Documents health policy 538 results

"Depuis les arrêts Kohll et Decker, la jurisprudence de la Cour de justice de l'Union a profondément modifié les règles applicables à la mobilité des patients dans l'Union européenne. À côté des traditionnels règlements de coordination de sécurité sociale, c'est une nouvelle voie qui a été ouverte pour la prise en charge des soins hors de l'État d'affiliation. L'enjeu de la directive sur les droits des patients en matière de soins transfrontaliers, adoptée en mars 2011, est précisément de codifier les solutions jurisprudentielles, dégagées au cas par cas. À cette fin, la directive veille à concilier des impératifs qui peuvent être antagonistes : droit à la mobilité des patients fondé sur la libre prestation de services, reconnaissance de droits à leur profit, sauvegarde des intérêts financiers des caisses nationales de sécurité sociale, reconnaissance de la compétence de principe des États en matière de santé."

"In response to the COVID-19 pandemic, health has become a top priority for EU leaders. The first steps to revamp and strengthen the EU health agenda have been taken. However, to ‘build back better' and make the most out of EU action in health, Europe must now lay the foundations for more resilient national health systems while centering the recovery on people's well-being. All of this should be underpinned by a serious reflection on how the EU can bring added value.
In this Policy Brief, Simona Guagliardo proposes how this vision can turn into reality:

Despite its limited competences, the EU can support member states in making their national healthcare systems more effective, accessible, and resilient, for instance, by encouraging them to prioritise investments in health system reforms in the context of the 2021 European Semester and the Recovery and Resilience Facility.
People's health and well-being should be at the core of all policymaking. The EU must move away from only measuring progress in terms of economic growth.
A reflection on the feasibility and desirability of transferring some health competences to the EU level can no longer be ignored. The Conference on the Future of Europe should serve as a platform to engage with citizens and civil society and start the debate on levelling up the EU's role in health policy.
The COVID-19 pandemic will not be the last pandemic Europe will ever have to face. Any tangible progress that the EU27 achieves in building a robust Health Union will not only be invaluable for managing today's crisis, but also for preparing for future – and perhaps even more severe – health challenges."

"There has been much rhetoric in global health about the need to consider the health sector as a ‘system', defined by the World Health Organization as all the activities whose primary purpose is to improve health. The need to adopt a system-wide perspective arises from the complexity of the processes for delivering effective health services, and the important interdependencies between elements of the health system. However, there have hitherto been very few contributions from an economic perspective that explicitly address these issues. This paper argues that an economic paradigm of constrained optimization adapted to the systemic nature of the health sector could provide an analytical and practical approach to policy-makers in assessing their health systems and deriving solutions. The paper therefore discusses the objectives of the health system, the factors that constrain optimization, and the decision variables, in the form of policy levers. Economic approaches that could contribute to the associated research agenda include institutional economics, micro-simulation, and option pricing theory. The important feature of such methods is that they offer the possibility of developing tractable methods for addressing the complexity and interconnectedness of the health system."

"L'un des objectifs essentiels de l'Obamacare était de réduire le nombre de personnes sans assurance santé, en incitant les États à étendre le programme public Medicaid et les individus à bas revenus à s'assurer sur les nouveaux marchés réglementés d'assurance via l'octroi de subventions. Le pari est en partie gagné puisque le nombre de non assurés a diminué de 48,6 millions en 2010 à 36 millions en 2014. Mais un certain nombre de menaces pèsent sur l'avenir de cette loi et sur ses effets attendus. "

"La réforme de la santé aux États-Unis a été adoptée en 2010. En 2014, deux mesures clés ont été introduites : la mise en place de marchés réglementés d'assurance et l'extension du programme public d'assurance pour les plus démunis (Medicaid), rendue optionnelle par un jugement de la Cour suprême. Après avoir rappelé les failles du système américain d'assurance maladie et les changements introduits par la réforme, l'article établit un premier bilan des effets de la loi. Si les 15 millions d'assurés inscrits depuis l'automne 2013 peuvent être mis à son actif, tous n'étaient pas sans assurance auparavant ; en conséquence, l'objectif attendu de 30 millions de nouveaux assurés d'ici 2020 est loin d'être atteint."

"The Millennium Development Goals (MDGs) mobilized global commitments to promote health, socioeconomic, and sustainable development. Trends indicate that the health MDGs may not be achieved by 2015, in part because of insufficient coordination across related health, socioeconomic, and environmental initiatives. Explicitly acknowledging the need for such collaboration, the Meikirch Model of Health posits that: Health is a state of wellbeing emergent from conducive interactions between individuals' potentials, life's demands, and social and environmental determinants. Health results throughout the life course when individuals' potentials – and social and environmental determinants – suffice to respond satisfactorily to the demands of life. Life's demands can be physiological, psychosocial, or environmental, and vary across contexts, but in every case unsatisfactory responses lead to disease. This conceptualization of the integrative nature of health could contribute to ongoing efforts to strengthen cooperation across actors and sectors to improve individual and population health – leading up to 2015 and beyond."