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Kremastioti, Vasiliki, Athanasios Anastasiou, Panagiotis Liargovas, Dimitrios Komninos, and Zacharias Dermatis. "Economic Evaluation of Health Programs – Health Expenditures in the European Union." Valahian Journal of Economic Studies 9, no. 1 (April 1, 2018): 109–18. http://dx.doi.org/10.2478/vjes-2018-0012.
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Abstract Health Care is a sensitive issue that concerns not only the individual but also society in general. Health economics are a specialization of the economists in the health sector who aim for the proper function of hospital administration. It deals with issues related to the financing and delivery of health services and the role of such services and other personal decisions in contributing to personal health. Many researches refer to the problems that each health unit faces, emphasizing on the resources, programs and health expenditure. Some of these programs, especially the most effective, are mentioned in this research. Their creation was based on the best quality of health services in all OECD countries. With this research, we aim to develop a methodological framework for evaluating the total health expenditure (consists of all expenditures or outlays for medical care, prevention, promotion, rehabilitation, community health activities, health administration and regulation and capital formation with the predominant objective of improving health) in the 23 OECD countries, by creating a panel data regression and analyzing the results, from 2000 to 2014. For this reason, some of the most important variables (macroeconomic and related to the health sector), were used as tools to assess the performance of each country, as far as the resources and the expenditure for the health care are concerned. Every explanatory variable that was used in this sample, but also the combination of a number of these explanatory variables showed a positive correlation with total expenditures as a percentage of GDP in the majority of the equations. Some variables showed a negative correlation with total health expenditures, which doesn’t fit with the economic theory. Financial crisis is the reason for this.
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Halaskova, Martina, Renata Halaskova, and Viktor Prokop. "Evaluation of Efficiency in Selected Areas of Public Services in European Union Countries." Sustainability 10, no. 12 (December 5, 2018): 4592. http://dx.doi.org/10.3390/su10124592.
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Over the past 40 years, the service sector has become the dominant area of market economies. The public sector and services financed from public financing represent a specific group within the services sector. This paper aims to evaluate the efficiency of EU countries and find the extent to which the volume of public services (and the respective financial allocations) can have an impact on selected economic indicators. To this end, the efficiency of public expenditure in five areas of public services (general public services; health; education; social protection; and recreation, culture, and religion) in 2009 and 2016 was evaluated in relation to selected economic indicators (GDP per capita and employment in services). In addition, the efficiency of public expenditure in EU countries was evaluated in relation to the size of the public sector and traditions of public administration. For cross-country analyses within the 27 European countries, data envelopment analysis and the input-oriented variable returns to scale (VRS) model were applied. The results demonstrated that in 2009, 13 out of 27 countries were efficient as opposed to 2016, where only seven countries were efficient. In countries with bigger size of public sector, the efficiency of public expenditure on services was not established. However, there was a similarity in the efficiency of public expenditure on services between groups of EU countries regarding the tradition of public administration.
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Šašić, Đevad, Merima Tanović, and Amel Delić. "Utjecaj dobrog upravljanja na povećanje zadovoljstva građana uslugama javnog sektora / Good Governance Impact on Increasement of Citizen Satisfaction with Public Sector Services." Pregled: časopis za društvena pitanja / Periodical for social issues 62, no. 1 (July 6, 2021): 41–57. http://dx.doi.org/10.48052/19865244.2021.1.41.
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Contemporary activities of both private and public sector enacts new methods and principles in terms of adapting to everyday market changes. Public sector organizations, including local self-government institutions, are challenged with new demands that are not always easily achieved. At such a time, the application of contemporary managerial concepts, such as New Public Management and Good Governance, are crucial for the efficiency and effectiveness of the public sector organizations. In transitional countries, and especially those that are candidates for accession to the European Union, such as Bosnia and Herzegovina, the most demanding criterion is public administration reform. That reform includes improvement of organizational and functional efficiency and effectiveness, reorganizing public administration from the state level to local self-government level, and improvement of public services. In this regard, the paper focuses on research of the efficiency of the public sector in Bosnia and Herzegovina and the countries of the Western Balkans, with focus on citizen satisfaction with certain public sector services. Citizen satisfaction with public services and public institutions can be considered as a direct outcome of government’s policy and activities. Also, citizen satisfaction survey results can reveal a lot on the issues of how governments function, both in terms of citizen actual experiences and their expectations. The paper presents the results of Western Balkans countries compared with the results of European Union countries in terms of health services, education, ease of doing business and e-government. Western Balkans countries do not have a sufficiently developed system for monitoring the satisfaction of public service users and harmonizing reform measures, and also they have not developed well a system of functional cooperation with private and civil sectors in order to improve the quality of public services and citizen satisfaction.
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Florio, Massimo. "European and International Perspectives on Benefit-Cost Analysis: Symposium Introduction." Journal of Benefit-Cost Analysis 12, no. 1 (2021): 55–63. http://dx.doi.org/10.1017/bca.2020.35.
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AbstractThe idea of assessing the costs and benefits of public and private projects is not new to Europe, dating back to studies at the Ecole des Ponts et Chaussees (Paris) in the XIX century. Later on, in the last century, Benefit-Cost Analysis (BCA) in its current form has been more extensively used in the United States than in Europe. In the last two decades, however, there has been a rapid increase in its use in a number of European countries and at the European Union (EU) level. European governments often undertake tasks that would be done by private companies in the United States, such as the provision of transport, energy, water and waste management, health services, etc. In the United States the focus of BCA has often been regulatory impact analysis, rather than public project evaluation. One might, therefore, expect that Europeans might approach some things differently from their American counterparts and that new insights might result from these efforts. The articles in this symposium, taken from the recent European Society for Benefit-Cost Analysis (SBCA) conference in Toulouse, illustrate some of these differences and some converging themes.
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Drobne, Samo, and Marija Bogataj. "Regions for Servicing Old People: Case study of Slovenia." Business Systems Research Journal 5, no. 3 (September 1, 2014): 19–36. http://dx.doi.org/10.2478/bsrj-2014-0017.
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Abstract Background: Aging is one of the most serious problems that most developed countries are facing in the 21st century. In the European Union, Member States are responsible for the planning, funding and administration of health care and social protection systems. Local authorities and state governments should undertake research toward developing an appropriate array of community-based care services for old people. Objectives: This study analyses the regions of Slovenia for servicing old people in the 2000-2010 time horizon. Methods/Approach: Sets of functional regions were modelled for each year in the analysed period using the Intramax method. Functional regions were evaluated based on the attractiveness of central places for labour commuters and the propensity to commute between regions. Results: The results show that in addition to the nominally declared regional centres of Slovenia, there are also some other local centres that should be potentially included in the functional areas for servicing old people. Conclusions: The results suggest that the regionalization into seven functional regions is the most convenient for servicing old people in the region. Furthermore, some additional functional regions at a lower level are suggested.
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Лук'янихіна, О. А., В. О. Лук'янихін, І. В. Колесник, and К. О. Хамлика. "Encouragement of the Personnel of the State Labor Service of Ukraine to Implement International Experience within Labor Protection Management." Law and Safety 80, no. 1 (March 19, 2021): 42–48. http://dx.doi.org/10.32631/pb.2021.1.05.
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The subject matter of the research of the motives of state officials are socio-economic and legal relations that arise in the process of improving the activities of the State Labor Service of Ukraine (SLS) in the field of “Labor Protection”. The object of the research is the system of state management of labor protection and technology of personnel incentives in the regional departments of the SLS. The purpose of the work is theoretical substantiation and development of recommendations for improving the activities and increasing motivation of the staff of the SLS of Ukraine in Sumy region, in particular the implementation of the experience of advanced world countries into the management strategies. Implementation of the current regulatory base in the field of labor protection in Ukraine, in accordance with international requirements, requires high qualification and motivation of the staff of the relevant executive authorities, the development of effective tools to stimulate the efficient work of those state officials.
The authors have studied the role and place of the SLS of Ukraine regarding the adaptation and implementation of the experience of advanced world countries into the management strategies of labor protection defined in the Conventions of the International Labor Organization and the Directives of the European Union. The authors have determined the subjects of influence in the field of protection of labor rights, labor protection, preservation of life and health of the participants in the production process, in particular the executive authorities of public administration and the Federation of Trade Unions of Ukraine. The authors have developed suggestions on encouraging the staff of the SLS to implement high-quality international labor protection standards on the basis of motivational profiles and their monitoring. Ukraine has chosen an effective model of supervision and control over the compliance with labor legislation. The advantage of this model is the ability of inspections to delegate their powers from central authorities to local agencies.
The conducted study is of theoretical and practical interest in regard to the systems of labor inspections in different countries, it allows us to determine the place of national government in the overall system of such inspections. The results of the research can be recommended for implementation in public administration and local self-government agencies in the field of labor protection in Ukraine.
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Kozhura, Liudmila, Svitlana Zadereiko, and Andrii Omelchenko. "SYSTEM OF ECONOMIC MEANS OF STATE ADMINISTRATION OF THE RIGHTS OF PEOPLE WITH DISABILITIES TO HEALTHCARE." Baltic Journal of Economic Studies 7, no. 4 (September 27, 2021): 101–7. http://dx.doi.org/10.30525/2256-0742/2021-7-4-101-107.
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At the current stage of the development of society the problem of social protection and state support for people with disabilities is particularly relevant and requires reform and improvement. Ukraine, as a country aspiring to join the European Union, should take into account the best foreign experience of the leading countries of the world in the field of state policy to support people with disabilities and its implementation. The process of reforming the national healthcare system demonstrated the ineffective policy in this area, the high level of corruption and the inability to transform this system to the level of world standards of medical care, especially for people with disabilities. The problem of disability in Ukraine is becoming particularly acute. The goal of this article is to investigate the system of economic means of state administration of the rights of people with disabilities to healthcare, to identify the areas of budgetary management and the formation of a new mechanism of economic administration. Scientific analysis was carried out by using the method of systematic approach and analysis, which enabled us to study theoretical aspects of economic methods of state administration of the right of people with disabilities to healthcare, formation of the budget management in Ukraine for the economic security of the rights to healthcare, and features of the new mechanism of the economic administration of the right of people with disabilities to health care. It has been researched that along with administrative methods of state management of the right to health protection of people with disabilities the economic group of methods is important. These include programs of economic development of health care, rehabilitation programs for people with disabilities, implementation of pilot projects to change the mechanism of financial support for operative treatment, etc. Methods of regulating influence (indirect management) are becoming increasingly important, and economical methods of management belong to them. Implementation ensures that the financial and material interests of the management objects are satisfied through the activities of its subjects, which create favorable conditions for achieving the goals and objectives of management. For example, local self-government bodies, within the limits of their competence, can finance local programs for the development and support of community healthcare institutions. In 2019, a new mechanism of rehabilitation support for children with disabilities was introduced based on the principle of "money follows the people", which should ensure targeting, transparency and improve the quality of rehabilitation services. Resources are divided vertically among regional bodies, which divide budgetary funds among local bodies in proportion to the number of children who require rehabilitation measures, according to the place of their residence (location). The national legislation also reflects the norms that created the conditions for the implementation of the right to work of people with disabilities, as well as ratified Convention on the Rights of Persons with Disabilities and the ILO Convention on professional rehabilitation. From the point of view of the Ministry of Healthcare of Ukraine, the funds allocated by the state are extremely insufficient for the uninterrupted functioning of the medical system. In its budget memorandum for 2021 the ministry has allocated twice as much – 296 billion UAH, 225 billion UAH of which for the implementation of the medical guarantee program (which is 5% of GDP, as required by the Law of Ukraine "On State Financial Guarantees of Medical Services to Population"). But the proposals of the Ministry of Health both at the time of formation of the state budget and at the time of its approval were not taken into account. The requirement of the Law of Ukraine "On State Financial Guarantees of Medical Services to the Population" for the establishment of financing of the program of medical guarantees at the level of 5% of GDP was lengthened for one more year.
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Nagy, János, Gergely Harsányi, Orsolya Jánosy, Endre Harsányi, and Orsolya Nagy. "The social basis of regional development in the North Great Plain Region." Acta Agraria Debreceniensis, no. 61 (September 18, 2014): 57–65. http://dx.doi.org/10.34101/actaagrar/61/2039.
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It is a widely accepted practice in the European Union to break down countries into regions according to their stage of development, their cultural and economic characteristics. The basis of this methodology is the EU-conform MOTS system, which distinguishes territorial units on five levels. Besides the MOTS system, Hungary uses another system, too, which is the basis of our public administration, and whose roots go back to the times of King Saint Stephen: the county system. In Hungary, developmental decisions are taken by a county’s general assembly; at the same time, from an economic point of view the characteristics and competitive advantages of a county can be defined more precisely than those of a region.
Szabolcs-Szatmár-Bereg County and Hajdu-Bihaur County may be described with completely different characteristics, albeit both of them are part of the North Great Plain Region. On a county level economically important and justified developmental areas may be mapped more precisely.
Hajdu-Bihar County is the 4th most populous county in Hungary. With 80.2% of the population living in cities, the county is significantly urbanized. 2010 statistics show that the birth rate per 1,000 people in the county is practically the same as the birth rate of the country and that of the North Great Plain Region. Following the trends in developed countries, mothers now tend to give birth in an older age. Almost half (44.5%) of the children in Hajdu-Bihar County are born after their mother’s 30th birthday.
The general health condition of the population of Hajdu-Bihar County can be described with various indicators. In terms of medical and hospital care no difference can be observed between regional and national data, the county’s health care does not straggle behind. In sum, with the health care system of the county, estimated life expectancy of men is higher than the regional average, and in case of women it is higher than both the regional and national average, according to the given year’s mortality.
Children’s ratio among the county’s population is 15.9%, which is more than 1% over the national average. The ratio is higher in case of girls and boys alike. The income of the county’s population depends not only on labour income but also on social benefits. According to the analysis, the proportion of old-age pensioners and those receiving pension-like allowances within the whole population is somewhat lower in the county than the national average. The number of children receiving child-welfare and daytime care is prominent in the county.
The number of families and children receiving child-care allowance has not changed significantly in recent years. All important elements of social benefits have increased in the last decade. The quality of life of the county’s population is largely affected by the presence (or absence) of basic infrastructure in their environment. Research conducted at the settlements of the county shows that currently the greater part of the population has access to basic public utility services which form part of everyday services. Although they affect the general quality of life, the network of roads and passenger traffic have their real significance in terms of economic development. The county’s modern, paved road-system had already been built earlier.
Roads and pavements in inner-city areas have been paved up to 70%. The technical condition of roads and pavements can seriously impede the population’s mobility and it may hinder the development of certain settlements and districts.
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Stankunas, Mindaugas, Mark Avery, Jutta Lindert, Ian Edwards, Mirko Di Rosa, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Henrique Barros, and Joaquim Soares. "Healthcare and aging: do European Union countries differ?" International Journal of Health Care Quality Assurance 29, no. 8 (October 10, 2016): 895–906. http://dx.doi.org/10.1108/ijhcqa-09-2015-0110.
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Purpose The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities. Design/methodology/approach Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45.2 per cent. Findings The study demonstrated that the majority of respondents had contact with a health care provider within the last 12 months. The highest percentages were reported by respondents from Spain (97.8 per cent) and Portugal (97.7 per cent). The results suggest that 13.0 per cent of respondents had refrained from seeking care services. The highest rates were amongst seniors from Lithuania (24.0 per cent), Germany (16.2 per cent) and Portugal (15.4 per cent). Logistic regression suggests that seniors who refrained from seeking health care was statistically significant associated with those with higher levels of education (odds ratios (OR)=1.21; 95 per cent confidence intervals (CI)=1.01-1.25) and financial strain (OR=1.26; 95 per cent CI=1.16-1.37). Furthermore, the majority of respondents were satisfied with health care services. Originality/value The findings from the “Elder Abuse: a multinational prevalence survey” study indicate the existence of significant variations in use, accessibility and satisfaction with health services by country and for socio-economic factors related to organizing and financing of care systems.
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Gerlinger, Thomas, and Rolf Schmucker. "Transnational migration of health professionals in the European Union." Cadernos de Saúde Pública 23, suppl 2 (2007): S184—S192. http://dx.doi.org/10.1590/s0102-311x2007001400008.
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The establishment of the European Common Market has involved the free movement not only of capital and goods, but also of persons and services. The principles of free movement also apply to the health care sector, i.e. they allow for the free incorporation of health care providers and the cross-border delivery of services. Since the 1970s, the European Union (EU) has passed numerous regulations to enforce the mutual recognition of qualifications of physicians, nurses, and other health professionals by the Member States, considered an indispensable precondition for the free movement of services. Thus far, the establishment of a European job market for the health care professions has not led to extensive migration among the EU Member States. Likewise, the accession of Central and Eastern European countries to the EU in 2004 did not cause a "brain drain" to the better-off countries of Western and Northern Europe. However, the mobility among health care professions is expected to increase in the coming years.
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Walczak, Renata, Marlena Piekut, Magdalena Kludacz-Alessandri, Biruta Sloka, Ligita Šimanskiene, and Tiiu Paas. "Health Care Spending Structures in Poland, Latvia, Lithuania and Estonia Over the Years as Compared to Other EU Countries." Foundations of Management 10, no. 1 (April 3, 2018): 45–58. http://dx.doi.org/10.2478/fman-2018-0005.
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Abstract After joining the European Union in 2004, the post-communist countries have dramatically changed their structure of expenditure for medical services. The cause of this is legislative and ownership changes in the new economy. The study analyzed the expenditure on medical services in the European Union with a special focus on Poland, Latvia, Lithuania and Estonia. The European Union countries were divided into clusters using different methods, that is, Ward’s, Two Step and Centroid Clustering. In the paper, the structure and changes in health expenses were presented according to the types of expenditures over the years 2004-2015. Countries were assigned to clusters based on three variables: medical products, appliances and equipment, outpatient services and hospital services. Variables were considered as a percentage of household budget. In Lithuania, Latvia and Estonia, there is a clear increase in the outpatient services spending compared to the hospital services expenditure.
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Rogelj, Aljaž, and Boštjan Brezovnik. "Universal Health Services." Lex localis - Journal of Local Self-Government 11, no. 3 (August 10, 2013): 687–708. http://dx.doi.org/10.4335/11.3.687-708(2013).
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All EU nationals have the right to health services that are affordable for everyone under the same conditions. Sector-specific regulations provide that health services are services of general interest that must be implemented through a national legal framework. The state must design the universal health services in a way that respects the principle of public health service affordability for all citizens. In the study, we focused on understanding the legal framework which serves as foundation the regulating universal health services in Slovenia, sector-specific regulations and other acts, and tried to assess the strengths and weaknesses of the Slovenian legal framework. Our efforts have been directed towards studying the legislative framework of the European Union and defining the legal guidelines that establish the legal framework for universal health service creation.
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Walters, David R. "Preventive Services in Occupational Health and Safety in Europe: Developments and Trends in the 1990s." International Journal of Health Services 27, no. 2 (April 1997): 247–71. http://dx.doi.org/10.2190/e15f-t03v-bdlv-t3rh.
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This article outlines the legislative requirements for preventive services in health and safety in 13 European countries and considers the implementation and coverage of such services. The author identifies the predominant models of preventive services operating in the European Union, then assesses the influence of the E.U. Framework Directive 89/391 on the development and integration of preventive services and the role of workers in their organization and accountability. Significant differences exist in the extent and functions of preventive services in European countries, including differences in coverage between southern and northern European countries, different degrees to which employees in small enterprises and large enterprises are covered by preventive services, and overall differences in legislative approach.
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Zaharia-Rădulescu, Adrian-Mihai, and Ioan Radu. "Cloud computing and public administration: approaches in several European countries." Proceedings of the International Conference on Business Excellence 11, no. 1 (July 1, 2017): 739–49. http://dx.doi.org/10.1515/picbe-2017-0078.
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Abstract The Digital Agenda for Europe 2020 has more objectives from increasing the participation of its citizens and consumers in the digital society to creating a fully interconnected society. These objectives can be supported through a high degree of digitization achieved at public administration level and an increased performance in delivering public services. Cloud computing is one of the ICT areas with a fast growth in the last years that presents a big promise for achieving the objectives of the Digital Agenda for Europe 2020. This paper aims to present what cloud computing is and how it can help the public administration to increase its performance. From Infrastructure as a Service continuing with Platform as a Service and moving up to Software as a Service each level of cloud computing is presented in here with its strong and weak points and how it is suitable for a given use case in public administration. The challenges and the risks of moving to cloud and the differences between public, private and hybrid cloud are also presented in the paper. The research done by the author is both theoretical and literature review and combines knowledge from different areas. An analysis and examples of cloud computing approach and implementation in several European Union countries are presented in this paper to facilitate the understanding of the subject. Cloud computing can help public administration to decrease costs, standardize services in different locations, integrate public resources and provide a higher transparency in the government act.
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Miłek, Dorota, and Paulina Nowak. "Rozwój usług elektronicznej administracji publicznej w Polsce na tle Unii Europejskiej." Nierówności społeczne a wzrost gospodarczy 65, no. 1 (2021): 47–73. http://dx.doi.org/10.15584/nsawg.2021.1.3.
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The information society, which was born along with the development of information and communication technologies, is a commonly used term in everyday life, both personally and professionally. The aim of the article is to evaluate the level of development of e-government services in the European Union countries, with particular emphasis on Poland. For the purpose of the research, the Perkal and Ward methods were used and the following indicators: DESI and EGDI. The available data from Eurostat and the Central Statistical Office in the area of public e-government services for citizens were analyzed. The article also refers to the development priorities of Poland and the European Union in terms of e-administration development. E-administration is one of the most important areas determining the essence of the information society. Rapid progress is observed in the development of e-government in Europe. However, it is not even, and there are significant inequalities in the access and use of ICT in individual Member States. Societies strive for quick and convenient handling of civil matters via the Internet. Electronic public administration in EU countries is undergoing a digital transformation, from traditional handling of citizens’ affairs to modern, i.e. electronic implementation of public services. As the research shows, the level of development of e-government services in Poland differs from the average in the EU, despite a significant improvement in such areas as open data, pre-filled forms and the availability of e-administration services for enterprises.
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Nagy, Noémi. "Language Rights of European Minorities in the Administration of Justice, Public Administration and Public Services." European Yearbook of Minority Issues Online 18, no. 1 (June 1, 2021): 113–40. http://dx.doi.org/10.1163/22116117_01801006.
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This article provides an overview of European minorities’ language rights in the administration of justice, public administration, and public services in 2019. Relevant legal developments are presented in the activities of the major international organizations, i.e. the United Nations, the Organization for Security and Cooperation in Europe, the European Union, and the Council of Europe. Since the most relevant treaties on the language rights of minorities in Europe are the European Charter for Regional or Minority Languages and the Framework Convention for the Protection of National Minorities, special attention is paid to the implementation thereof. Whereas international monitoring mechanisms devoted to the effective protection of minorities are abundant, language rights of national minorities receive less attention, especially in the fields of official language use, that is, in public administration and justice. The regulation of these areas has been traditionally considered as almost exclusively belonging to the states’ competence, and international organizations are consequently reluctant to interfere. As a result, the official use of minority languages differs in the various countries of Europe, with both good practices (e.g. the Netherlands, Spain, Finland) and unbalanced situations (e.g. Estonia, Ukraine, Azerbaijan).
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Škof, Bojan, Matej Pollick, and Aleš Kobal. "Protecting Public Interest in Financial Crisis." Lex localis - Journal of Local Self-Government 14, no. 1 (January 2, 2016): 19–32. http://dx.doi.org/10.4335/14.1.19-32(2016).
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The financial crisis has been ongoing from beginning of year 2008 and we still have not reached a point of recovery throughout the European Union. Many European countries, such as Greece, Portugal, Ireland, Spain and Cyprus, received the financial help of international organisations (notably the International Monetary Fund, the European Central bank and the European Commission). Taking into account the public interest as the ultimate goal and objective of the system-wide reforms arising from the start from the financial institutions, namely banks and other financial institutions, it is important to analyse whether the wide economic and social reforms which are still reshaping the democratic setup of these countries really met the public interest objectives. Thus, this article deals with first and foremost the definition of public interest in financial services.
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Pumpure, Elizabete, Elina Ozola, and Ronalds Mačuks. "Costs of medical manipulations and funding of medical staff across the Europe." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 1 (December 20, 2016): 1. http://dx.doi.org/10.18203/2320-1770.ijrcog20164629.
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The Clinical University hospitals in European Union, including those from new European countries, are providing medical services according to high quality standards; however there are significant differences in medical service payment from the government. There are also differences in the amount of the payment for in- and outpatient services. According to World Bank’s assessment several of new European Union members are ranked as high-income countries alongside to old European member countries, but the payment gap of medical services between these countries is very relevant. Health insurance costs vary a lot across the European Union countries, with the highest percentage in Germany (15.5%) and the lowest in France (100 Euro per year). In most countries the government finances the costs of surgical manipulations, but by contrast in Latvia patients have to pay fixed payment of EUR 43 for treatment even in case of malignancy and additional payments for staying in hospital. The salary of surgeons in field of gynecological oncology for the full workload ranges from 500 Euro in Macedonia to 4000 Euro in Denmark per month after the taxes. Reward from government varies a lot for the same manipulations in different countries. Despite the fact World Bank ranks new European countries as high-income countries there is tremendous difference in the manipulation costs covered by government and payment of medical stuff.
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Marušič, Andrej. "Mental health in the enlarged European Union: Need for relevant public mental health action." British Journal of Psychiatry 184, no. 5 (May 2004): 450–51. http://dx.doi.org/10.1192/bjp.184.5.450.
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On 1 May 2004 ten new countries will join the European Union (EU), which as a result will comprise 25 culturally quite different countries. Each enlargement of the EU so far has been a difficult experience for both the existing member states and the new entrants, since each membership change has altered the structure and the sharing of costs and benefits of membership. Furthermore, each new member brings its own traditions, preferences, strengths and weaknesses, including the mental health of its population and its psychiatric services. Are we ready for the changes to come?
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Wagner, Marsden G. "Health Services for Pregnancy in Europe." International Journal of Technology Assessment in Health Care 1, no. 4 (October 1985): 789–97. http://dx.doi.org/10.1017/s026646230000177x.
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In 1979, maternal and child health issues were discussed during the annual meeting of the 33 Member States of the European Region of the World Health Organization. During this discussion many countries expressed concern about the services offered for pregnancy, birth and the period following birth. The countries recognized that, as yet, unsolved problems remain which must be examined and they asked the European Regional Office of WHO to mount activities to study and report on these problems surrounding birth and birth care. In response to this request, the maternal and child health unit of the European Regional Office organized a Perinatal Study Group. The Group's 15 members came from 10 countries and spanned 10 professional disciplines: economics, epidemiology, health administration, midwifery, nursing, obstetrics, pediatrics, psychology, sociology, and statistics. For five years the Group conducted surveys, reviewed the literature and brought its own personal and professional experience to discussions of the health services for women and their babies, during pregnancy and birth, and after birth. The entire group met together at least once a year, at which time findings from the previous year's work were presented, followed by lengthy, sometimes heated, open and free discussions.
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Büken, Nüket Örnek, and Erhan Büken. "Emerging Health Sector Problems Affecting Patient Rights in Turkey." Nursing Ethics 11, no. 6 (November 2004): 610–24. http://dx.doi.org/10.1191/0969733004ne742oa.
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It is accepted throughout the world today that a new approach is needed to health care, one that brings to the forefront the role of economic development. This situation has also increased the importance of the health care sector and health data have begun to take a significant place in countries’ development indicators. Health care services as a basic indicator of social and economic development in Turkey, as in the rest of the world, continue to gain in importance. However, there is a significant difference between health indicators for Turkey, which is a candidate for full membership of the European Union, and European Union countries.
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Nagy, Elemérné, György Hampel, and Zoltán Fabulya. "E-közigazgatás és agrár-szakigazgatás Magyarországon." Jelenkori Társadalmi és Gazdasági Folyamatok 3, no. 1 (January 1, 2008): 79–89. http://dx.doi.org/10.14232/jtgf.2008.1.79-89.
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The aim of our paper is to give an overview of the electronic public administration and the agrarian administration in Hungary. The size of the administration affects economic growth: it consumes 35 to 49 percent of the GDP in the European countries. By introducing electronic services, more than 5 percent of the administration costs can be saved. The efforts to digitize are based on the e-Europe programme with the objective to create an information society for everyone. After creating the legislative background in the past years, administration offices could digitize their registry and could start to offer more and more electronic services to the citizens and organizations. Although the level of digital literacy should be raised among the citizens and the civil servants as well, Hungary can be proud of the quality of the electronic administration services which is above the EU-28 average. The agrarian administration needs a lot of data which is collected and processed by information systems obligatory in the European Union. The collected data is required to effectively operate the agriculture and to access European agricultural subsidies. In the past few years efforts were made to catch up with the European agrarian information systems and today these systems are able to provide the necessary information for the administration and the farmers as well.
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Guillén, Ana M., and Laura Cabiedes. "Reforming Pharmaceutical Policies in the European Union: A “Penguin Effect”?" International Journal of Health Services 33, no. 1 (January 2003): 1–28. http://dx.doi.org/10.2190/1jc6-frl4-qm2l-qn6e.
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Pharmaceutical policies form a substantial part of health care services, from the point of view of both equity and efficiency goals. Expenditure on pharmaceuticals has been growing steadily over the last few decades, and countries are finding the financing of drugs increasingly difficult. This article surveys the changes in pharmaceutical policies in the E.U. countries from the mid-1980s through the 1990s. It focuses primarily on policies dealing with cost control of publicly funded pharmaceuticals. In their analysis of these changes, the authors classify policies (or “packages of measures”), map out their incidence in each country, and assess their impact on the control of public pharmaceutical spending. They conclude that the E.U. countries are taking up apparently similar measures—dressing like penguins in a row—despite the limited effectiveness and limited evaluation of many of the measures adopted. The authors also analyze the role of national and international actors (most prominently, the European Union) in defining public pharmaceutical policies; look at how innovative policy ideas could be connected with the economic, political, and social interests that mold public action in this field; and propose new lines of investigation.
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SENNIKOVA, IRINA, and ELINA DUBINSKA. "EVOLUTION OF PUBLIC ADMINISTRATION IN POST-SOVIET COUNTRIES. THE REPUBLIC OF LATVIA." Public Administration 23, no. 5 (2021): 99–118. http://dx.doi.org/10.22394/2070-8378-2021-23-5-99-118.
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The article studies the issues of state formation of the Republic of Latvia after gaining independence. The authors note that Latvia has retained the features of the normative legal regulation of the period of its independence as it was in 1918 and until the country became a part of the USSR. Today, as a member of the European Union, Latvia is oriented towards modern European standards of state-building. The ongoing administrative reforms are aimed at observing the rights and freedoms of citizens, achieving openness and sustainable development, and introducing digital technologies into state and municipal administration. The authors also note the low involvement of citizens in the processes of state and municipal administration, while municipal authorities maintain a fairly high level of trust among citizens. Analysis and optimization of processes, elimination of duplication of actions among state institutions, as well as reduction of the administrative burden have become an important part of the work of public administration. Also, according to the plan for reforming public administration, the quality and availability of public services for the population are constantly improving.
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Pizarro, Ângela Maria Vilaça Pereira de Araújo, Maria Rosário O. Martins, and Jorge Almeida Simões. "Exploring the Policies Applied to Pharmaceutical Care Practice for Type 2 Diabetes over the Last Decade in European Community Pharmacies." Portuguese Journal of Public Health 39, no. 2 (2021): 103–18. http://dx.doi.org/10.1159/000519498.
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In the last decade (2010–2020), more than half of European countries have improved their health policies within the primary care for type 2 diabetes mellitus. Community pharmacies have been and could continue to be essential actors in this evolution of fighting the disease by providing a set of pharmacotherapeutic follow-up services for the person with diabetes. These services, designated by the Pharmaceutical Group of the European Union as “diabetes management” and “glucose measurement”, have aimed to optimize adherence to therapy and improve health outcomes. However, to follow the European guidelines of Good Pharmacy Practice, providing these services implies having a normative framework or a legal basis. Thus, this study sought to analyze the normative and regulatory framework on which community pharmacies in 28 European countries were based on providing this health care over the last decade.
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Hoffman, István. "Some Thoughts on the Main European Models of the Municipal Health Services." Lex localis - Journal of Local Self-Government 11, no. 3 (July 1, 2013): 631–50. http://dx.doi.org/10.4335/11.3.631-650(2013).
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Generally the settlement and intermediate level municipalities play an important role in providing health care. Therefore the local communities are responsible for organizing of the majority of the public health services in decentralized model, where the settlement level self-governments organize the basic (primary) health services and the intermediate level local governments the outpatient and inpatient cares. Decentralized model is typical but not general in Europe: the central governments are widely responsible for the provision of the health services in several countries. In the centralized model the local governments are not – or just in small scale (health planning and basic services) – responsible for the health services.
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Pakla, Robert. "Health tourism and cross-border healthcare in the European Union." Studia Prawnicze KUL, no. 1 (March 31, 2017): 221–32. http://dx.doi.org/10.31743/sp.3375.
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This article aims to discuss issues of "Medical tourism" within the European Union countries. The author in his publication presented the trends of medical tourism and considered the cause of this phenomenon. The article makes reference to the history of migration in medical purposes. The role of freedom of movement and freedom to provide services as the base of the economic system of the European Union for the development of medical tourism. The publication presents the basic regulations on this subject in terms of Polish law and European law. The author based on reports and scientific publications tried to in this article to assess after the presentation of both positive and negative effects of this phenomenon, and also provide potential opportunities and threats flowing from it.
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Saad, Youssef G. "Deliverable accountability, change management and breach in consultancy contracts: A comparative study of world bank versus europeaid funded projects." Journal of Public Procurement 17, no. 4 (April 1, 2017): 525–71. http://dx.doi.org/10.1108/jopp-17-04-2017-b003.
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A considerable proportion of donor aid is dedicated to technical assistance to support developing countries in their development initiatives. The majority of this aid comes from globally-operating international donors including the World Bank and the European Union. In spite of several harmonization attempts, there still exist major differences in their procurement regulations and standard contracts. Based on an extensive literature review on consulting services and an in-depth analysis of the standard forms of contract, it was found that divergence between both forms is not only clear but also paradigmatic owing mainly to market orientation paradigm differences. The findings and recommendations help advance research on and practice of various types of consultancy services in general.
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Decock, Nico, Adriano Friganovic, Biljana Kurtovic, Ber Oomen, Patrick Crombez, and Christine Willems. "Temper the Specialist Nurses Heterogeneity in the Interest of Quality Practice and Mobility—18 EU Countries Study." Healthcare 10, no. 3 (February 25, 2022): 435. http://dx.doi.org/10.3390/healthcare10030435.
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Background: The position of the specialist nurse profession varies across the European Union. Action is required to address the challenges to promote mobility and the contribution of specialist nurses to quality of care. The purpose of the study is to identify the interfaces of the specialist nurse profession across the European Union. Methods: A mixed method study was conducted in October 2019 and total of 40 answers from 18 different European Union countries were selected using a purposive sampling method. Results: The participants had completed various Bologna degree cycles and 57.2% had followed a specific educational programme to become a specialist nurse. More professional autonomy was acquired by 81.9% participants. Conclusion: A striving for homogeneity in the interpretation of the specialist nurses role and competencies is needed to achieve better quality of care provision and facilitate their mobility around the European Union. The lack of recognition identified in this study should encourage nurse managers to consider specialist nurse roles with the aim of capitalizing on the advanced care and expertise that specialist nurses provide. These results are an opportunity to improve the specialist nurses profession with an ultimate impact on management practices of streamlined, cost-effective clinical services.
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Ardielli, Eva. "eHealth in the European Union – Comparative Study." ACC Journal 26, no. 2 (September 2020): 7–18. http://dx.doi.org/10.15240/tul/004/2020-2-001.
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eHealth is one of the global modern trends in IT, medicine and politics. It is a broad term that refers to electronization of healthcare and health services and mainly describes the use of information and communication technologies in healthcare. In practice, the evaluation of eHealth is an important matter because it leads to selection of appropriate measures for further progress in the field of electronic healthcare. What is more, it proposes recommendations for the development of eHealth in the EU countries. The article is focused on the comparison of eHealth implementation in the European Union member states. The analysis is performed by means of ELECTRE III method. The results of the empirical research further evaluate the state of eHealth implementation in all European Union member states by selected criteria and enable the comparison of the eHealth implementation in the international context. The results are verified by application of MAPPAC method. It has been acknowledged that the best ranking countries in this area has been obtained by Denmark, Finland, Estonia and Sweden.
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Clifton, Judith, Daniel Díaz-Fuentes, and Marcos Fernández-Gutiérrez. "Vulnerable consumers and satisfaction with public services: does country matter?" International Review of Administrative Sciences 85, no. 2 (June 21, 2017): 264–85. http://dx.doi.org/10.1177/0020852317691341.
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Within Public Administration, increased attention is being paid to ‘vulnerable citizens’ – groups of citizens who, for reasons beyond their control, are disadvantaged in comparison to other citizens – when consuming public services. Initial research focused on how citizens’ socio-economic background shapes their behaviour and satisfaction. Citizens, however, take decisions within a context, but we know little about how their experiences differ depending on their country of residence. We comparatively analyse the experience of vulnerable citizens in telecommunications and electricity markets in three large European Union countries, selected to represent ‘advanced’, ‘intermediate’ and ‘laggard’ stages of reform. We first establish that citizens’ socio-economic characteristics matter for patterns of expenditure and perceptions of service affordability and then show how citizen vulnerability differs depending on country context. Results are useful to practitioners seeking to target regulation to improve the experiences of vulnerable citizens. Points for practitioners Practitioners recognize that public service reform has brought with it greater market complexity and choice, and that this poses challenges to citizens, particularly vulnerable citizens. Initial empirical work demonstrated that citizens’ socio-economic background affects their satisfaction; however, we know little about how this vulnerability is shaped by country context. We analyse electricity and telecommunications markets in three large European Union countries, establishing that consumers’ socio-economic background matters for citizens’ expenditure and perceptions of service affordability, and then demonstrating that country context also influences these experiences. Less-educated, elderly and non-employed citizens experience more frequent problems with these services than other citizens, and the country context conditions these experiences significantly.
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Zajc, Katarina, and Breda Mulec. "New Challenges in the Filed of Ambient Air Protection with the Emphasis on Economic (in)efficiencies of Chimney Sweeping Services." Lex localis - Journal of Local Self-Government 11, no. 3 (July 1, 2013): 311–24. http://dx.doi.org/10.4335/11.2.311-324(2013).
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This paper analyzes new challenges in the field of ambient air protection, such as the use of new energy-generating products, and assesses the air quality protection responsibilities of local communities in European Union (EU) Member States. Domestic heating systems are a major source of air pollution. Thus, chimney-sweeping services are very important and must be regulated to provide fire safety and guarantee better ambient air quality. This paper analyzes Slovenian legislation regulating chimney-sweeping services and compares the Slovenian laws with comparable laws of other European countries and the national laws of EU Member States to examine the laws’ effectiveness in regulating and protecting air quality. More specifically, the paper uses legal and economic analyses to examine the efficiency of current legislation pertaining to chimney-sweeping services. The paper concludes that, consistent with theories of asymmetric information and negative externalities, licensing would be more effective in meeting the challenges of ambient air protection than current exclusive concession agreements, which effectively establish geographical monopolies in chimney-sweeping services.
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Gavrilov, Goce, Elena Vlahu-Gjorgievska, and Vladimir Trajkovik. "Healthcare data warehouse system supporting cross-border interoperability." Health Informatics Journal 26, no. 2 (October 4, 2019): 1321–32. http://dx.doi.org/10.1177/1460458219876793.
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The free movement of European citizens across member states of the European Union adds an important level of complexity to strategic efforts of health interoperability. The use of electronic health data has been marked as an important strategic activity and policy to improve healthcare in European countries. Cross-border healthcare depends on the ability to set up shared practices with respect to patient data exchange across the countries. Data flow must comply with demanding security, legal and interoperability requirements, as defined by the European Patients Smart Open Services project specifications. The aim of this article is to propose a novel design of healthcare data warehouse based on the restructured Extract–Transform–Load process. We describe a portal framework that offers a comprehensive set of interoperability services to enable national e-Health platforms to set up cross-border health information networks compliant with European Patients Smart Open Services. The presented approach incorporates the technical and organizational interoperability by interconnecting Health Level Seven standard and Open National Contact Points framework in order to provide a modular, scalable and inter-operating architecture.
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WARZECHA, KATARZYNA. "SYNTHETIC EVALUATION OF THE POLISH DISTANCE FROM THE COUNTRIES OF THE EUROPEAN UNION ON THE BASIS OF SELECTED INDICATORS OF THE HEALTHCARE SYSTEM." sj-economics scientific journal 27, no. 4 (December 30, 2017): 339–57. http://dx.doi.org/10.58246/sjeconomics.v27i4.108.
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Rapid development of technology, increase in living standards and demographic changes contribute to dynamic changes taking place in contemporary society. Specialists in the field of demography, pay special attention to the phenomenon of "aging society". It can therefore be assumed that in the future the demand for medical services provided by doctors specializing in treating older people will increase. The main objective of this study was to assess Poland's position against the background of the European Union countries based on selected indicators characterizing the health care system. The research attempted to answer the following questions: did the position of Poland in the aspect of the state of health care significantly change over the 10 years studied and are the countries of the European Union similar in terms of the state of health care development, and if so which typological groups are divided into? The subjects of the study were all European Union countries, and the research period was 2005 and 2015.
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Klimkó, Gábor, Péter József Kiss, and József Károly Kiss. "The effect of the EIDAS Regulation on the model of Hungarian public administration." Central and Eastern European eDem and eGov Days 331 (July 12, 2018): 103–13. http://dx.doi.org/10.24989/ocg.v331.9.
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Regulation (EU) N°910/2014 on electronic identification and trust services for electronic transactions in the internal market, adopted on 23 July 2014 (hereinafter the eIDAS Regulation) is a significant step towards providing such a predictable regulatory environment that enables secure and seamless electronic interactions between businesses, citizens and public authorities of the members of the European Union. The Regulation ensures that people and businesses are allowed to use their own national electronic identification schemes (eIDs) to access public services in other EU countries where eIDs are available, moreover, it introduces the concept of trust services and prepares for the harmonization of further areas.
Unfortunately, the eIDAS Regulation together with the Commission Implementing Regulation 2015/1501 is not in perfect harmony with the established and emerging models of operations in public administration in Hungary and consequently a common foundation for secure electronic interaction could be provided only with strong limitations.
To avoid this undesirable situation, the paper proposes the introduction of two registration procedures (built on the basis of the services in the scope of the Regulation) that would complement the missing data items in a transparent manner. This extension would result in the provision of all registered electronic services of the EU countries for all EU citizens.
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Halásková, Martina, and Renata Halásková. "Evaluation Structure of Local Public Expenditures in the European Union Countries." Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis 66, no. 3 (2018): 755–66. http://dx.doi.org/10.11118/actaun201866030755.
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The public sector plays a significant role in securing public needs in a number of countries. The paper aims to evaluate the local public sector by the structure of local public expenditures, emphasizing similarities and differences in EU countries. Attention is paid to the evaluation of local public expenditures by eight functions (general public services, public order and safety, economic affairs, housing and community amenities, recreation and culture, social protection, health, education) in years 2005 and 2015. Local public expenditures by function in the EU are evaluated in connection to lower government levels and fiscal decentralization of expenditures. The evaluation shows that no countries demonstrate similarity of local public expenditures by function, which is associated also with an identical size of fiscal decentralization of expenditures and the number of lower government levels. By contrast, both similarities and differences were proved with respect to the evaluated local public expenditures by the application of multidimensional scaling and cluster analysis. The results have shown that Scandinavian countries represent the most marked differences in the structure of local public expenditures, in comparison to Malta and Cyprus in terms of local public expenditures on social protection, health and education.
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Brătucu, Gabriel, Andra Ioana Maria Tudor, Lavinia Dovleac, Silvia Sumedrea, Ioana Bianca Chițu, and Adrian Trifan. "The Impact of New Technologies on Individuals’ Health Perceptions in the European Union." Sustainability 12, no. 24 (December 11, 2020): 10349. http://dx.doi.org/10.3390/su122410349.
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The healthcare systems of European countries currently face challenges regarding the sustainability of healthcare provision. The growing sophistication of new technologies is transforming the accessibility and management of health services and information, while also challenging society’s ability to offer fair access to health services for all people. The aim of this paper is to identify and analyze some of the determinants of the self-perceived health status across the EU28 area and to determine how the digitalization of health is impacting the self-rated health of the European populations, given the fact that a healthier population is one of the 17 goals of sustainable development on the 2030 Agenda. The research method used is panel-data regression using secondary data from international databases. The results indicate that there is a direct relationship between the way people are assessing personal health, the ability to use the Internet for seeking health-related information, and the use of various apps to purchase health-related items online. Our findings are useful for academics, industry specialists, and public authorities in designing sustainable health products and policies by focusing on the development of suitable mHealth programs for generating more patient-centered services where the idea of self-care is encouraged.
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Ksonzhyk, Iryna, Halyna Matskiv, and Nataliya Sorochan. "European experience with the operation and control of the procurement mechanism for goods, works, and services using budget funds." University Economic Bulletin, no. 55 (December 29, 2022): 97–105. http://dx.doi.org/10.31470/2306-546x-2022-55-97-105.
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The subject of the study is the practical experience of the functioning of the mechanism of public procurement of goods, works and services in the member states of the European Union, its reformation under the influence of the introduction of new EU legislative norms in the field of public procurement, and the harmonization of the national legislation of the participating countries with Directives 2014/23/EU, 2014/24/EU and 2014/25/EU. The purpose of the work is to establish the impact of the new legislative norms of the European Union in the field of public procurement on the mechanism of procurement of goods, works and services for budget funds in the European Union, to identify the advantages of applying these norms. The methodological basis of the article is a set of cognitive methods applied to the mechanism of public procurement. The research was based on general scientific methods, namely: dialectical, which implies objectivity, comprehensiveness and systematic knowledge; logical; special methods of scientific knowledge: historical, method of systematic analysis and generalization of normative documents. The general logic of the article is based on a complex and systematic approach using modern scientific apparatus. Results of the article. The article establishes the main directions of changes in the mechanism and tools of public procurement in the countries of the European Union, which took place after the implementation of the norms of Directives 2014/23/EU, 2014/24/EU and 2014/25/EU, an analysis of the advantages of their implementation in national legislation of member states. The evaluation of the efficiency of the public procurement market in the EU countries was carried out. The directions and sources of further research are substantiated, first of all, by taking into account the aspects of digitalization of the sphere of public administration and finance, social and environmental innovations. Field of application of results. The results can be used by state and local self-government bodies, territorial communities, and economic entities of various forms of ownership. Conclusions. The new norms of EU legislation in the field of public procurement, set out in Directives 2014/23/EU, 2014/24/EU and 2014/25/EU, are aimed at simplifying procedures for public procurement of goods, works and services for budget funds, which promotes the free movement of goods and services in the countries of the European Union. As a result, customers get better value for money. Thus, public procurement becomes a tool of EU strategic policy. Although it cannot be claimed that the EU's public procurement policy is flawless, the experience of all participating countries is always taken into account in the process of its development and implementation. The EU public sector can use the procurement of goods, works and services with budget funds to increase the number of jobs, growth and investment, as well as to create an economy that is more innovative, resource and energy efficient and socially inclusive.
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Jaroszewski, J. J. "Consumption of antimicrobials in the European Union and indications for their rational administration." Scientific Messenger of LNU of Veterinary Medicine and Biotechnologies 20, no. 87 (April 26, 2018): 42–44. http://dx.doi.org/10.15421/nvlvet8708.
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Antimicrobials are essential for the medical care and health of animals and livestock populations. On the other hand it is generally accepted that the increase in prevalence of antimicrobial resistance is a worldwide problem. Therefore, in many countries of the world, the consumption of antibiotics and the resistance of pathogens isolated from humans and animals are monitored. Collected data indicate the need to reduce antimicrobial use in humans and in food-producing animals. This goal can only be achieved if antimicrobials will be used rationally and in accordance with the latest knowledge.
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Ekblad, Solvig. "Mental health among recent immigrants to Sweden from Eastern Europe and the former Soviet Union." International Psychiatry 5, no. 3 (July 2008): 55–57. http://dx.doi.org/10.1192/s1749367600002058.
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Several European states such as Sweden have become transit countries for migrants, as well as reception countries for an increasing number of young migrants, not only asylum seekers and refugees from beyond Europe but also from the European Union's new members, after the dissolution of the Soviet bloc in 1989 and then the Soviet Union itself in 1991. Over 110000 immigrants from Eastern Europe and the former Soviet Union resided in Sweden in 2002, although the exact figure is difficult to estimate because of the varied legal status of the migrants. International migration is not a new phenomenon in this part of the world, of course: people have always moved in the search of greater personal safety, among other reasons. However, new groups with new psychosocial needs and demands on the healthcare systems of the host countries will be a challenge. The aim of this article is to give an overview of three sets of empirical data: •the prevalence of mental disorders among recent immigrants to Sweden from Eastern Europe and the former Soviet Union•their access to mental health and social care facilities arising from their legal status•their utilisation of health and social services
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Fox, Daniel M. "The Administration of the Marshall Plan and British Health Policy." Journal of Policy History 16, no. 3 (July 2004): 191–211. http://dx.doi.org/10.1353/jph.2004.0014.
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The United States made Marshall aid to European countries (1947–51) contingent upon bilateral agreements about major issues of economic and social policy. Because the implementation of the Marshall Plan in Britain coincided with the inception of the National Health Service (NHS), the bilateral agreements negotiated between Britain and the United States addressed the relationship between economic recovery and a new health policy that offered universal coverage for services that were fully funded from tax receipts.
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Klymenko, Ihor Volodymyrovych, Dmytro Volodymyrovych Shvets, Oleh Tsyhanov, and Liudmyla Hennadiivna Mohilevska. "Services Provided by Public Authorities: Features of Legal Regulation in Ukraine and the European Union." Revista Amazonia Investiga 9, no. 31 (August 7, 2020): 44–51. http://dx.doi.org/10.34069/ai/2020.31.07.4.
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The aim of the article is to determine: 1) the essence and content of services provided by public authorities in the European Union and Ukraine; 2) features of legal regulation of public service activities in these countries. To achieve this aim, general scientific and special methods of cognition were used, namely: dialectical, logical-semantic, comparative-legal, methods of analysis and synthesis. The article states that shortcomings in the field of public service have been inherited since Soviet times. The relevance of the European Union experience, where the defining feature of the development of legislation is its focus on ensuring the rights and legitimate interests of individuals in relations with public authority and its bodies, is emphasized. It is noted, that, unlike Ukraine, the European administrative-legal doctrine does not single out a separate legal institution of administrative services, and the category “service” regarding public sector is used in a broader and more flexible sense. It has been established that in the EU the issue of population services is regulated by both primary and secondary legislation. It was found that the legal regulation of public service activities in the EU is characterized by following features: the absence of a codified legal act that would regulate public services of non-economic interest; the impact of judicial practice on legal regulation of relations between public administration bodies and citizens; considerable attention is paid to improving the quality of public services and citizen participation in government decision-making. According to the results of the study, the priorities for the development of the administrative services system in Ukraine include the adoption of the Law (or Code) on administrative procedure and legislation on fees for administrative services (administrative fee).
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Kontogeorgis, Georgios, and Nikolaos Varotsis. "REINSTATING GREEK E-GOVERNANCE: A FRAMEWORK FOR E-GOVERNMENT BENCHMARKING, IMPROVEMENT AND GOVERNMENT POLICIES." Public Administration Issues, no. 6 (2021): 103–27. http://dx.doi.org/10.17323/1999-5431-2021-0-6-103-127.
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This paper presents the implementation and evolution of e-governance in Greece as well as offering insights, policies and suggestions for the design of e-government benchmarks. The research objectives of this article are to identify the appraisal of Greece in e-government over time and in relation to other countries as well as the role of internal audit and transparency related to digital public services. The method adopted is through an extensive bibliographic review of the Greek, European and international literature of the thematic field of e-government as well as the presentation of several frameworks to structure the discussion of e-government benchmark design based on a benchmarking with key indicators of published surveys from internationally reputable organizations. The findings of this paper are that Greece proceeded at a very slow pace in its digital transformation, shows shortcomings in e-government policies, records delays in adapting the services requested by citizens, and no matter the lack of investment in technological infrastructure, the effectiveness of e-governance presupposes proactiveness. Nevertheless, another key conclusion of the research is that Greece is far from the average performance of e-government in the European Union due to its chronic economic problems, the lack of technological equipment and the lack of overall orientation in e-government. Furthermore, this paper can be a measure of comparison for other countries that have similar characteristics to Greece in order to improve e-governance.
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Søvig, Karl Harald. "Provision of Health Services to Irregular Migrants with a Special Focus on Children." European Journal of Health Law 18, no. 1 (2011): 43–54. http://dx.doi.org/10.1163/157180911x549207.
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AbstractAll European countries are now facing a situation where a part of the population consists of migrants without a permit to stay or reside. These persons may have health problems, and the question then rises regarding health services to irregular migrants. Normally, welfare benefits are offered those with a relationship to the country concerned, as citizen, asylum seeker, tourist, etc. Irregular migrants are outside the society, and it could be suggested that they therefore should be denied health services. On the other hand, common European standards of humanity lay obligations on the States, for example, where situations are life-threatening. This contribution gives an overview of relevant legal instruments, both from the UN, Council of Europe and the European Union. Although there are many similarities, the instruments have their differences, and there may even be some tensions regarding the underlying values.
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Strzelecka, Agnieszka. "The Field of “Public Health” as a Component of Sustainable Development—Poland Compared to the European Union." Sustainability 13, no. 18 (September 16, 2021): 10351. http://dx.doi.org/10.3390/su131810351.
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The objective of the article is to analyse selected indicators of sustainable development in the field of “public health”, especially those related to health and health-related inequalities. The article focuses on the analysis of indicators in the field of “public health” presented by Eurostat. These indicators were presented in terms of averages and medians. Moreover, the paper indicates the amount of funds allocated for prevention in health care. In addition, the cluster method was used to identify EU countries similar to each other in terms of the leading indicator of sustainable development (SD). The study was conducted using annual data for 2010–2019 for Poland as compared to other EU countries. The study used data from the Eurostat and OECD databases. In almost all of the analysed countries, in relation to the demographic and health situation, there is a close link between the financial situation, health and inequalities in health-related fields. Patients’ sense of safety has decreased in Poland, which is the result of the growing consumption of health services and emerging problems with the availability of health care services as well as environmental pollution. Among others, the percentage of people with health problems and low income has increased. Although the percentage of unmet needs resulting from income inequalities has decreased over the past year in the analysed groups of countries, it is still high in Poland. The low level of expenditure on prevention makes these difficulties even more severe. In summary, capturing changes in indicators describing public health in the context of its impact on sustainable development plays a key role in balancing out inequalities in the EU countries and in managing a common policy.
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Glushchenko, A. A. "Overview of international COVID-19 vaccines development and administration programs." Urgent Problems of Europe, no. 1 (2022): 58–93. http://dx.doi.org/10.31249/ape/2022.01.03.
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The pandemic caused by the spread of the novel coronavirus has presented challenges to the international community that it has never faced before. The high rate of spread of the infection and the economic, social and political challenges associated with it have pushed individual states and international organisations to the limit in proposing the most effective methods to combat the pandemic. The article examines various examples of government support for vaccine development programs in the United States, the European Union, the United Kingdom, China and Russia, as well as the specifics of using COVID-19 vaccination programs in these countries. Based on the data presented in the article, it is concluded that government support for these programs become one of the most effective ways to increase the availability of vaccines for large-scale vaccination of citizens. Particular attention is paid to aspects of the regulatory environment for vaccine approval in a time of pandemic, the financing of vaccination programs, and international cooperation at WHO and UN level to counter the novel coronavirus pandemic. Additionally, the article analyzes contracts for the supply of vaccines in the United States, the European Union and the United Kingdom. Based on the data presented in the article, a conclusion is drawn about the possible reasons for the delays in the supply of vaccines under contracts concluded by the countries of the European Union. The results of this study can be used in the future to plan other vaccine development programs and strengthen government policy in the field of combating infectious diseases, strengthening public and private partnerships in the health sector.
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Drăgan, Roxana, Yoto Yotov, and Crina Sinescu. "Comparative study between health systems applied in Cardiology Departments in two EU countries." Romanian Medical Journal 62, no. 4 (December 31, 2015): 371–76. http://dx.doi.org/10.37897/rmj.2015.4.8.
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Heart disease is one of the most important causes of morbidity and mortality in the population of Romania. In this context, the accessibility of patients to accurate and complete cardiology services, and its circuit in the Romanian health system, is one of the major priorities. A good knowledge of health systems focused primarily on addressing cardiac pathology at the level of two neighboring countries, members of the European Union can only lead to the identification of positive aspects under both systems, which can form the basis for efficient policies health in this area.
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Ortega-Gil, Manuela, Chaima ElHichou-Ahmed, and Antonio Mata-García. "Effects of Immigrants, Health, and Ageing on Economic Growth in the European Union." International Journal of Environmental Research and Public Health 20, no. 1 (December 23, 2022): 224. http://dx.doi.org/10.3390/ijerph20010224.
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Population ageing and low birth rates are two problems of the EU that have an impact on employment, production, and economic growth. Against this background, immigration, health expenditure, and the health of migrants must become a key element of European policy. For this reason, this paper focused on identifying the effect of immigration, health, and ageing on economic growth in order to highlight their importance from an economic perspective. We constructed different econometric models with Eurostat data for 27 countries and 13 years (2008–2020), whose dependent variable was gross domestic product. Independent variables were the number of immigrants by gender and age, health expenditure per capita (total and by function), immigrants’ perception of their health as very good, and the proportion of the population aged 65 years and over. The model selected to analyze the results was Prais–Winsten regression heteroskedastic panels corrected standard errors modeled by applying the option (ar1) to correct for autocorrelation, using Stata software (version 16). The results show that health expenditure has a significant positive effect on economic growth, higher in hospital services, followed by medical products; immigrants’ perception as very good is only significant in some models. The number of immigrants has a (positive) effect, although less significant than public expenditure on health. Its effect is larger when the immigrant is aged between 15 and 64 years and smaller for male immigrants than for female immigrants. Without the ageing variable, immigration is not significant. Moreover, there are significant differences between European countries in relation to the variables analyses (immigration, immigrants’ perception of their health, ageing and public expenditure on health, and public expenditure on health according to function). This may be due to the different regulations on both immigration and public health in the countries that make up the European Union.
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Tambor, Marzena, Milena Pavlova, Piotr Woch, and Wim Groot. "Diversity and dynamics of patient cost-sharing for physicians’ and hospital services in the 27 European Union countries." European Journal of Public Health 21, no. 5 (September 30, 2010): 585–90. http://dx.doi.org/10.1093/eurpub/ckq139.
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Signorini, Giulia, Nikolina Davidovic, Gwen Dieleman, Tomislav Franic, Jason Madan, Athanasios Maras, Fiona Mc Nicholas, et al. "Transitioning from child to adult mental health services: what role for social services? Insights from a European survey." Journal of Children's Services 15, no. 3 (September 17, 2020): 89–108. http://dx.doi.org/10.1108/jcs-05-2020-0014.
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Purpose Young people transitioning from child to adult mental health services are frequently also known to social services, but the role of such services in this study and their interplay with mental healthcare system lacks evidence in the European panorama. This study aims to gather information on the characteristics and the involvement of social services supporting young people approaching transition. Design/methodology/approach A survey of 16 European Union countries was conducted. Country respondents, representing social services’ point of view, completed an ad hoc questionnaire. Information sought included details on social service availability and the characteristics of their interplay with mental health services. Findings Service availability ranges from a low of 3/100,000 social workers working with young people of transition age in Spain to a high 500/100,000 social workers in Poland, with heterogeneous involvement in youth health care. Community-based residential facilities and services for youth under custodial measures were the most commonly type of social service involved. In 80% of the surveyed countries, youth protection from abuse/neglect is overall regulated by national protocols or written agreements between mental health and social services, with the exception of Czech Republic and Greece, where poor or no protocols apply. Lack of connection between child and adult mental health services has been identified as the major obstacles to transition (93.8%), together with insufficient involvement of stakeholders throughout the process. Research limitations/implications Marked heterogeneity across countries may suggest weaknesses in youth mental health policy-making at the European level. Greater inclusion of relevant stakeholders is needed to inform the development and implementation of person-centered health-care models. Disconnection between child and adult mental health services is widely recognized in the social services arena as the major barrier faced by young service users in transition; this “outside” perspective provides further support for an urgent re-configuration of services and the need to address unaligned working practices and service cultures. Originality/value This is the first survey gathering information on social service provision at the time of mental health services transition at a European level; its findings may help to inform services to offer a better coordinated social health care for young people with mental health disorders.