European Union Public Health Policy

There is no European Union health system but there is an EU health policy. The EU affects the health of its citizens, the health of people around the world, and the operation and finance of its Member States' healthcare systems in many ways, mostly for the better, and often in ways that are poorly understood. This book, a completely revised second edition of our previous volume on the subject, maps out the nature of EU health policies, their logic and reason for being, and their potential to affect the health of Europeans for the better. It is written in the belief that understanding the breadth and diversity of EU health policies, and the distinctive institutional structure that explains them, will improve our collective abilities to make policy for health in any sphere, from food to healthcare services and from occupational safety to international trade. Above all, we hope that this book makes it impossible to deny the scale and often indirect and positive impact of EU health policy. EU health policies extend far beyond the Public Health Article 168, from the environmental, social policy and consumer protection policies discussed alongside it in chapter 3, to the extensive internal market laws that have made so much beneficial EU regulatory policy, discussed in chapter 4, to the ambitious fiscal governance agenda discussed in chapter 5, which has increasingly developed a health focus. Across a broad sweep of policies from RescEU's civil protection to the regulation of pharmacies, the EU is omnipresent in health and health policy. It should be understood as such. The question is not whether we want an EU health policy, for EU health policy is inevitable. It is how it should be made and for what ends.

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.

"Scott Greer has done a remarkable job in explaining how the Europeanization of health policy takes place, how institutional legacies exert an influence in lobbying, how harmonization exacerbates path-dependent welfare structures that in turn impede a 'race to the bottom', and why the idea of a European social model creates positive external effects, even if it is a only an ad hoc policy construction." Journal of European Social Policy 2010 20 (2) "Provides an original and thought-provoking perspective and approach, combining in-depth theoretical discussions and well-researched case studies over 11 chapters...The book is well written and insightful, and the main argument is that EU law and policy developments - directly and indirectly - have the potential of undermining domestic health systems and the political actors within them."Journal of Common Market Studies, 2010 Volume 48. Number 3 "This book provides a unique insight into what is going on, unnoticed by most, 'below the surface' in EU health policy. It serves as a wake-up call for those who continue to believe that the EU is of marginal interest and relevance in national level debates about the direction of health care. In addition, in an engaging and lively style, it provides essential guidance for students of health policy who seek to understand the labyrinthine processes and the wide ranging unintended consequences - for good and for bad - of EU policy making." Professor Naomi Chambers, Head of Health Policy and Management, Manchester Business School “In this insightful book, Scott Greer describes how European health policy has long been developed in a secret garden, where a small number of people find pragmatic solutions to immediate problems while avoiding the fundamental questions … Yet the logic of European integration is tearing down the garden's walls, creating a public park where pragmatism takes second place to principles. Something must be done, but it is not clear what. Greer's book will be essential reading … for anyone who is responsible for organising how health care is delivered in Europe.” Martin McKee CBE, London School of Hygiene and Tropical Medicine, UK This important new book explains how European Union (EU) developed policies shape and constrain health services. It answers the key questions asked of EU health policy: What is it? Why did it happen? What does it take to influence it and how can it be changed? Using extensive new data, Greer discusses how EU policy is influenced by lobbies in Brussels and by four big member states: France, Germany, Spain and the United Kingdom. Shaping EU health policy takes information, coordination, nimbleness and focus. The book examines the ways that the successful health lobbies and member states work, identifies weaknesses, and emphasizes the challenge to health policymakers: if they do not influence EU health policies, they will lose influence over their own health systems. The Politics of European Union Health Policies will be of great interest to students and academics of EU policy and politics, as well as health policy makers.

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.

Public health has had positive results in the last two centuries when it comes to reducing the impact and prevalence of infectious disease.However, much remains to be done to reduce non-communicable diseases such as heart disease and cancer, which make up the major disease burden of the WHO European Region. This book takes a broad but detailed approach to public health in Europe and offers the most comprehensive analysis of this region currently available. It considers a huge range of key topics in public health and includes chapters on the following topics: Screening Health Promotion Tackling social determinants of health Health Impact Assessment The Public Health Workforce Public Health Research In addition to these topics and themes the authors consider the existing public health structures, capacities and services across a range of European countries; identifying what needs to be done to strengthen public health action and improve public health outcomes.Reflecting the broad geographical scope of the entire WHO European region this book uses examples from a diverse range of countries to illustrate different approaches to public health. This book is essential reading for anyone studying or working in the field of public health, especially those with an interest in European practice. This title is in the European Observatory on Health Systems and Policies Series.

Ranging from influence over world trade laws affecting health to population health issues such as obesity to the use of comparative data to affect policy, the EU’s public health policies are increasingly important, visible, expensive and effective. They also provide an invaluable case study for those who want to understand the growth and impact of the EU as well as how states can affect their populations’ lives and health. European Union Public Health Policy capitalizes on extensive new research, providing an introduction to the topic and indicating new intellectual directions surrounding the topic. An introductory section and extended conclusion explore the meaning of public health, the relationship of EU public health policy to health care policy, and the place of public health in the study of European integration and Europeanization. Focusing on health system transformation, global health governance and population health, the chapters address: Relevant policy issues and EU policies; Effects of the EU policies on practice or outcomes; An explanation of the policy trajectory; Current issues and likely future directions or conflicts. Drawing together an international and multidisciplinary selection of experts, this volume is an important contribution for all those interested in public health policy, EU health policy and EU governance.

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).

· What are the implications of the different levels of health in an enlarged EU? · Will free movement of goods, services and people within an enlarged EU be good for health and health care? · What have we learned from past enlargements? European national policy-makers broadly agree on the core objectives that their health care system should pursue. The list is straightforward: universal access for all citizens, effective care for better health outcomes, efficient use of resources, and high quality services responsive to patient’s concerns. It is a formula that resonates across the political spectrum and which, in various, sometimes inventive configurations, has played a role in most recent European national election campaigns. While there may be consensus on the broader issues, expectations differ between EU countries, and with the enlargement of 2004 matters become more complex. 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. Written by leading health policy analysts, the book investigates a host of areas including: · Health care investment· International recruitment of nurses and doctors· Health and safety· Communicable disease control· European pharmaceutical policy Health Policy and European Union Enlargementwill be of interest to students of health policy, economics, public policy and management, as well as health managers and policy-makers. Contributors:Tit Albreht, Roza Adany, Ivana Bozicevic, James Buchan, Richard Coker, Evgenia Delcheva, Carl-Ardy Dubois, Anna B. Gilmore, Antero Heloma, Rainer Hess, Elke Jakubowski, Nicholas Jennett, Panos Kanavos, Manuel Lobato, Karen Lock, Laura MacLehose, Martin McKee, Sally Nicholas, Ellen Nolte, Stjepan Oreskovic, Esa Osterberg, Anne Marie Rafferty, Magdalene Rosenmöller, Alison Wright-Reid, Monika Zajac, Witold Zatonski.

First published in 1999, this volume recognises that the role and status of public health in Europe has again become increasingly recognized and features contributions on various nations within the European Community. This is not only in individual countries but also in the policies of the European Union as exemplified in the Maastricht and Amsterdam Treaties. This book is a critical account of the present structures and policies of member countries and how policies have evolved within the European Commission. It describes both possible models and needs and contrasts these with the current legislative framework. It thus serves the needs of both practitioners, policy makers, policy analysts and students interested in public health and social policy developments.

The sixteenth edition of Social policy in the European Union: state of play has a triple ambition. First, it provides easily accessible information to a wide audience about recent developments in both EU and domestic social policymaking. Second, the volume provides a more analytical reading, embedding the key developments of the year 2014 in the most recent academic discourses. Third, the forward-looking perspective of the book aims to provide stakeholders and policymakers with specific tools that allow them to discern new opportunities to influence policymaking. In this 2015 edition of Social policy in the European Union: state of play, the authors tackle the topics of the state of EU politics after the parliamentary elections, the socialisation of the European Semester, methods of political protest, the Juncker investment plan, the EU’s contradictory education investment, the EU’s contested influence on national healthcare reforms, and the neoliberal Trojan Horse of the Transatlantic Trade and Investment Partnership (TTIP).