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Supporting health systems in Europe: added value of EU actions?

Author

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  • Clemens, Timo
  • Michelsen, Kai
  • Brand, Helmut

Abstract

Since the start of the economic crisis, the European Union's (EU's) predominant discourse has been austerity and fiscal consolidation. The detrimental effects on Europe's health systems and the health status of its citizens are well described. However, little is known about the emerging EU-level initiatives to support national health systems handle the challenges of efficient care provision and system reorganisation aimed to meet their future needs. This review analyses the manner, conditions and prospects of such EU support. First, health system objectives are increasingly entering the EU health policy agenda. Second, professional and patient mobility provisions may support member states (MS) in copying with crisis related health challenges but can potentially acerbate them at the same time. Third, in recent initiatives health system goals are more closely tied to the EU's economic growth narrative. And fourth, health system issues are taken up in existing EU-level structures for debate and exchange between MS. In addition, the design of some policies may have the potential to intensify socioeconomic and health inequalities rather than ameliorate them.

Suggested Citation

  • Clemens, Timo & Michelsen, Kai & Brand, Helmut, 2014. "Supporting health systems in Europe: added value of EU actions?," Health Economics, Policy and Law, Cambridge University Press, vol. 9(1), pages 49-69, January.
    • Handle: RePEc:cup:hecopl:v:9:y:2014:i:01:p:49-69_00
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    Cited by:

    1. Carsten Strøby Jensen, 2020. "While We Are Waiting for the Superbug: Constitutional Asymmetry and EU Governmental Policies to Combat Antimicrobial Resistance," Journal of Common Market Studies, Wiley Blackwell, vol. 58(6), pages 1361-1376, November.
    2. Azzopardi-Muscat, Natasha & Clemens, Timo & Stoner, Deborah & Brand, Helmut, 2015. "EU Country Specific Recommendations for health systems in the European Semester process: Trends, discourse and predictors," Health Policy, Elsevier, vol. 119(3), pages 375-383.
    3. Kroezen, Marieke & Dussault, Gilles & Craveiro, Isabel & Dieleman, Marjolein & Jansen, Christel & Buchan, James & Barriball, Louise & Rafferty, Anne Marie & Bremner, Jeni & Sermeus, Walter, 2015. "Recruitment and retention of health professionals across Europe: A literature review and multiple case study research," Health Policy, Elsevier, vol. 119(12), pages 1517-1528.

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