health Systems and Policies.~ ~
4503   IV,    11.  6.  5    |                   European Observatory on Health Systems and Policies.~ ~
4504   IV,    11.  6.  5    |                   European Observatory on Health Systems and Policies.~ ~
4505   IV,    11.  6.  5    |               Musgrove P (2003): "Judging health systems: reflections on
4506   IV,    11.  6.  5    |                   Assessment of the World Health Report 2000." Lancet 356:
4507   IV,    11.  6.  5    |                  et al. (2002): Measuring health system performance: problems
4508   IV,    11.  6.  5    |                   Measuring up: improving health system performance in OECD
4509   IV,    11.  6.  5    |                   E, McKee M (2005): Does Health Care Save Lives? Avoidable
4510   IV,    11.  6.  5    |               2004): "Equity of access to health care: outlining the foundation
4511   IV,    11.  6.  5    |                Epidemiology and Community Health 58(8): 655-8.~ ~Øvretveit
4512   IV,    11.  6.  5    |                   indicator comparison in health care." International Journal
4513   IV,    11.  6.  5    |                     International Journal Health Planning Management 16:
4514   IV,    11.  6.  5    |                What is 'best practice' in health care? State of the art and
4515   IV,    11.  6.  5    |                efficiency of the European health care systems." Health Policy
4516   IV,    11.  6.  5    |            European health care systems." Health Policy 56(3): 235-50.~ ~
4517   IV,    11.  6.  5    |               increasingly serious public health problem." Annual Review
4518   IV,    11.  6.  5    |                   Annual Review of Public Health 23: 135-50.~ ~ ~Preker AS,
4519   IV,    11.  6.  5    |                    Jakab M et al. (2002): Health financing reforms in central
4520   IV,    11.  6.  5    |              former Soviet Union. Funding health care: options for Europe.
4521   IV,    11.  6.  5    |                  efficiency in the use of health care resources: a comparison
4522   IV,    11.  6.  5    |            comparison of OECD countries." Health Policy 69(1): 55-72.~ ~Rice
4523   IV,    11.  6.  5    |                funding decisions. Funding health care: options for Europe.
4524   IV,    11.  6.  5    |                  Technology Assessment in Health Care 16(4): 1061-76.~ ~Rizzo
4525   IV,    11.  6.  5    |                 Physician Organizations." Health Services Research 39(5):
4526   IV,    11.  6.  5    |             Europe. Purchasing to improve health systems performance. J.
4527   IV,    11.  6.  5    |                   European Observatory on Health Systems and Policies.~ ~
4528   IV,    11.  6.  5    |                   quality improvement. ." Health Affairs 23(2): 127-41.~ ~
4529   IV,    11.  6.  5    |                 for paying for quality in health care?" Medical Care Research
4530   IV,    11.  6.  5    |                 Saltman RB (2004): Social health insurance in perspective:
4531   IV,    11.  6.  5    |              sustaining stability. Social health insurance systems in Western
4532   IV,    11.  6.  5    |               Figueras. Copenhagen, World Health Organization on behalf of
4533   IV,    11.  6.  5    |                   European Observatory on Health Systems and Policies.~ ~
4534   IV,    11.  6.  5    |                 nine European countries." Health Care Management Science
4535   IV,    11.  6.  5    |                     2005): "Defining the "Health Benefit Basket" in nine
4536   IV,    11.  6.  5    |                   from the European Union Health BASKET Project." European
4537   IV,    11.  6.  5    |             Project." European Journal of Health Economics 6(S1): 2-10.~ ~
4538   IV,    11.  6.  5    |                   measured and monitored? Health Evidence Network synthesis
4539   IV,    11.  6.  5    |              national quality policies in health systems. Copenhagen World
4540   IV,    11.  6.  5    |                 systems. Copenhagen World Health Organization, Regional Office
4541   IV,    11.  6.  5    |                   Measuring Up: Improving health system performance in OECD
4542   IV,    11.  6.  5    |           Development.~ ~Smith P (2004): "Health care reforms in Europe and
4543   IV,    11.  6.  5    |               Ensuring value for money in health care: The role of HTA in
4544   IV,    11.  6.  5    |           improvement scheme?" Journal of Health Services Research and Policy
4545   IV,    11.  6.  5    |         Specialist Supply On PopulationsHealth: Assessing The Evidence."
4546   IV,    11.  6.  5    |                  Assessing The Evidence." Health Affairs Jan-Jun(Suppl Web
4547   IV,    11.  6.  5    |              Canada (2004): Understanding health care cost drivers and escalators.
4548   IV,    11.  6.  5    |                   2003): Cost sharing for health services in the European
4549   IV,    11.  6.  5    |                Mossialos E et al. (2004): Health and health systems in the
4550   IV,    11.  6.  5    |                 et al. (2004): Health and health systems in the new member
4551   IV,    11.  6.  5    |                 five European countries." Health Policy 65: 75-98.~ ~van
4552   IV,    11.  6.  5    |                   utilisation in Europe." Health Economics 13(7): 629-647.~ ~
4553   IV,    11.  6.  5    |                  redistributive effect of health care finance in twelve OECD
4554   IV,    11.  6.  5    |               OECD countries." Journal of Health Economics 18(3): 291-314.~ ~
4555   IV,    11.  6.  5    |            financial contribution index." Health Economics 11: 103-115.~ ~
4556   IV,    11.  6.  5    |                   Finance and Delivery of Health Care: An international perspective.
4557   IV,    11.  6.  5    |            explicit criteria.” Quality in Health Care 5:159-65.~ ~Wilson
4558   IV,    11.  6.  5    |                 The quality in Australian health care study." Medical Journal
4559   IV,    11.  6.  5    |                  of pharmaceuticals." GMS Health Technology Assessment 1(
4560   IV,    11.  6.  5    |                  L. (1997). Understanding Health Care Outcomes Research.
4561   IV,    11.  6.  5    |                 Epidemiology for District Health Management, WHO 1989~ ~
4562   IV,    12.Acr        |                   trade Association~EPSCO~Health and Consumer Affairs Council~
4563   IV,    12.Acr        |               Fund~EUPHIN~European Public Health Information Network~FCTC~
4564   IV,    12.Acr        |             Revision of the International Health Regulations~OECD~Organisation
4565   IV,    12.Acr        |                Structural Funds~WHO~World Health Organisation~ ~ ~ ~
4566   IV,    12.  1        |                 the growing challenges to health. The European integration
4567   IV,    12.  1        |             effective right of redress.~ ~Health protection is a traditional
4568   IV,    12.  1        |                   order or to protect the health of their citizens. For more
4569   IV,    12.  1        |                more than 40 years, public health was not formally part of
4570   IV,    12.  1        |                   in a few areas, such as health and safety at work, or the
4571   IV,    12.  1        |                  of the qualifications of health professionals. Nevertheless,
4572   IV,    12.  1        |          willingness of the single market health Ministers to cooperate and
4573   IV,    12.  1        |                 12.1). Even today, public health remains mainly a Member
4574   IV,    12.  1        |                 competence.~ ~Table 12.1. Healthrelated precursor programmes
4575   IV,    12.  1        |                   the general standard of health by improving knowledge about
4576   IV,    12.  1        |                lifestyles and behaviours.~Health monitoring~The aim was to
4577   IV,    12.  1        |                 comparable information on health and health-related of the
4578   IV,    12.  1        |               population, on diseases and health systems based on European-wide
4579   IV,    12.  1        |                   to contribute to public health activities which seek to
4580   IV,    12.  1        |                strategies in the field of health and the environment, focusing
4581   IV,    12.  1        |            knowledge and understanding of health risks associated with them. ~
4582   IV,    12.  1        |                  programmes.~ ~ ~ ~Public health is a relatively new-comer
4583   IV,    12.  1        |                  their actions” in public health. This legal competence was
4584   IV,    12.  1        |                  States to improve public health, prevent illness and “obviate
4585   IV,    12.  1        |                sources of danger to human health” (Article 152(1)) (Table
4586   IV,    12.  1        |              extended the scope of public health related policy, it maintained
4587   IV,    12.  1        |               subsidiarity principle” for health which provides that harmonisation
4588   IV,    12.  1        |                  of Member StatesPublic Health legislation is prohibited
4589   IV,    12.  1        |                 and delivery of their own health services and medical care (
4590   IV,    12.  1        |                       Even when a “public health competence “was first established
4591   IV,    12.  1        |             Maastricht Treaty, protecting health was listed as one of many “
4592   IV,    12.  1        |             attainment of a high level of health protection” (art.3p) in
4593   IV,    12.  1        |               persisting fragmentation of health issues in several sections
4594   IV,    12.  1        |                that specifically concerns health is not surprising (Table
4595   IV,    12.  1        |                Treaty Articles concerning health~ ~Art. 43-48: right of establishment,
4596   IV,    12.  1        |              others, physicians and other health professionals;~ ~Art. 49
4597   IV,    12.  1        |                     6) and (8) concerning health in relation to the internal
4598   IV,    12.  1        |           commercial policy, stating that health services~“…shall fall within
4599   IV,    12.  1        |           environment to protect workershealth and~safety”~ ~Art. 149 (
4600   IV,    12.  1        |               teacher training, including health field exchanges)~ ~Art.
4601   IV,    12.  1        |                  1. A high level of human health protection shall be ensured
4602   IV,    12.  1        |                  towards improving public health, preventing human illness
4603   IV,    12.  1        |                sources of danger to human health. Such action shall cover
4604   IV,    12.  1        |                   fight against the major health scourges, by promoting research
4605   IV,    12.  1        |              their prevention, as well as health information and education.~
4606   IV,    12.  1        |                 in reducing drugs-related health damage, including information
4607   IV,    12.  1        |                   in the sphere of public health.~4. The Council, acting
4608   IV,    12.  1        |                  the protection of public health;~(c) incentive measures
4609   IV,    12.  1        |                 protect and improve human health, excluding any harmonisation
4610   IV,    12.  1        |             action in the field of public health shall fully respect the
4611   IV,    12.  1        |              organisation and delivery of health services and medical care.
4612   IV,    12.  1        |              contribute to protecting the health, safety and economic interests
4613   IV,    12.  1        |                among others, also support health projects);~ ~Art. 163 concerning
4614   IV,    12.  1        |                          protecting human health”.~ ~Art. 177 on development
4615   IV,    12.  1        |                 issues).~ ~ ~The value of health has become more prominent
4616   IV,    12.  1        |                   of other EU policies on health, health service and health
4617   IV,    12.  1        |              other EU policies on health, health service and health systems.~ ~
4618   IV,    12.  1        |                health, health service and health systems.~ ~Directorate~General~ ~
4619   IV,    12.  1        |           legislation~Potential impact~on health~Employment and social affairs~ ~
4620   IV,    12.  1        |                E112 etc, co-ordinating of health services received E112 etc)
4621   IV,    12.  1        |                 Providing for the payment health service received in another
4622   IV,    12.  1        |            depending on the nature of the health service obtained~Employment
4623   IV,    12.  1        |                   the European electronic health record.~Research & ~Technological
4624   IV,    12.  1        |                  European Environment~and Health Action Plan 2004-2010~ ~
4625   IV,    12.  1        |                 2010~ ~Reduce the adverse health impacts of certain environmental
4626   IV,    12.  1        |                      Important aspects of health protection have been incorporated
4627   IV,    12.  1        |             movement of industrial goods (health products, tobacco) or to
4628   IV,    12.  1        |                  safety, animal and plant health). In some cases, legislative
4629   IV,    12.  1        |                 pharmaceuticals and other health products, with many difficult
4630   IV,    12.  1        |                   Commission and National Health Ministries has greatly improved.
4631   IV,    12.  1        |           additional informal meetings of Health Ministers. This allows the
4632   IV,    12.  1        |                and better synchronise new health initiatives at European
4633   IV,    12.  1        |              national level.~ ~The public healthacquis” – albeit limited –
4634   IV,    12.  1        |                  strengthening the public health powers in the Treaty. These
4635   IV,    12.  1        |                any discussion on extended health competences in a foreseeable
4636   IV,    12.  2        |                 The European strategy for health~ ~This Report has highlighted
4637   IV,    12.  2        |                   highlighted a number of health determinants and their impacts
4638   IV,    12.  2        |         determinants and their impacts on health. Over the last 7 years,
4639   IV,    12.  2        |                   last 7 years, EU public health activities, also aimed at
4640   IV,    12.  2        |              controlling their impacts on health, have significantly expanded.
4641   IV,    12.  2        |                first communication on the health strategy of the European
4642   IV,    12.  2        |          supported by the European Public Health Programme.~ ~Following a
4643   IV,    12.  2        |             launched in December 2006 on “Health in Europe: A Strategic Approach-Discussion
4644   IV,    12.  2        |        Approach-Discussion Document for a Health Strategy”, on 23 October
4645   IV,    12.  2        |                  Commission adopted a new Health Strategy, “Together for
4646   IV,    12.  2        |                   Strategy, “Together for Health: A Strategic Approach for
4647   IV,    12.  2        |              spanning over core issues in health as well as health in all
4648   IV,    12.  2        |               issues in health as well as health in all policies (see also
4649   IV,    12.  2        |                  Chapter 11.5) and global health issues. The target of this
4650   IV,    12.  2        |                   to guide future work on health at European level, and to
4651   IV,    12.  2        |            strategic themes for improving health in the EU. The principles
4652   IV,    12.  2        |             recognising the links between health and economic prosperity,
4653   IV,    12.  2        |                   prosperity, integrating health in all policies and strengthening
4654   IV,    12.  2        |                  the EU’s voice in global health. The strategic themes include
4655   IV,    12.  2        |             themes include Fostering Good Health in an Ageing Europe, Protecting
4656   IV,    12.  2        |                  Protecting Citizens from Health Threats, and Dynamic Health
4657   IV,    12.  2        |               Health Threats, and Dynamic Health Systems and New Technologies.~ ~
4658   IV,    12.  2        |                   protect and improve the health of European citizens. Building
4659   IV,    12.  2        |               diet, physical activity and health, the European Alcohol and
4660   IV,    12.  2        |                  the European Alcohol and Health Forum, the e-Health stakeholders'
4661   IV,    12.  2        |               stakeholders' group and the Health Policy Forum, the European
4662   IV,    12.  2        |                   in accordance with the “Health in All Policiesprinciple (
4663   IV,    12.  2        |             physical activity, safety and health at work, emerging technologies,
4664   IV,    12.  2        |          technologies, alcohol and mental health.~ ~Regular overviews and
4665   IV,    12.  2        |                  overviews and reports on health issues in the EU and of
4666   IV,    12.  2        |                with a specific disease or health determinant includes a section
4667   IV,    12.  2        |                  promoting cardiovascular health in the Health Council conclusions.~ ~
4668   IV,    12.  2        |              cardiovascular health in the Health Council conclusions.~ ~The
4669   IV,    12.  2        |                  promoting cardiovascular health, emphasize the importance
4670   IV,    12.  2        |                 of National Ministries of Health, European and National representatives
4671   IV,    12.  2        |                    The purpose to protect health and improve the quality
4672   IV,    12.  2        |           prospects of the integration oh health in all policies expressed
4673   IV,    12.  2        |                Employment, Social Policy, Health and Consumer Affairs Council
4674   IV,    12.  2        |            European Commission, the World Health Organization (WHO-Europe),
4675   IV,    12.  2        |            Cardiology, the European Heart Health Charter was developed.~ ~
4676   IV,    12.  2        |           developed.~ ~The European Heart Health Charter has been officially
4677   IV,    12.  2        |                 out in the European Heart Health Charter and its working
4678   IV,    12.  2        |               help reduce inequalities in health and in accessing healthcare.
4679   IV,    12.  2        |         palliative care. The Parliament’s health committee has recently called
4680   IV,    12.  2        |                  or overall investment in health care. There is increasing
4681   IV,    12.  2        |               treatment and investment in health care. For this reason it
4682   IV,    12.  2        |                risk factors (also know as health determinants) mainly associated
4683   IV,    12.  2        |               organize and deliver public health programmes that are designed
4684   IV,    12.  2        |                  at all levels within the health system. Cancer control plans (
4685   IV,    12.  2        |              playing a key role in public health. Yet in several EU Member
4686   IV,    12.  2        |                take account of the public health impact. Such constraints
4687   IV,    12.  2        |                   and has become a public health issue. We can curtail the “
4688   IV,    12.  2        |          inequalities in life expectancy, health status and access to high-quality
4689   IV,    12.  2        |                and access to high-quality health services for people living
4690   IV,    12.  2        |             international level:~- the EU Health Council in 2004, under the
4691   IV,    12.  2        |                were adopted by the formal Health Council in June 2006 in
4692   IV,    12.  2        |             Europe’s most critical public health issues, diabetes. ~- the
4693   IV,    12.  2        |           recognised its global threat to health worldwide in December 2006. (
4694   IV,    12.  2        |              tools as applied to selected health determinants~ ~1. Tobacco~ ~
4695   IV,    12.  2        |                  the addictive nature and health hazards of tobacco use~Curbing
4696   IV,    12.  2        |                  use is a longstanding EU health priority. The EU has been
4697   IV,    12.  2        |               part of the Environment and Health Action Plan, through which
4698   IV,    12.  2        |                  respectively with public health and internal market issues.
4699   IV,    12.  2        |                  and~· minimum safety and health requirements for the workplace.~
4700   IV,    12.  2        |                  is the first-ever global health treaty providing a comprehensive
4701   IV,    12.  2        |          generations from the devastating health, social, environmental and
4702   IV,    12.  2        |                 products, requiring large health warning labels and prohibiting
4703   IV,    12.  2        |            cessation services in national health programmes, and~promoting
4704   IV,    12.  2        |                  international social and health problems falls within the
4705   IV,    12.  2        |                   aimed at minimizing the health and social harms that result
4706   IV,    12.  2        |                  In the context of public health the central purpose of alcohol
4707   IV,    12.  2        |                   the interests of public health and social well-being through
4708   IV,    12.  2        |                   through their impact on health and social determinants,
4709   IV,    12.  2        |             drinking environment, and the health services available to treat
4710   IV,    12.  2        |                  aim of protecting public health; and they do not go beyond
4711   IV,    12.  2        |           programs were widely adopted in health care systems, the population
4712   IV,    12.  2        |                      European alcohol and health forum, 2007~http ~ ~Projects
4713   IV,    12.  2        |                   funded under the Public Health Programme 2003-2008PHEPA:
4714   IV,    12.  2        |                2003-2008PHEPA: Primary Health Care European Project~http
4715   IV,    12.  3        |               million employees;~· public health including European cooperation
4716   IV,    12.  3        |                   European cooperation of health systems and patient rights
4717   IV,    12.  3        |            patient rights in cross-border health care. A draft directive
4718   IV,    12.  3        |                  s rights in cross-border health care was adopted on 2 July
4719   IV,    12.  4        |           Co-ordination mechanisms for EU health activities~ ~There are several
4720   IV,    12.  4        |            activities~ ~There are several health links with European Commission
4721   IV,    12.  4        |                Table 12.6).~ ~Table 12.6. Health across the European Commission~ ~
4722   IV,    12.  4        |                   Directorate General~Key Health Links~AGRI~ ~Nutritional
4723   IV,    12.  4        |                    AIDCO~External aid for health~BEPA~Investing in youth~
4724   IV,    12.  4        |                 COMP~Competition rules in health markets~ ~DEV~Health in
4725   IV,    12.  4        |                   in health markets~ ~DEV~Health in EC and EU development
4726   IV,    12.  4        |                learning; Young people and health,~Promotion of sport~ECFIN~
4727   IV,    12.  4        |      life-threatening epidemics and other health hazards.~ ~ELARG~Assisting
4728   IV,    12.  4        |             countries to put in place the health acquis~ ~EMPL~Safety and
4729   IV,    12.  4        |                  acquis~ ~EMPL~Safety and Health at work; coordination of
4730   IV,    12.  4        |                disabilities to social and health services;~European Social
4731   IV,    12.  4        |              Innovation~ENV~Environmental health e.g. air quality, water
4732   IV,    12.  4        |                  European Environment and Health Strategy', COM(2003)338,
4733   IV,    12.  4        |                  European Environment and Health Action Plan 2004-2010',
4734   IV,    12.  4        |               Data collection in field of health and safety~INFSO~Development
4735   IV,    12.  4        |                  personal data~concerning health~JRC~Scientific and Technical
4736   IV,    12.  4        |               which may have an impact on health directly or indirectly (
4737   IV,    12.  4        |                 Policy actions to support health policy, including through '
4738   IV,    12.  4        |                Neighbourhood countries~on health~RTD~RTD Research framework
4739   IV,    12.  4        |                   FP6, FP7~ ~SANCO~Public health, consumer policy, food safety,
4740   IV,    12.  4        |               policy, food safety, animal health~ ~SG~Coordination policy
4741   IV,    12.  4        |           introduction of products with a health risk~TRADE~Trade negotiations
4742   IV,    12.  4        |              TRADE~Trade negotiations re: Health and social services and
4743   IV,    12.  4        |                  services and services of health~Professionals~TREN~Road
4744   IV,    12.  4        |                   High Level Committee on Health to enable key representatives
4745   IV,    12.  4        |                  key representatives from health Ministries to exchange views
4746   IV,    12.  4        |                 Commissioner in charge of Health: David Byrne in 1999, succeeded
4747   IV,    12.  4        |                   Vassiliou in 2008. Most health activities were then regrouped
4748   IV,    12.  4        |                   then regrouped in a new Health and Consumer Protection
4749   IV,    12.  4        |                cover in particular public health, animal health and food
4750   IV,    12.  4        |          particular public health, animal health and food safety. Other Commission
4751   IV,    12.  4        |                   with certain aspects of health policies such as:~ ~· pharmaceuticals
4752   IV,    12.  4        |                       pharmaceuticals and health products (DG ENTR) ~· e-Health
4753   IV,    12.  4        |                   Telematics (DG INFSO)~· health care for migrant workers,
4754   IV,    12.  4        |                 care for migrant workers, health insurance (DG EMPL)~· health
4755   IV,    12.  4        |              health insurance (DG EMPL)~· health research (DG RTD)~· health
4756   IV,    12.  4        |                health research (DG RTD)~· health aspects of development aid (
4757   IV,    12.  4        |                 presence and authority of Health Ministers in Council was
4758   IV,    12.  4        |                   EPSCO) in charge of all health related decisions. Similarly,
4759   IV,    12.  4        |              Committee on Environment and Health became more focused on health
4760   IV,    12.  4        |             Health became more focused on health issues. Several committees
4761   IV,    12.  4        |                  by DG SANCO to deal with health security and bio terrorism,
4762   IV,    12.  4        |           security and bio terrorism, the health programme or to help implement
4763   IV,    12.  4        |                   new High Level Group on Health Services and Medical Care
4764   IV,    12.  4        |                   and responsibilities;~· health professionals (continuing
4765   IV,    12.  4        |                 tackling rare diseases;~· health technology assessment, with
4766   IV,    12.  4        |                   supported by the public health programme;~· e-health and
4767   IV,    12.  4        |                information strategies for health services;~· hospital performances (
4768   IV,    12.  4        |               risks to consumer products, health and the environment, emerging
4769   IV,    12.  4        |             emerging and newly identified health risks. These Committees
4770   IV,    12.  4        |                     In many sectors where health and safety of patients,
4771   IV,    12.  4        |         Institutions and Member States on health related measures, or to
4772   IV,    12.  4        |                  relevant information for health policy makers (Table 12.
4773   IV,    12.  4        |                 advise on border-crossing health issues. In this context,
4774   IV,    12.  4        |                Science Advice Network for Health (EuSANH) was established
4775   IV,    12.  4        |             agencies directly relevant to health~ ~Abbreviation~ ~Agency~ ~
4776   IV,    12.  4        |                 EAHC~Executive Agency for Health and Consumer (Luxembourg
4777   IV,    12.  4        |                     Formerly PHEA, Public Health Executive Agency. The Agency
4778   IV,    12.  4        |                  projects in the field of health; it has about 40 staff members
4779   IV,    12.  4        |                 emerging threats to human health posed by infectious diseases.~ ~
4780   IV,    12.  4        |              protection of human life and health through taking account of
4781   IV,    12.  4        |                  taking account of animal health and welfare, plant health
4782   IV,    12.  4        |                 health and welfare, plant health and the environment, in
4783   IV,    12.  4        |              benefit of public and animal health.~ ~ESA~ ~European Space
4784   IV,    12.  4        |            European Agency for Safety and Health at Work (Bilbao, Spain) -
4785   IV,    12.  4        |                   to healthcare.~ ~ ~The “health in other policiesobjective
4786   IV,    12.  4        |         Commission Inter-service Group on Health, chaired by the director
4787   IV,    12.  4        |                   the director for public health, and very well attended
4788   IV,    12.  4        |         international affairs, nutrition, health and environment, pandemic
4789   IV,    12.  4        |                been made by DG SANCO with Health Research activities, with
4790   IV,    12.  4        |                     with DG Employment on health insurance and health care
4791   IV,    12.  4        |                   on health insurance and health care issues and With DG
4792   IV,    12.  4        |           e-Health and the reliability of health information on the Web.
4793   IV,    12.  4        |               combine competitiveness and health objectives.~A list of financial
4794   IV,    12.  4        |                  instruments relevant for health is provided in Table 12.
4795   IV,    12.  4        |                  instruments relevant for health~ ~DG~Financial instrument~
4796   IV,    12.  4        |              actions under the Safety and Health at Work Strategy 2007-2012~
4797   IV,    12.  4        |         Programmes FP6, FP7 ( research on health and treatment including
4798   IV,    12.  4        |                treatment including public health and health systems, food
4799   IV,    12.  4        |               including public health and health systems, food safety, eHealth,
4800   IV,    12.  4        |                 actions related to global health, road safety)~SANCO~Programme
4801   IV,    12.  4        |             Action in the field of Public Health (2003-2008)~Programme for
4802   IV,    12.  4        |          Community Action in the field of Health (2008-2013)~Programme of
4803   IV,    12.  5        |                 12.5. The European Public Health Programme~ ~In 2002, the
4804   IV,    12.  5        |                   first integrated public health programme as the key enabling
4805   IV,    12.  5        |                for the Community’s public health policy under Article 152
4806   IV,    12.  5        |                Programme started to cover health information, health threats
4807   IV,    12.  5        |                 cover health information, health threats and health determinants,
4808   IV,    12.  5        |           information, health threats and health determinants, with a budget
4809   IV,    12.  5        |          Community Action in the field of Health. This proposal replaced
4810   IV,    12.  5        |                   Community Programme for Health and Consumer Protection.
4811   IV,    12.  5        |        perspectives for 2008 to 2013. The Health Ministers Council adopted
4812   IV,    12.  5        |                   of projects relating to health until 2013, with a budget
4813   IV,    12.  5        |                   to in the Second Public Health Programme.~ ~1. Improve
4814   IV,    12.  5        |                      1. Improve citizens' health security.~1.1. Protect citizens
4815   IV,    12.  5        |                  Protect citizens against health threats.~ ~1.1.1. Develop
4816   IV,    12.  5        |          information on and responding to health threats from communicable
4817   IV,    12.  5        |             non-communicable diseases and health threats from physical, chemical
4818   IV,    12.  5        |             preparedness and planning for health emergencies, including preparing
4819   IV,    12.  5        |                international responses to health emergencies; develop risk
4820   IV,    12.  5        |                  contingency and specific health emergency plans and their
4821   IV,    12.  5        |         nosocomial infections.~2. Promote health~2.1. Foster healthier ways
4822   IV,    12.  5        |                 life and the reduction of health inequalities~ ~2.1.1. Promote
4823   IV,    12.  5        |                 and explore the impact of health on productivity and labour
4824   IV,    12.  5        |           measures to study the impact on health of other policies.~ ~2.1.
4825   IV,    12.  5        |             causes of, address and reduce health inequalities within and
4826   IV,    12.  5        |           cohesion; promote investment in health in cooperation with other
4827   IV,    12.  5        |               solidarity between national health systems by supporting cooperation
4828   IV,    12.  5        |         cross-border care and patient and health professional mobility.~2.
4829   IV,    12.  5        |                  and injuries by tackling health determinants~ ~2.2.1. Address
4830   IV,    12.  5        |             determinants~ ~2.2.1. Address health determinants to promote
4831   IV,    12.  5        |               improve physical and mental health, creating supportive environments
4832   IV,    12.  5        |              physical activity and sexual health, and on addiction-related
4833   IV,    12.  5        |                   analyse and disseminate health information~3.1. Develop
4834   IV,    12.  5        |             Develop further a sustainable health monitoring system with mechanisms
4835   IV,    12.  5        |               screening1; collect data on health status and policies; develop,
4836   IV,    12.  5        |        dissemination, including Community health reports, the Health Portal
4837   IV,    12.  5        |             Community health reports, the Health Portal and conferences;
4838   IV,    12.  5        |              establish regular reports on health status in the European Union
4839   IV,    12.  5        |                 of the Programme.~ ~ ~The health information and knowledge
4840   IV,    12.  5        |                and information related to health status, health determinants
4841   IV,    12.  5        |                 related to health status, health determinants and health
4842   IV,    12.  5        |                   health determinants and health systems. Several working
4843   IV,    12.  5        |                 number of priority areas (health indicators, health and environment,
4844   IV,    12.  5        |                 areas (health indicators, health and environment, lifestyles,
4845   IV,    12.  5        |            injuries and accidents, mental health and health services). A
4846   IV,    12.  5        |              accidents, mental health and health services). A Network of
4847   IV,    12.  5        |                 with EUROSTAT. A European Health Portal (htt m) has become
4848   IV,    12.  5        |                  a short list of European health indicators, including the “
4849   IV,    12.  5        |             system is the European Public Health Information Network (EUPHIN) (
4850   IV,    12.  5        |                 comparable information on health and health-related behaviour
4851   IV,    12.  5        |           population, and on diseases and health systems, based on European-wide
4852   IV,    12.  5        |              System of European Community Health Indicators~ ~Several EU
4853   IV,    12.  5        |                 important areas of public health and health care and have
4854   IV,    12.  5        |                areas of public health and health care and have proposed specific
4855   IV,    12.  5        |                under the Community Public Health Programme, a System of European
4856   IV,    12.  5        |              System of European Community Health Indicators (ECHI) was defined,
4857   IV,    12.  5        |               cover all aspects of public health issues and current efforts
4858   IV,    12.  5        |                relevant sectors of public health, health care and health
4859   IV,    12.  5        |                 sectors of public health, health care and health policy.
4860   IV,    12.  5        |                   health, health care and health policy. Due to its fundamental
4861   IV,    12.  5        |                   in the Community Public Health Programme. This provides
4862   IV,    12.  5        |                for the European Community Health Indicators (ECHI-Hierarchy)
4863   IV,    12.  5        |         Population~Socio-economic factors~Health status~Mortality~Mortality
4864   IV,    12.  5        |                  Perceived and functional health~Composite measures of health
4865   IV,    12.  5        |              health~Composite measures of health status~Determinants of health~
4866   IV,    12.  5        |             health status~Determinants of health~Personal and biological
4867   IV,    12.  5        |           Personal and biological factors~Health behaviours~Living and working
4868   IV,    12.  5        |             Living and working conditions~Health systems~Prevention, health
4869   IV,    12.  5        |                Health systems~Prevention, health protection and promotion~
4870   IV,    12.  5        |                  protection and promotion~Health care resources~Health care
4871   IV,    12.  5        |           promotion~Health care resources~Health care utilisation~Health
4872   IV,    12.  5        |                   Health care utilisation~Health expenditure and financing~
4873   IV,    12.  5        |                 expenditure and financing~Health care quality/performance~ ~
4874   IV,    12.  5        |                 ECHI indicators and other health indicators presented by
4875   IV,    12.  5        |               International Compendium of Health Indicators (ICHI, www ).
4876   IV,    12.  5        |                from all sectors of public health and the health care sector
4877   IV,    12.  5        |                  of public health and the health care sector has to be seen
4878   IV,    12.  5        |               fragmentation of the public health and the health care sector
4879   IV,    12.  5        |                 the public health and the health care sector lead to the
4880   IV,    12.  5        |               elements of national public health surveillance for a long
4881   IV,    12.  5        |                time.~ ~Typically national Health Information Systems are
4882   IV,    12.  5        |                Administrative data (e. g. health insurance data, data on
4883   IV,    12.  5        |                   insurance data, data on health care staff)~- Process data (
4884   IV,    12.  5        |               Process data (e. g. data on health care supply in hospitals
4885   IV,    12.  5        |                 population representative health surveys, health surveys
4886   IV,    12.  5        |            representative health surveys, health surveys in special population
4887   IV,    12.  5        |               reflect different stages of health transitions as populations
4888   IV,    12.  5        |                 development of a national health information system.~ ~The
4889   IV,    12.  5        |            establishment of a sustainable health information and knowledge
4890   IV,    12.  5        |             co-ordination, in the area of health information, of activities
4891   IV,    12.  5        |                 of the European Community Health Indicators (ECHI). Current
4892   IV,    12.  5        |              established under the Public Health Action Programme of DG Sanco (
4893   IV,    12.  5        |               ECHIM and the Working Party Health Indicators) and the European
4894   IV,    12.  5        |              Indicators) and the European Health Survey System under the
4895   IV,    12.  5        |                   towards a comprehensive health information and knowledge
4896   IV,    12.  5        |                 official launch of the EU Health Portal in 2006 (htt ). The
4897   IV,    12.  5        |           organisations and bodies in the health sector by facilitating consultation
4898   IV,    12.  5        |                 about measures to protect health and prevent diseases. One
4899   IV,    12.  5        |        responsibility for improving their health. The objective is to continue
4900   IV,    12.  5        |           complete the European Community Health Indicators list that will
4901   IV,    12.  5        |                 that will serve Part II - Health policies and action programmes
4902   IV,    12.  5        |                  a basis for the European health information and knowledge
4903   IV,    12.  5        |           elaboration of regular European health status reports.~ ~The European
4904   IV,    12.  5        |                  has also launched public health reporting projects under
4905   IV,    12.  5        |                  guidance of the panel on Health Information and Knowledge.
4906   IV,    12.  5        |                  deal with topical public health issues that provide material
4907   IV,    12.  5        |                year during the new public health programme. The launching
4908   IV,    12.  5        |               with the Working Parties on health indicators and data collection.
4909   IV,    12.  5        |      electronically – the European Public Health Report Series and in a high
4910   IV,    12.  6        |                          12.6. The Public Health Forum~ ~Another major activity
4911   IV,    12.  6        |                  Commission is the Public Health Forum. The Commission is
4912   IV,    12.  6        |          appropriate. The European Public Health Forum has a three-tier structure:~ ~·
4913   IV,    12.  6        |               three-tier structure:~ ~· a health policy forum, with a membership
4914   IV,    12.  6        |                   citizens and the public health community at large.~ ~The
4915   IV,    12.  6        |               organizations in the public health field, and patientsorganizations; (
4916   IV,    12.  6        |                organizations representing health professionals and trade
4917   IV,    12.  6        |                   and trade unions; (iii) health service providers and health
4918   IV,    12.  6        |              health service providers and health insurance; and (iv) industry
4919   IV,    12.  6        |                industry with a particular health interest.~Representation
4920   IV,    12.  7        |                                     12.7. Health in all policies~ ~Policies
4921   IV,    12.  7        |           policies~ ~Policies outside the health sector are also central
4922   IV,    12.  7        |                 central for improving the health of the population and reducing
4923   IV,    12.  7        |                 specific interventions on health. The European Observatory
4924   IV,    12.  7        |                   European Observatory on Health System and Policies in Brussels
4925   IV,    12.  7        |                this subject as a priority health theme. The council conclusions
4926   IV,    12.  7        |                  White Paper Together for Health: a Strategic Approach for
4927   IV,    12.  7        |         Commission’s contribution for the health strategy of the European
4928   IV,    12.  7        |                 Union: The Paper includes health in all policies as one of
4929   IV,    12.  7        |                 Moreover, conclusions on “Health in All Policies” were adopted
4930   IV,    12.  7        |         Conference on this approach. The “Health in all Policiesstrategy,
4931   IV,    12.  7        |                    while recognizing that health can be influenced by decisions
4932   IV,    12.  7        |                made in sectors other than health, calls for the assessment
4933   IV,    12.  7        |                 for the assessment of the health impact of such decisions,
4934   IV,    12.  7        |                   such decisions, so that health is systematically taken
4935   IV,    12.  7        |                Annex 12.2. Declaration on Health in all Policies~ ~Health
4936   IV,    12.  7        |                  Health in all Policies~ ~Health systems impact assessment~
4937   IV,    12.  7        |                 impact of new policies on health systems, as opposed to the
4938   IV,    12.  7        |                  the impact on population health status. In 2006 the working
4939   IV,    12.  7        |                for desk officers and the “health system impact assessment
4940   IV,    12.  7        |                  advice on their national health system during the development
4941   IV,    12.  8        |                Union on the international health scene has become more visible
4942   IV,    12.  8        |                 the development of the EU health competences. With the exception
4943   IV,    12.  8        |                   the primary focus of EU health policy is the protection
4944   IV,    12.  8        |           protection and promotion of the health of citizens living within
4945   IV,    12.  8        |                   in the sphere of public health’.~ ~Given the complex scientific
4946   IV,    12.  8        |                  addressed, international health initiatives can only succeed
4947   IV,    12.  8        |              succeed if based on concrete health activities within the EU.
4948   IV,    12.  8        |              European Union in the public health field. Since many aspects
4949   IV,    12.  8        |               Commission, EU agencies and health authorities around the world,
4950   IV,    12.  8        |               Table 12.10) started in the health sector as an international
4951   IV,    12.  8        |                TAIEX) and also the Public Health programme when it started
4952   IV,    12.  8        |                1957.~ ~Enlargement in the health sector has been a challenging
4953   IV,    12.  8        |            considerable variations in the health status measured in terms
4954   IV,    12.  8        |            measured in terms of the basic health indicators, such as life
4955   IV,    12.  8        |              which has a direct impact on health in areas such as qualifications
4956   IV,    12.  8        |                such as qualifications for health professionals, free movement
4957   IV,    12.  8        |                meet the accession-related health requirements over the past
4958   IV,    12.  8        |                   Community competence on health, much of the work had to
4959   IV,    12.  8        |          candidates to take on the public healthacquis”.~ ~Even before
4960   IV,    12.  8        |                  associated to the Public Health Programme through specific
4961   IV,    12.  8        |                  that specific actions on health in the applicant countries
4962   IV,    12.  8        |                the enlargement process on health. Turkey and Croatia are
4963   IV,    12.  8        |               associated to the EU Public Health Programme.~ ~The existing
4964   IV,    12.  8        |          Programme.~ ~The existing Public Health Programme has limited means,
4965   IV,    12.  8        |             Structural Funds for regional health investment in a broad sense.
4966   IV,    12.  8        |              opens wide opportunities for health improvement.~ ~The European
4967   IV,    12.  8        |       co-operation in the field of Public Health. This enabled these countries
4968   IV,    12.  8        |           participate in the eight public health Community action programmes
4969   IV,    12.  8        |                   board EU legislation on health and pharmaceuticals.~ ~In
4970   IV,    12.  8        |               policies and actions in the health sector. EFTA countries participate
4971   IV,    12.  8        |                 European Community Public Health Programme and in all decision-making
4972   IV,    12.  8        |          complementary role in supporting health investment in particular
4973   IV,    12.  8        |           mechanisms, can help bridge the health gap across Europe.~ ~
4974   IV,    12.  9        |                   as those with the World Health Organisation (WHO) and the
4975   IV,    12.  9        |                 the collection of data on health care. Strengthening partnerships
4976   IV,    12.  9        |              implementation of the Public Health Programme and is important
4977   IV,    12.  9        |                  examples:~ ~· supporting health in developing countries;~·
4978   IV,    12.  9        |             revision of the International Health Regulations (IHR);~· development
4979   IV,    12. 10        |                European Commission Public Health web site. Policy documents
4980   IV,    12. 10        |                   or local level on major health determinants and on other
4981   IV,    12. 10        |                   or local level on major health determinants~ ~Determinants~
4982   IV,    12. 10        |              Level of Priority for Public Health Interventions~Main regulations
4983   IV,    12. 10        |                Extreme weather events and health~High~National/Regional~
4984   IV,    12. 10        |                Regional~ Yes~Work-related health issues~High~National/Regional~
4985   IV,    12. 10        |                Regional~ Yes~Psychosocial health determinants~Intermediate~
4986   IV,    12. 10        |                   Yes~Genomics and public health~Intermediate~Regional~ ~
4987   IV,    12. 10        |             initiatives to improve public health~ ~EU Initiative~Level of
4988   IV,    12. 10        |         empowerment~European strategy for health~Intermediate~National/Regional~
4989   IV,    12. 10        |              Regional~Yes~European public health programme~Intermediate~National/
4990   IV,    12. 10        |        Intermediate~National/Regional~Yes~Health information~High~National +
4991   IV,    12. 10        |                   European cooperation on health services~High~National/Regional~
4992   IV,    12. 10        |                and efficient cross-border health care”~High~National~--~Public
4993   IV,    12. 10        |                   High~National~--~Public health forum~Low~--~--~Human therapeutic
4994   IV,    12. 10        |                priorities of relevance to health and public health (Life
4995   IV,    12. 10        |            relevance to health and public health (Life science and biotechnology)~
4996   IV,    12. 10        |              Regional~Yes~Environment and health~High~National/Regional~Yes~ ~ ~
4997   IV,    12. 10        |                   or local level on major health determinants~ ~Determinants~
4998   IV,    12. 10        |              Level of Priority for Public Health Interventions~Main regulations
4999   IV,    12. 10        |               behaviours~ high~The Danish Health Act, No. 546 of 24. June
5000   IV,    12. 10        |                  546 of 24. June 2005~The Health Act gathers and carries