Choices in health policy: an agenda for the European Union
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Aldershot u.a.
Dartmouth u.a.
1995
|
| Schriftenreihe: | European political economy
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XXII, 177 S. graph. Darst. |
| ISBN: | 1855217554 1855217627 |
Internformat
MARC
| LEADER | 00000nam a2200000 c 4500 | ||
|---|---|---|---|
| 001 | BV010489433 | ||
| 003 | DE-604 | ||
| 005 | 19960403 | ||
| 007 | t| | ||
| 008 | 951122s1995 xx d||| |||| 00||| eng d | ||
| 020 | |a 1855217554 |9 1-85521-755-4 | ||
| 020 | |a 1855217627 |9 1-85521-762-7 | ||
| 035 | |a (OCoLC)32925896 | ||
| 035 | |a (DE-599)BVBBV010489433 | ||
| 040 | |a DE-604 |b ger |e rakddb | ||
| 041 | 0 | |a eng | |
| 049 | |a DE-739 |a DE-12 |a DE-578 |a DE-83 | ||
| 050 | 0 | |a RA395.E88 | |
| 082 | 0 | |a 362.1/094 |2 20 | |
| 084 | |a QX 765 |0 (DE-625)142196: |2 rvk | ||
| 245 | 1 | 0 | |a Choices in health policy |b an agenda for the European Union |c Brian Abel-Smith ... |
| 264 | 1 | |a Aldershot u.a. |b Dartmouth u.a. |c 1995 | |
| 300 | |a XXII, 177 S. |b graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 490 | 0 | |a European political economy | |
| 610 | 1 | 4 | |a Europäische Union |
| 610 | 2 | 7 | |a Europäische Union |0 (DE-588)5098525-5 |2 gnd |9 rswk-swf |
| 650 | 7 | |a Beleid |2 gtt | |
| 650 | 7 | |a Europese Unie |2 gtt | |
| 650 | 7 | |a Gezondheidszorg |2 gtt | |
| 650 | 2 | |a Planification santé - Europe | |
| 650 | 2 | |a Politique sanitaire - Europe | |
| 650 | 7 | |a Santé publique - Europe |2 ram | |
| 650 | 4 | |a Gesundheitswesen | |
| 650 | 4 | |a Health Planning |z Europe | |
| 650 | 4 | |a Health Policy |z Europe | |
| 650 | 4 | |a Health planning |z European Union countries | |
| 650 | 4 | |a Medical policy |z European Union countries | |
| 650 | 0 | 7 | |a Gesundheitswesen |0 (DE-588)4020775-4 |2 gnd |9 rswk-swf |
| 650 | 0 | 7 | |a Gesundheitspolitik |0 (DE-588)4113743-7 |2 gnd |9 rswk-swf |
| 651 | 4 | |a Europa | |
| 651 | 4 | |a Europäische Union. Mitgliedsstaaten | |
| 655 | 7 | |0 (DE-588)4143413-4 |a Aufsatzsammlung |2 gnd-content | |
| 689 | 0 | 0 | |a Europäische Union |0 (DE-588)5098525-5 |D b |
| 689 | 0 | 1 | |a Gesundheitspolitik |0 (DE-588)4113743-7 |D s |
| 689 | 0 | |5 DE-604 | |
| 689 | 1 | 0 | |a Europäische Union |0 (DE-588)5098525-5 |D b |
| 689 | 1 | 1 | |a Gesundheitswesen |0 (DE-588)4020775-4 |D s |
| 689 | 1 | 2 | |a Gesundheitspolitik |0 (DE-588)4113743-7 |D s |
| 689 | 1 | |5 DE-604 | |
| 700 | 1 | |a Abel-Smith, Brian |d 1926-1996 |e Sonstige |0 (DE-588)170015653 |4 oth | |
| 856 | 4 | 2 | |m HBZ Datenaustausch |q application/pdf |u http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006988891&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |3 Inhaltsverzeichnis |
| 943 | 1 | |a oai:aleph.bib-bvb.de:BVB01-006988891 | |
Datensatz im Suchindex
| _version_ | 1820127511773708288 |
|---|---|
| adam_text |
Contents
List of Tables and Figures ix
Foreword by European Commissioner Flynn xi
Series Preface xiii
Preface xv
Membership of Research Team xvii
Introduction xix
Chapter 1: Challenges to Health 1
Recent trends in health status and the potential for health improvement 1
Inequalities in health and health services 16
Summary 21
Chapter 2: The Health Care Context 23
The organization and financing of health care 23
Variations in the utilization of health resources 27
The public's perception of their health services 35
Summary 37
Chapter 3: Cost Containment and Health Care Reforms 39
Cost sharing 40
Expenditure ceilings 43
Limiting doctors and hospital beds 44
Optimizing the use of technologies 44
Alternatives to in patient care 44
v
vi Choices in Health Policy: An Agenda for the European Union
Influencing the resource use authorized by doctors 45
Pharmaceutical prices 47
The effectiveness of cost containment measures potential for further action 48
Major health care reforms 49
Chapter 4: Outcomes Management and Technology Assessment 55
Managing health outcome 55
Needs assessment 58
Technology assessment 58
Chapter 5: Establishing Priorities in Practice 67
Ministerial responsibilities within central government 68
The role of government 71
Involving the public 76
Provider groups 80
Research based evidence 81
Chapter 6: Systematic Approaches to Establishing Priorities 85
Introduction 85
Some methodological approaches to priority setting 86
The new approaches 91
Summary 99
Chapter 7: Preventive Interventions and Health Promotion 101
Integration of preventive and curative services 101
Specific interventions 102
Responses to major challenges to health 108
Can preventive action save curative costs? 112
Summary 115
Chapter 8: Migrants and Ethnic Minorities 117
Health needs of migrants 117
Services for migrants and ethnic minorities 120
Chapter 9: Proposals for the Future Role of the European Community 125
Cost containment policies and health care reforms 128
Outcomes management and technology assessment 129
Contents vii
Priority setting 130
Priorities for action in the EU 132
Preventive interventions and health promotion 135
Inequalities in health and the use of health services 139
Services for migrants and ethnic minorities 140
Learning from different experiences 141
Conclusion 143
Annex A: Official Priorities of Member States 145
Annex B: Recommendations on the Role of Community Institutions 149
References 153
Index 163
List of Tables and Figures
Tables
1.1 Infant, perinatal and maternal mortality rates 5
1.2 Percentage of low weight births 6
1.3 Leading causes of death by age and sex in the European Union 7
1.4 Percentage of smokers 10
1.5 AIDS cases and incidence rates per million population, European Union 16
2.1 Principal methods of providing services in the EU 26
2.2 Health care expenditure in Member States, 1991 30
2.3 Indicators of provision and utilization of in patient resources
European Union countries, 1990, 1992 34
2.4 Utilization of services in 1989 35
2.5 Public opinion survey on health services in 1992 36
3.1 General methods of controlling pharmaceutical expenditures in the
European Union 41
3.2 The number of drug products on the market 42
3.3 Rights of pharmacists to substitute generics in the EU countries (1993) 46
3.4 The promotion of the use of generics 46
3.5 Outline of systems for curtailing the reimbursement cost of
Pharmaceuticals in EU countries 47
6.1 Deaths avoided annually if all regions attained the optimal level 88
6.2 Standard mortality ratios based on an EU standard (1980 84) 89
7.1 Availability of immunization 103
7.2 Percentage of children immunized (1991) 104
ix
x Choices in Health Policy: An Agenda for the European Union
7.3 Tobacco taxation and tobacco pricing 109
7.4 Trends in alcohol consumption 110
8.1 Estimates of the gypsy population in certain Member States 117
8.2 Total population of third country nationals, and the refugee
population legally resident in Member States (1000s) 118
8.3 Population by citizenship on 1 January 1991 total figures for
Europe/Africa/America/Asia 119
9.1 Overview of the health related projects of the EC and the responsible
Directorates General (as of December 1993) 127
Figures
1.1 Life expectancy at birth for males and females
European Union countries, 1990 2
1.2 Trends in life expectancy at birth
European Union countries, 1970 91 3
1.3 Trends in infant mortality
European Union countries, 1970 91 4
1.4 Trends in cancer of the trachea, lung and bronchus (females)
European Union countries, 1970 91 8
1.5 Trends in cancer of the trachea, lung and bronchus (males)
European Union countries, 1970 91 9
1.6 Trends in ischaemic heart disease
European Union countries, 1970 91 11
1.7 Trends in cerebrovascular disease
European Union countries, 1970 91 12
1.8 Trends in cervical cancer
European Union countries, 1970 91 13
1.9 Trends in breast cancer
European Union countries, 1970 91 14
1.10 Annual changes in poverty and life expectancy
European Union countries, 1975 85 20
2.1 Per capita health spending
European Union countries, 1991 29
2.2 Health expenditure as a proportion of GDP
European Union countries, 1961 91 31
2.3 Practising physicians and qualified nurses per 1000 inhabitants
European Union countries, 1989 33
5.1 Factors involved in setting priorities 68 |
| any_adam_object | 1 |
| author_GND | (DE-588)170015653 |
| building | Verbundindex |
| bvnumber | BV010489433 |
| callnumber-first | R - Medicine |
| callnumber-label | RA395 |
| callnumber-raw | RA395.E88 |
| callnumber-search | RA395.E88 |
| callnumber-sort | RA 3395 E88 |
| callnumber-subject | RA - Public Medicine |
| classification_rvk | QX 765 |
| ctrlnum | (OCoLC)32925896 (DE-599)BVBBV010489433 |
| dewey-full | 362.1/094 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 362 - Social problems and services to groups |
| dewey-raw | 362.1/094 |
| dewey-search | 362.1/094 |
| dewey-sort | 3362.1 294 |
| dewey-tens | 360 - Social problems and services; associations |
| discipline | Soziologie Wirtschaftswissenschaften |
| format | Book |
| fullrecord | <?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>00000nam a2200000 c 4500</leader><controlfield tag="001">BV010489433</controlfield><controlfield tag="003">DE-604</controlfield><controlfield tag="005">19960403</controlfield><controlfield tag="007">t|</controlfield><controlfield tag="008">951122s1995 xx d||| |||| 00||| eng d</controlfield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1855217554</subfield><subfield code="9">1-85521-755-4</subfield></datafield><datafield tag="020" ind1=" " ind2=" "><subfield code="a">1855217627</subfield><subfield code="9">1-85521-762-7</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(OCoLC)32925896</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)BVBBV010489433</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-604</subfield><subfield code="b">ger</subfield><subfield code="e">rakddb</subfield></datafield><datafield tag="041" ind1="0" ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="049" ind1=" " ind2=" "><subfield code="a">DE-739</subfield><subfield code="a">DE-12</subfield><subfield code="a">DE-578</subfield><subfield code="a">DE-83</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RA395.E88</subfield></datafield><datafield tag="082" ind1="0" ind2=" "><subfield code="a">362.1/094</subfield><subfield code="2">20</subfield></datafield><datafield tag="084" ind1=" " ind2=" "><subfield code="a">QX 765</subfield><subfield code="0">(DE-625)142196:</subfield><subfield code="2">rvk</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Choices in health policy</subfield><subfield code="b">an agenda for the European Union</subfield><subfield code="c">Brian Abel-Smith ...</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="a">Aldershot u.a.</subfield><subfield code="b">Dartmouth u.a.</subfield><subfield code="c">1995</subfield></datafield><datafield tag="300" ind1=" " ind2=" "><subfield code="a">XXII, 177 S.</subfield><subfield code="b">graph. Darst.</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="b">n</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="b">nc</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="490" ind1="0" ind2=" "><subfield code="a">European political economy</subfield></datafield><datafield tag="610" ind1="1" ind2="4"><subfield code="a">Europäische Union</subfield></datafield><datafield tag="610" ind1="2" ind2="7"><subfield code="a">Europäische Union</subfield><subfield code="0">(DE-588)5098525-5</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Beleid</subfield><subfield code="2">gtt</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Europese Unie</subfield><subfield code="2">gtt</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Gezondheidszorg</subfield><subfield code="2">gtt</subfield></datafield><datafield tag="650" ind1=" " ind2="2"><subfield code="a">Planification santé - Europe</subfield></datafield><datafield tag="650" ind1=" " ind2="2"><subfield code="a">Politique sanitaire - Europe</subfield></datafield><datafield tag="650" ind1=" " ind2="7"><subfield code="a">Santé publique - Europe</subfield><subfield code="2">ram</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Gesundheitswesen</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health Planning</subfield><subfield code="z">Europe</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health Policy</subfield><subfield code="z">Europe</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Health planning</subfield><subfield code="z">European Union countries</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Medical policy</subfield><subfield code="z">European Union countries</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Gesundheitswesen</subfield><subfield code="0">(DE-588)4020775-4</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="650" ind1="0" ind2="7"><subfield code="a">Gesundheitspolitik</subfield><subfield code="0">(DE-588)4113743-7</subfield><subfield code="2">gnd</subfield><subfield code="9">rswk-swf</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">Europa</subfield></datafield><datafield tag="651" ind1=" " ind2="4"><subfield code="a">Europäische Union. Mitgliedsstaaten</subfield></datafield><datafield tag="655" ind1=" " ind2="7"><subfield code="0">(DE-588)4143413-4</subfield><subfield code="a">Aufsatzsammlung</subfield><subfield code="2">gnd-content</subfield></datafield><datafield tag="689" ind1="0" ind2="0"><subfield code="a">Europäische Union</subfield><subfield code="0">(DE-588)5098525-5</subfield><subfield code="D">b</subfield></datafield><datafield tag="689" ind1="0" ind2="1"><subfield code="a">Gesundheitspolitik</subfield><subfield code="0">(DE-588)4113743-7</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="0" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="689" ind1="1" ind2="0"><subfield code="a">Europäische Union</subfield><subfield code="0">(DE-588)5098525-5</subfield><subfield code="D">b</subfield></datafield><datafield tag="689" ind1="1" ind2="1"><subfield code="a">Gesundheitswesen</subfield><subfield code="0">(DE-588)4020775-4</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2="2"><subfield code="a">Gesundheitspolitik</subfield><subfield code="0">(DE-588)4113743-7</subfield><subfield code="D">s</subfield></datafield><datafield tag="689" ind1="1" ind2=" "><subfield code="5">DE-604</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Abel-Smith, Brian</subfield><subfield code="d">1926-1996</subfield><subfield code="e">Sonstige</subfield><subfield code="0">(DE-588)170015653</subfield><subfield code="4">oth</subfield></datafield><datafield tag="856" ind1="4" ind2="2"><subfield code="m">HBZ Datenaustausch</subfield><subfield code="q">application/pdf</subfield><subfield code="u">http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006988891&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA</subfield><subfield code="3">Inhaltsverzeichnis</subfield></datafield><datafield tag="943" ind1="1" ind2=" "><subfield code="a">oai:aleph.bib-bvb.de:BVB01-006988891</subfield></datafield></record></collection> |
| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content |
| genre_facet | Aufsatzsammlung |
| geographic | Europa Europäische Union. Mitgliedsstaaten |
| geographic_facet | Europa Europäische Union. Mitgliedsstaaten |
| id | DE-604.BV010489433 |
| illustrated | Illustrated |
| indexdate | 2025-01-02T09:07:39Z |
| institution | BVB |
| isbn | 1855217554 1855217627 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-006988891 |
| oclc_num | 32925896 |
| open_access_boolean | |
| owner | DE-739 DE-12 DE-578 DE-83 |
| owner_facet | DE-739 DE-12 DE-578 DE-83 |
| physical | XXII, 177 S. graph. Darst. |
| publishDate | 1995 |
| publishDateSearch | 1995 |
| publishDateSort | 1995 |
| publisher | Dartmouth u.a. |
| record_format | marc |
| series2 | European political economy |
| spelling | Choices in health policy an agenda for the European Union Brian Abel-Smith ... Aldershot u.a. Dartmouth u.a. 1995 XXII, 177 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier European political economy Europäische Union Europäische Union (DE-588)5098525-5 gnd rswk-swf Beleid gtt Europese Unie gtt Gezondheidszorg gtt Planification santé - Europe Politique sanitaire - Europe Santé publique - Europe ram Gesundheitswesen Health Planning Europe Health Policy Europe Health planning European Union countries Medical policy European Union countries Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Europa Europäische Union. Mitgliedsstaaten (DE-588)4143413-4 Aufsatzsammlung gnd-content Europäische Union (DE-588)5098525-5 b Gesundheitspolitik (DE-588)4113743-7 s DE-604 Gesundheitswesen (DE-588)4020775-4 s Abel-Smith, Brian 1926-1996 Sonstige (DE-588)170015653 oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006988891&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Choices in health policy an agenda for the European Union Europäische Union Europäische Union (DE-588)5098525-5 gnd Beleid gtt Europese Unie gtt Gezondheidszorg gtt Planification santé - Europe Politique sanitaire - Europe Santé publique - Europe ram Gesundheitswesen Health Planning Europe Health Policy Europe Health planning European Union countries Medical policy European Union countries Gesundheitswesen (DE-588)4020775-4 gnd Gesundheitspolitik (DE-588)4113743-7 gnd |
| subject_GND | (DE-588)5098525-5 (DE-588)4020775-4 (DE-588)4113743-7 (DE-588)4143413-4 |
| title | Choices in health policy an agenda for the European Union |
| title_auth | Choices in health policy an agenda for the European Union |
| title_exact_search | Choices in health policy an agenda for the European Union |
| title_full | Choices in health policy an agenda for the European Union Brian Abel-Smith ... |
| title_fullStr | Choices in health policy an agenda for the European Union Brian Abel-Smith ... |
| title_full_unstemmed | Choices in health policy an agenda for the European Union Brian Abel-Smith ... |
| title_short | Choices in health policy |
| title_sort | choices in health policy an agenda for the european union |
| title_sub | an agenda for the European Union |
| topic | Europäische Union Europäische Union (DE-588)5098525-5 gnd Beleid gtt Europese Unie gtt Gezondheidszorg gtt Planification santé - Europe Politique sanitaire - Europe Santé publique - Europe ram Gesundheitswesen Health Planning Europe Health Policy Europe Health planning European Union countries Medical policy European Union countries Gesundheitswesen (DE-588)4020775-4 gnd Gesundheitspolitik (DE-588)4113743-7 gnd |
| topic_facet | Europäische Union Beleid Europese Unie Gezondheidszorg Planification santé - Europe Politique sanitaire - Europe Santé publique - Europe Gesundheitswesen Health Planning Europe Health Policy Europe Health planning European Union countries Medical policy European Union countries Gesundheitspolitik Europa Europäische Union. Mitgliedsstaaten Aufsatzsammlung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006988891&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT abelsmithbrian choicesinhealthpolicyanagendafortheeuropeanunion |