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WelcomeAt Maastricht University
The “Department of International Health”Teaching and Research in
European Public Health EIPA visit Feb. 2010
“Yugosphere”
(Economist 20.8.09)
Treaty of Rome
European Integration: a peace keeping missionas a prerequisite for Health
Mandate for Health: Maastricht, Amsterdam etc.
Dep. of International Health
• Education• Research• Societal Impact
Education:
BSc, MSc and postgraduate MSc* in “European Public Health”
“Will it work in Europe?”
- How to compare- How to identify best practice- How to advice Governments- Develop a vision of “European Public Health”
(*in planning at UM’s Brussel Campus)
Research:Maastricht University Medical Centre+ (MUMC+) …on its way to an European Academic Hospital
FHML
Focus Points of MUMC+
1. The Wellness Continuum – Sport and Motion
2. Prevention – Nutrition – Personalized Medicine
3. Health Policy – Public Health
4. Risk assessment – reducing threats to society
5. The aging population – Leraning from demographic change
6. Lifelong learning – Knowledge based Society
Health Policy – Public Health
Develop a European Competence Center forHealth Policy Advice
- European Public Health (CAPHRI)
Design Framework for large population studies in Limburg- GGD, Zon Mw (CAPHRI)
Offer meeting place and common ground for ambulatory care organisations = academic health region
- Province (CAPHRI), TIGO
Translational aspects
• Imaging• Biomarker assessment• Genomics• Epidemiology• (clinical) Pharmacology and Toxicology• Individual Counseling/Personalised therapy• Policy advice – Think Tank• “Health landscape” – lifstyle checkpoint• Transparent laboratory – science museum• Biotech –valorisation campus
WHO HFA Database65
70
75
80
85
1970 1980 1990 2000 2010 2020
LatviaPolandEU members before May 2004 EU members since 2004 or 2007
Life expectancy at birth, in years
EU Health Strategy
Expanding EU:growing health gaps Ageing
Population
Climate Change, Pandemic and Bioterrorism Threats
Lifestyle Related DiseasesMigration &
Cross BorderHealthcare
New Technology and Innovation
Globalisation
Citizens wantmore
control
EC 2007
EU Health Strategy as a Research Agenda
Expanding EU:growing health gaps Ageing
Population
Climate Change, Pandemic and Bioterrorism Threats
Lifestyle Related DiseasesMigration &
Cross BorderHealthcare
New Technology and Innovation
Globalisation
Citizens wantmore
control
White paper on NutritionCommunication on AlcoholTobacco control strategy
Health informationHealth Portal
Health Literacy Survey
ECDCSIDARTHa
Interactions with WHO(e.g. Observatory)
Health Services InitiativeProject EUREGIO II/III
Health investments through Structural Funds etcEuregio II/III
E-HealthPublic Health Genomics
PHGEN II/GRaPH-int
Cross-sectoral workHealth in all Policies“Brussels Office”
EC 2007
Research Topics*
• EU Health Strategy– Health in All Policies– X-border care, surveillance, … (EUREGIO II and III)– Use of Structural Funds (EUREGIO III)– Health Literacy (HLS-EU)– „Ethics“ of European Public Health
• Public Health in „South East Europe“
• Surveillance Systems (SIDARTHa)
• Life Long Learning– EUPHA / ASPHER
* Preliminary
What Europe do we want: an “Economic free trade zone” orthe “United States of Europe”?
From “Public Health in Europe”:
Independent Health (Care) systems
Comparing MS
Identifying Best/Good Practice
To “European Public Health”:
Health in all policies (HiaP)
Citizens want Health Protection from the EU
What Health (Care) System(s) come up from the different European ideas?
Which measures to take (OMC)?
“Rare Diseases”as an example
Evaluation Criteria
• Publications• PhD• Money earned• Societal Impact
Rem Koohlhaas, AMO, 2001Reijn Dirksen 1950
As views on Europe change,so has “Public Health”
WelcomeAt Maastricht University
Thank you… and see you in Europe!
Educational Programmes in European Public Health at UM
André Meijer, outgoing programme director EPHPeter Schröder-Bäck, incoming programme director EPH
FHML
UM
BachelorEPH
(consecutive)
Master EPH
Int-Health
(post-graduate)
MasterEPH
@ BrusselsCampus
local, (eu-)regional, (trans-)nationalcross border
PH problems and solutions
European (Union) developments
top down
bottom up
EPH
Mission – Bachelor EPH
• To train students to become all-round specialists in European Public Health;
• Specialists capable of appreciating, analysing and comprehending the impact of European and transnational / cross border developments on – the health of populations and – on public health provisions, – being the organized efforts of society
• to prolong life, • to protect health,• to prevent diseases and • to promote a healthier living
Overview and structure Bachelor EPH
Semester 1: European Public Health Topics Today 30 ECTS
Semester 2: The Shape of Public Health in Europe Today 30 ECTS
Semester 3: European Public Health Objectives 30 ECTS
Semester 4: Minor Period 30 ECTS
Semester 5: Making Public Health Work in Europe 30 ECTS
Semester 6: Europe’s Future of Public Health: placement + thesis 30 ECTS
180 ECTS
Where do our students for Semester 4?• Argentina
Universidad nacional de Córdoba
• AustraliaDeakin University (Melbourne)
• DenmarkSuhr’s University College (Copenhagen)
• GermanyHochschule für Angewandte Wissenschaften HamburgBielefeld University
• Great Britain
Leeds Metropolitan University Loughborough University
• HungaryBudapestPécs
• NorwayUniversity of Bergen
• SwedenMalmö UniversityUniversity of JonköpingÖrebro University
• LithuaniaUniversity of Klaipeda
• MaltaUniversity of Malta etc.
Examples of Placements Semester 6
WHO, Copenhagen: Improving Surveillance Systems of Infectious Diseases
RIVM - Rijksinstituut v. Volksgezondheid en Milieu, Bilthoven:A comparison of health at work policies across Europe
European Public Health Alliance, Brussels:How health topics are brought on the agenda of policy domains
National Heart Foundation, London: Preventing Cardio-Vascular Diseases: A Best Practice Analysis
DG SANCO, Luxembourg: Alcohol Labeling in the EU
Topics of Modules in Bachelor EPHInfectious diseases: Tuberculosis
Social and Cultural Determinants: Work-related Stress and Burn-out
Environmental Determinants: Ambient Particulate Matter
European (Public Health) Institutions
Public sector: Mother and child care
Private sector: Aging in Europe
Alcohol and Drugs Use
Food, Novel Food, Food Safety
Lifestyles as a common denominator?The European Pharmaceutical Market
Health Systems in Europe
European PH policy and practice: planned change
Excursion to Central and Eastern Europe
Health Strategies in Europe
Master EPHMission Statement
The programme will teach skills and knowledge to search and identify best practices, to foster the transfer of best practices, and to implement innovations & best practices.
cf. Lisbon Treaty § 168
Formal Aspects• 1 year programme (40 weeks)• Full-time• English• 8 modules• 60 ECTS
Successive Modules of the M-EPH
No Title Objectives
1 Diversity Recognised and Explored
To explore and understand the present health status of populations and healthcare provisions in the European
Region
2 Diversity Compared To compare health and healthcare in the European Region
3 Diversity Embraces Unity To evaluate and define best practices in prevention and care in the European Region
4 Europe as one Zone To understand the position and role of transnational and European institutions, regulations and agencies in
prevention and care
5 Unity Faces Diversity To learn scenarios for translation and diffusion of innovation
6 From Diversity to Innovation
To acquire knowledge about the implementation of innovative practices in existing settings
7 Monitoring Innovation To work on monitoring, controlling and consolidating innovations
8 The European Union Revisited
To review the EU’s role in the quest for better quality, equity, transferability, innovativeness and
competitiveness in (global) health
Master Thesis To conduct an independent piece of advanced research
Problem-Based Learning
• Lectures, student presentations, workinggroups, excursions, role plays, lectures, workshops, papers, skills trainings etc.
• Tutorials: No lecture halls, but small groups(12 students)
Brainstorming
Independent studyExchange of Information
Problem
Description of a real lifeproblem composed by
faculty staff
What do we know about the subject? (activate own knowledge)
What do we have to find out to solvethe problem? (Learning goals/Learning
objectives)
Read given literature
Find extra information
Answer learning objectives
Did we get to solve the problemand did all group members
understand everything?
How it works…
PBL: The Learning Pyramid (Bales 1996)
Lecture
Reading
Listening & Hearing
Demonstration
Discussion Group
Do-it-yourself
Teach somebody else/ use in practice
5%
10%
20%
30%
50%
75%
80%
Average degree of
Memorization
A unique perspective on public health
Research in EducationLife Long Learning in European Public Health
Katarzyna Czabanowska
Department of International HealthFaculty of Health, Medicine and Life Sciences
Faculty of Health, Medicine and Life Sciences
Why?
• Changing healthcare demands and new health technologies,
• Need for extended repertoire of competencies for PH professionals,
• Evolving expectations of the labour market,
• Aging workforce
Faculty of Health, Medicine and Life Sciences
LLL • is an imperative for PH professionalsBut• LLL practice has not been well
developed in the area of PH.• Little is known about the supply-
demand gaps in PH courses delivered by schools of PH in Europe.
Faculty of Health, Medicine and Life Sciences
“The supply and demand of PH courses in the framework of lifelong learning in Europe” MAASTRICHT University, ASPHER, EUPHA* - a pilot study
goal:• to find out what is the supply of public
health courses in the framework of LLL in the European educational market and
• whether the existent supply meets the expectations of the PH workforce.
*Mikeska, L., (2009) The Supply and Demand of Public Health Courses in the Framework of Lifelong Learning in Europe. A Questionnaire Study. Maastricht University, Faculty of Health, Medicine, and Life Sciences, Bachelor European Public Health. Bachelor Thesis (working paper)
Faculty of Health, Medicine and Life Sciences
an on-line survey addressed:
• schools of Public Health (ASPHER
members)
• professional organizations (EUPHA members)
Faculty of Health, Medicine and Life Sciences
Figure 2. Supply and demand in the categories: ‘Public health speciality’, ‘Behavioural/interpersonal’ and ‘Generic/transferable’.
Mikeska, L., (2009)
Faculty of Health, Medicine and Life Sciences
Results:
• deficit areas between the supply and demand of LLL provision in PH,
• majority of courses in ‘traditional’ PH areas: ‘Epidemiology’, ‘Statistics’…
• most required areas were: ‘Management’, ‘Organizational Planning’, ‘Leadership’, ‘Teamwork’, ’Research’ and ‘Analytical & Critical thinking’.
Faculty of Health, Medicine and Life Sciences
Research plans:
1. Leadership in PH - investigating the potential of blended learning,
2. Assessment of professional competencies,
3. Evidence-based LLL in PH
A challenge: to develop the LLL system for PH professionals based on collaboration of:ASPHER, EUPHA and Maastricht University
Faculty of Health, Medicine and Life Sciences
Symposium on Life Long Learning in Health
11th June 2010
Department of International Health Faculty of Health Medicine and Life Sciences
EU Tender onPublic Health Capacity Development in Europe
Stephan Van den BrouckeDepartment of International Health
Background
• Emerging threats to Public Health– Infectious diseases
Resurgence of "old" infectious diseases and emergence of new ones linked to NCD
– Health inequalities – Global environmental changes– Changing demographic structure (e.g., older population, migration)
• Challenges for the Public Health community– Change of goals
from reduction of disease and mortality to reduction of health inequalities
– Change of approachfrom top-down, bureaucratic knowledge transfer model to a participatory model
– Change of actors• professional experts and decision makers are no longer the only relevant actors• Health in All Policies as a framework for action
Implications for public health capacity• Build the capacity to make a healthy public policy• Build capacity of public health professionals
– broaden professional basis with• Public Health management • Link to policy environment and policy making processes
– Integrate public health capacity in academic institutions – Role of professional associations as advocates
• Reorient health services EU health systems were developed to meet needs of demand-led health care, not enough attention to what sort investments produce most health
• Improve information and research – on the state of health of the population to guide action– on effectiveness of interventions and policies
Capacity Building in Public Health• Narrow meaning: The capacity to deliver specified, high
quality services or responses to particular problems- Defined by set criteria on particular competencies relating to specific
skills, procedures and structures - Linked to performance standards, competency assessment, and quality
improvement• Broader meaning: The capacity of a system to solve
new problems and respond to unfamiliar situations- Defined by more diffuse and complex criteria related to the ability of the
public health community to think creatively, adapt to change, innovate and solve problems
- Linked to leadership, service development, team development, workforce development, and organisational development
Tender: Developing Public Health Capacity in the EU• Consortium led by Dept. International Health UM
Partners: EuroHealthNet, EUPHA, IUHPE, ASPHER, EHMA, European Observatory on Health Systems and Policies, GEOMED
• Aims and objectives– Perform detailed review and systematic mapping of the capacity
in EU MS to develop and implement PH policies and interventions– Identify the main strengths, weaknesses, opportunities and
threats for PH in the EU, to feed into strategic planning to enhance capacity
– Make recommendations for action in areas where EU support could provide added value (including programs and instruments in areas other than public health)
– Identify key gaps in knowledge, capacity, functions and performance, in particular underserved areas
Method
Systematic mapping of PH capacity in the EU27
Assessment of key dimensions of public health capacity
“Atlas” and comparative analysis of public health capacity in EU
Case studies
SWOT analysis to identify current strengths, weaknesses, opportunities and threats for EU public health
Policy dialogues to test recommendations for further action at national/EU level
Development of a public health capacity assessment tool
Capacity mapping tool• Organisational level
– Health information and monitoring systems– Public administrative capacity– Public health aspects of the health service organisation– Programme delivery structures– Capacity to respond to public health emergencies
• Workforce– Availability of qualified human resources (by function/discipline)– Availability and quality of public health training options – Professional associations
• Expenditure on Public HealthCompared to health care budget and other governmental departments
• Partnerships Formal and informal
• Leadership– National policies and plans– Core of experise within the national ministries– Access to external experts
Data collection
• Mixed methodology involving document analysis and focus groups with key informants
– Key expert teams for each EU MS identified through the professional organizations of the Consortium
– Country expert to identify relevant documents related to PH capacity using protocol with pre-defined criteria
– Country experts to conduct a systematic analysis of the documents using the assessment tool
– Focus group with key persons with national expertise in public health in each MS to check completeness and correctness of the capacity assessment
– results of the assessment submitted to key persons of the Ministry of Health for endorsement
• One case study per country to provide more in depth information on capacity to develop and implement a certain policy or intervention
Data analysis & recommendations• Analysis
– Descriptive analysis of the scores on the dimensions of public health capacity per country
– Comparisons of public health capacity between countries– Graphic representation of the differences in public health capacity
within the European Union, using geographical mapping software – Additional in depth and specific analyses – Descriptive analysis of 1specific case study per country, providing
more in depth information of the capacity to develop and implement a certain policy or intervention addressing emerging or new issue for public health
• Recommendations– SWOT analysis to identify strengths, weaknesses, opprtunities, threats– Appreciative inquiry to analyse examples of how public health
professionals and policy makers have developed solutions and implemented change
– Policy dialogues with key decision makers to make suggestions and recommendations for further action
Conclusions
• Developing public health capacity is necessary to address the challenges to public health in Europe
• Public Health capacity models can guide efforts to enhance capacity
• Tender on developing Public Health capacity in the EU provides an opportunity to map capacities of MS and EU to address SDHI, and to provide recommendations for enhancement
Kristine SørensenDepartment of International Health
Health literacy
Introduction
The HLS-EU project
• Definition of health literacy • Objectives and outcomes • The milestones • The partners • The network on health literacy
HLS●EU
Definition of health literacy
Health literacy encompasses people’s capacities, skills, knowledge and motivation
to access, understand, appraise and use health information in written, spoken or digital form,
in order to form judgments and take decisions in terms of using the healthcare system, disease prevention and health promotion,
to improve quality of life throughout the life course
Objectives and outcomes
1. Establish a network for health literacy in Europe
2. Develop a European model instrument to measure health literacy
3. Generate first-time data on health literacy in the participating countries to provide indicators for monitoring at national and EU level
4. Perform a comparative assessment of health literacy in the participating countries
5. Achieve sustainability by establishing national committees on health literacy
The milestones
• 2009 Project organizationConceptual discussions
• 2010 Pilot and surveyData analysis
• 2011 ValorisationFinal conference
The partnersMaastricht University (main partner)Ass. Prof. Dr. S. van den BrouckeProf. Dr. H. Brand The Netherlands
Ludwig Boltzmann Gesellschaft GmbHProf. Dr. J. PelikanVienna, Austria
Faculty of Public Health, Medical UniversityProf. Dr. K. TchamovSofia, Bulgaria
Landesinstitut für Arbeit und GesundheitNRW
Dr. Wolfgang HellmeierDüsseldorf, Germany
National School of Public HealthProf. Dr. D. AgrafiotisAthens, Greece
University College Dublin, University of IrelandDr. G. DoyleIreland
National Institute of Public Health and the Environment(RIVM)Dr. M. DroomersThe Netherlands
Instytut KardiologiiIm. Prymasa Tysi�clecia Stefana Kardyna�aWyszy�skiegoProf. Dr. Z. SlonskaWarsaw, Poland
Fundació Biblioteca Josep LaporteDr. A. JowellBarcelona, Spain
The network on health literacy
Providing a platform for developing health literacy in Europe among stakeholders such as health professionals, medical staff, decision-makers etc. – Sharing knowledge– Stimulate research– Stimulate political attention– Explore solutions and activities
Conclusion
• Provoking the concept of health literacy• Expanding the European dimensions• Stimulating political actions• Aiming for a better health of Europeans• Health literacy as part of medical and
health related professionalization
Syndromic Surveillance…
…new application of a traditional public health tool
Nicole Rosenkoetter I Helmut Brand I Genc Burazeri I Janneke Kraan
DefinitionsSurveillance
The ongoing systematic collection, analysis and interpretation of healthdata essential to the planning, implementation, and evaluation of publichealth practice, closely integrated with the timely dissemination of these data to those responsible for prevention and control. CDC
Cycle of Surveillance
• occurrence of a health event in the population• detection by health care provider• notification of a health agency• analysis and interpretation of aggregated data• dissemination of the results
Examples
LIGA.NRW, Germany – Week 3/2010
ExamplesOutbreak of wound botulism in injecting drug users in Germany, October-December 2005
The Robert Koch-Institut (RKI) issued alerts through the European Early Warning System (EWRS) and the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) on 14 November. Two notices on the outbreak have been published in the national epidemiological bulletin [1,2].
If the vehicle of infection is contaminated heroin, it is possible that similar cases may be occurring elsewhere in Europe, and Dr Katharina Alpers at RKI would be grateful to receive information.
Syndromic surveillance
Grouping of large numbers of symptoms and data regarding non-traditional sources of information are labelled as ‘syndromic surveillance’.
Syndromes are…Influenza-like-Illnesses, Gastrointestinal Syndrome, …
Data sources are…School absenteeismOver-the-counter sales of drugs (e.g. anti-diarrheals)Web queriesData from emergency medical services
Advantages
Electronical
ly and
immediateavaila
ble
Example web queries as data source
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NRWgoogle trend searches "influenza" NRW
Week 17First report of influenza cases (Type new influenza, H1N1) in Mexico
Week 20/21First cases with new influenza (H1N1) in NRW
IntHealthcooperation with…
• General objective
• DG SANCO fundedproject (June 2008-December 2010)
ROUTINE DATA
ROUTINE DATA
ROUTINE DATA
REPORT/ALERT
REPORT/ALERT
REPORT/ALERT
REPORT/ALERT
REPORT/ALERT
REPORT/ALERT
REPORT/ALERT
Routine data from (i) emergencymedical dispatch centres, (ii)
ambulance patient documentationsand (iii) emergency department
information systemsis analysed for spatial and
temporal abberations at theregional level.
SIDARTHa alerts emergency professionals and regional publichealth authorities if a threshold is exceeded;
Via national authorities the European Commission, ECDC andWHO can be informed about regional and cross-border alerts;
SIDARTHa can be used for risk communication about the event;SIDARTHa only complements
but does not replace any existing system.
Tasks IntHealth
• Historical data analysis of data sets fromdifferent EU regions
– To identify differences/similarities in informationavailability
– To identify variables which can be used for syndromegeneration
– To identify patterns in the occurrence of events(Seasonal, daily variations)
– To test different early detection algorithms and theirrequirements for implementation
Expected outcomes
• Enhancement of cross border surveillance• Improved communication and networking among
European emergency medical professionals and health authorities by providing a risk communication platform
• Improved preparedness• Improved knowledge and understanding on the
use of emergency data for syndromic surveillance
Thanks for your attention!
WelcomeAt Maastricht University
Southeast European Southeast European PhDPhD--Research Network Research Network (SEE(SEE--PhD)PhD)
GENC BURAZERI, HELMUT BRANDGENC BURAZERI, HELMUT BRAND
Public Health Challenges in SEE
• Compared with the EU countries, SEE region is characterized by higher death rates including not only infant mortality and maternal death, but also cardiovascular mortality and injuries.
• Therefore, there is an urgent need to reconstruct public health research and training in SEE countries in order to improve living conditions in this region and to build bridges with the EU and thus to further integration.
Public Health ResearchChallenges in the SEE region
A general characteristic in almost all SEE countries relates to the comparable problems they face for engaging in research work which include:
•lack of funds
•lack of expertise
•lack of ”good data”
Public Health Research Network for Southeast Europe (PHR-Net)
• Kick-off meeting: April 16-17, 2009, Maastricht
• Participating centers: 7 countries (Albania, Bulgaria, Croatia, Macedonia,Romania, Serbia, Slovenia);
• Coordinating center: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University.
Aim of the PHR-Net
”To promote, provide guidance and support different research activities and research projects in SEE countries”.
• Expertise is desperately needed in all SEE countries in order to scientifically analyse the broad range of public health issues and, more importantly, to intervene at the population level;
• For each SEE country, the cooperation with other institutions in the region and especially collaboration with the EU organizations will be mandatory in view of the accession process;
• None of the SEE countries has enough resources to organize and conduct on its own high-quality research work.
Arguments in favour of establishment of the PHR-Net
”Targets” of PHR-Net• Establishment of a comprehensive list of priorities
for public health research in SEE countries based on a detailed analysis of the situation;
• Identification of present and future capacities to execute and conduct public health research work in SEE countries;
• Identification of suitable instiutions, agencies and funding opportunities to conduct research work in SEE region.
”Operationalization” of PHR-Net
• Establishment of an effective SEE-PhD network including candidates from Serbia, Macedonia, Albania, Kosovo, Bulgaria and Romania.
• External Ph.D. program (”zero appointment”)affiliated to the Department of International Health, UM.
Features of the SEE-PhD Program
• Duration: 2-3 years
• Sandwich-type (2-3 UM visits/year)
• Supervisor: Head of DIH
• All steps (including data collection) conducted at home institution (under supervision of a local supervisor).
• Ph.D. degree awarded (at UM) upon successful
thesis defence and/or publications.
SEE-PhD: Expected Outcomes
• Design and implementation of up-to-date and relevant public health research projects in order to inform policy and improve populations’ health in the SEE region.
• Comparative analysis of health indicators within SEE countries and between SEE region and the EU countries.
SEE-PhD: Expected Outcomes (cont.)
• Establishment of effective and sustainable partnerships between the EU and the SEE region, involving the EU research and academic institutions in the SEE countries.
• Capacity building for public health research and training, targeting especially the existing and the newly established Schools of Public Health and other training institutions, Institutes of Public Health and Public Health Associations in SEE countries.
Kai Michelsen Chibuzo OparaDepartment of International Health
EUREGIO II
The project EUREGIO II is funded by the European Union under the framework of the Public Health Programme (Grant Agreement No. 20077118, 12.2008 – 30.11.2011)
www.euregio2.euThe EUREGIO projects
EUREGIO I, II, III
Evaluation of cross border activities in the European
Union(EUREGIO)
Solutions for improvinghealth care cooperation in
border regions(EUREGIO II)
Health investments in Structural Funds 2000-
2006: learning lessons to inform regions in the
2007-2013 period(EUREGIO III)
20
04
-20
07
20
09
-20
11
Background• Mobility of patients: a somewhat
marginal phenomenon• Nevertheless: important phenomenon in
certain areas and contexts– tourist areas, border regions, specific
provider strategies to attract foreign patients, sometimes large expenditures for some economic units within health care systems
Need to support planning, implementation and monitoring, to ensure transparency and to reduce legal ambiguity
(Baeten/Martin McKee/Rosenmöller 2006: 179)
• And: border regions as practice laboratories
Evaluation of cross border activities in the European Union (EUREGIO, 2004-2007)
To contribute to• a comprehensive overview of
health related projects in border regions (e.g. funded by Interreg)
• share experiences of good practice and knowledge on cross-border cooperation from which other projects could benefit
• the setting up of networks• hypotheses on promoting and
hindering factors of successful projects
www.euregio.nrw.de
Solutions for improving health care cooperation in border regions (EUREGIO II, 2009-2011)
Better utilisation of resources:
• Handbook for the realisation of cross border projects (incl. Interreg IVa funds)
• Test of “local Health Technology Assessment” in small regions with multiple health systems
• Legal expertises about data protection and tort rights
www.euregio2.eu
Time schedule EUREGIO II
1/20
09
1/20
10
1/20
11
1/20
12
Handbook
Survey / Interviews
local HTA
Publications
Legal Aspects
(Draft) (Development)
www.euregio2.eu
Solutions for improving health care cooperation in border regions (EUREGIO II, 2009-2011)
Project leader• Maastricht University, Department of International
Health (The Netherlands)Co-Beneficiaries• Gesundheitsamt Kreis Heinsberg (Heinsberg, Germany)• Euregio Rhein-Waal (ERW; Kleve, Germany)• Gesundheitsmanagement Burger-Wieland (Vienna,
Austria)• European Hospital and Healthcare Federation (HOPE;
Brussels, Belgium)• Association of European Border Regions (AEBR;
Gronau, Germany)• Landesinstitut für Gesundheit und Arbeit NRW
(LIGA.NRW; Düsseldorf/Bielefeld/Münster)Collaborating Partners• Deutsches Institut für Medizinische Dokumentation und
Information (DIMDI; Köln, Germany)• ECORYS Research Rotterdam (The Netherlands)• WHO Regional Office for Europe (Copenhagen,
Denmark)• Regione del Veneto, International Health Social Affaire
Office Venice (Venice, Italy)• Cooperation and Working Together (CAWT;
Londonderry, Ireland)• Medical University Sofia, Faculty of Public Health (Sofia,
Bulgaria)• Center for Health Policies and Services (Bucharest,
Romania)www.euregio2.eu
Crossborder Cooperation Areas 2007
EU Cohesion Policy: The budget
http://ec.europa.eu/regional_policy/policy/fonds/2007-2013-by-objective_large_en.gif
Convergence andRegional Competitiveness Objectives
http://ec.europa.eu/regional_policy/atlas2007/index_en.htm
Areas of health investment within EU SF
Health Investments in Structural Funds 2000-2006: learning lessonsto inform regions in the 2007-2013 period (EUREGIO III, 2009-2011)
1. Review EUREGIO and agree best actions inclusion criteria
2. Learning lessons from health investments in the 2000-2006 period (and 2007-2013 period when available)
3. Clarifying regional support needs
4. Opportunities and barriers to knowledge exchange
5. Central access point and maximising uptake
6. Dissemination
7. Sustainable outcomes for the 2007-2013 period and beyond
www.euregio3.eu
Health Investments in Structural Funds 2000-2006: learning lessonsto inform regions in the 2007-2013 period (EUREGIO III, 2009-2011)
Work packages:• WP1: Coordination• WP2: Dissemination• WP3: Evaluation• WP4: Scientific background• WP5: Inventory of case materials• WP6: Inventory of stakeholders,
expertise and resources• WP7: Website and knowledge
database• WP8: Training materials package• WP9: Master classes• WP10: Reference Group
www.euregio3.eu
Health Investments in Structural Funds 2000-2006: learning lessonsto inform regions in the 2007-2013 period (EUREGIO III, 2009-2011)
Associate Partners• HealthClusterNet• European Centre for Health Assets & Architecture• Veneto Region• University of Maastricht• Liverpool University• EMK-Semmelweis UniversityReference Group• National SF Managing Authorities for Hungary, Poland,
Slovakia, Estonia, Bulgaria, Greece• Ruppiner-Kliniken/UMC representing Brandenburg• 5 other organisations representing former Objective 1
RegionsCollaborating partners• Assembly of European Regions• Regional Development Committee-European Parliament• EUROHEALTHNET• European Regeneration Areas Network (QeC-ERAN)• EIB• European Health Management Association (EHMA)• European Regional and Local Health Authorities
(EUREGHA)• European Association of Development Agencies Stakeholders• Executive Agency for Health and Consumers (EAHC)• DG SANCO - C2 (Health Information) and C5 Health
Strategy and Health Systems)• DG REGIO - D2 Thematic Development & Innovation• DG EMPLOY, DG ENTERPRISE
www.euregio3.eu
Thank you!
This presentation arises from the project“Solutions for improving health care cooperation in border regions” (EUREGIO II)
which has received funding from the European Union, in the framework of the Public Health Programme (Grant Agreement No. 2007118).