Institute za varovanje zdravja Republike Slovenije
Institute za varovanje zdravja Republike Slovenije
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2009-3.2-4 | Award Amount: 5.77M | Year: 2010
EUCBCC aims to facilitate a process whereby Europes citizens can make informed choices about whether to seek health care in another Member State and, if they so choose, to ensure that the admin and clinical processes are straightforward and ensure continuity of care. It takes as its starting point the recent draft Directive on Patients Rights, augmented by the existing body of research on cross-border care. It then focuses on those areas where the necessary information is incomplete and seeks to fill the gaps. It is equally important to state what it does not do. It does not seek to quantify the scale of movement because our earlier research reveals this to be a dynamic area where data are often unavailable and rapidly become out of date. EUCBCC firstly examines five aspects of health care delivery where it will be necessary for procedures to be compatible if patients are to be assured that the care they receive is safe, of adequate quality, and capable of providing continuity where some parts of the overall care process are provided in different Member States. These are: provisions with regard to the continuing quality health professionals; treatment pathways; public reporting of quality; content and scope of medical records; and medical prescribing. Secondly, it looks at three areas where there is already cross-border collaboration, to identify practical issues that have arisen and how they have (not) addressed. These areas of practice are collaborations between hospitals in border areas, telemedicine, and dentistry. The research on the first set of topics generally takes place on two levels. The first involves a series of pan-European surveys to identify the nature of the phenomenon in, as far as possible, all Member States. The second involves focused studies in key areas geographical of subject areas that capture important issues. The methods used are both quantitative and qualitative and involve contributions from a broad range of disciplines.
Agency: European Commission | Branch: FP7 | Program: CSA-CA | Phase: ENV.2008.1.2.1.3. | Award Amount: 1.14M | Year: 2009
This proposal puts forward plans to establish a research network of experts on noise and health in Europe. This network will establish future research directions and policy needs in Europe. The network will review the existing literature on environmental noise exposure and health focussing on the consolidation of existing state of the art knowledge and the identification of gaps in the evidence and future research needs and hypotheses to be tested. In the network we will train junior researchers in noise and health through setting up an exchange network across Europe. The network will focus on noise exposure assessment in health studies in order to build more complex analytical models of noise and health effects that take into account moderating factors including the joint effects of air pollution and noise. A specific function of the network will be to establish communication between researchers on noise and researchers on air pollution. We will improve the measurement of health outcomes relevant to noise research and strengthen the available methodologies for future research, by extending analyses on existing research taking advantage of the large EU-funded RANCH and HYENA studies and relevant national studies. We will develop novel designs for research on noise and health to provide to the EU a new strategy for the development of noise and health research in the future. We will disseminate the results to the EU, to national governments, to fellow researchers, and other stakeholders.
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2007-4.2-4 | Award Amount: 2.81M | Year: 2008
The implementation of a prevention-oriented injury surveillance in the EU is a major demand towards the Member States in the recent EC Council Recommendations on the prevention of injury and the promotion of safety. Needed in particular are valid and reliable indicators for the array of external causes of injury morbidity, like involved activities, products and mechanisms, and for the most severe consequences of injuries besides death long term and chronic disabilities . Whereas no single EU health statistics fulfills that demand to date, the integration of two existing data sources the prevention-oriented European Injury Database (IDB ) and the routine Hospital Discharge Registers (HDR) is considered the most promising approach to that avail. However, substantial methodological improvement in IDB sampling, research into the operationalization of disability indicators for the HDR, and technological advancement for a streamlined data collection for both data systems are required. The INTEGRIS project aims to provide the necessary research and technology input for the IDB-HDR integration through an evaluated demonstration project in six Member States. This aim links to chapter 4.2 of the call 2007 Responding to EU policy needs in Health Statistics in the field of hospital based injury statistics, 4.2.4: Health Statistics and Rare Events (HEALTH-2007) in particular. The resulting IDB-HDR data model and INTEGRIS prototype shall meet the statistical quality criteria of Eurostat (European Statistical System) and the public health requirements of the EU Health Indicators (ECHI ). A successful evaluation provided, an EU-level implementation plan will be proposed for adoption by the relevant stakeholders and decision makers.
Agency: European Commission | Branch: FP7 | Program: CSA-SA | Phase: SiS-2007-188.8.131.52 | Award Amount: 737.38K | Year: 2009
Public health is of growing importance to the European Union and its citizens. STEPS is designed to increase civil society organisation participation in the development of public health research in each of the twelve new member states, and in Europe as a whole. The project has three partners. Coordination and project management are led by UCL, and the coordinator will also promote engagement of national ministries of health. The European Public Health Association (EUPHA) will engage its member national public health associations, support the Steering Group and maintain the web knowledge base. The Latvian Public Health Network (LPHN) will engage the health NGOs in each country and strengthen Europe-wide alliances. Together, EUPHA and LPHN will hold national workshops between these national partners to address the development of public health research in each country, taking a particular theme relevant to their own perspectives. Each will provide a report and generate discussion of the research issues among citizens through their organisations and national media. Reports from the twelve national workshops will be presented at the annual European conference of EUPHA in Poland, and learning drawn for comparisons which can be shared across the new member states and also with European level alliances. There will be international dissemination through the Council for Health Research and Development and Global Forum for Health Research. STEPS will increase citizen engagement in public health research in the new member states, and more broadly promote public health research within the developing European Research Area.
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2007-3.3-4 | Award Amount: 3.84M | Year: 2008
Suicide is a serious public health problem in the EU calling for effective interventions. The aim of this project is to provide EU member states with an evidence based prevention concept, concrete materials and instruments for running and evaluating these interventions and recommendations for the proper implementation of the intervention. These aims will be achieved by the following objectives: > Analysis of differences in suicide rates among European countries and harmonisation of procedures for definition, assessment and evaluation of suicidality > Development of a state of the art intervention concept for the prevention of suicidality that considers current evidence-based best practices and international experiences with multilevel interventions, such as that of the European Alliance Against Depression > Implementation of comparable multilevel community based prevention interventions in four European model regions > Evaluation of the interventions in a pre-post, controlled and cross-nationally comparable design concerning effectiveness with respect to both suicides and non-fatal suicidal acts, efficiency (including health economic evaluations), involved processes and finally the interplay between the single intervention measures > Distribution of an optimised suicide preventive intervention concept, corresponding materials and instruments, and recommendations for implementation to policy makers and stakeholders
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2007-3.2-2 | Award Amount: 3.89M | Year: 2008
The objective of this 3-year project is to construct and validate a general model to describe and analyse long-term care (LTC) systems for older people from a European perspective. The particular aspects of the different emerging national models that currently address long-term care needs in Europe will be used to show how the links to health care services, the quality of LTC services, the incentives for prevention and rehabilitation, and the support for informal carers can be governed and financed to enhance structures, processes and outcomes of LTC systems. Based on the assumption that LTC systems in Europe have only started to develop at the boundaries of health and social care, the project will focus on the elaboration of concepts, indicators and models for policies and practice at the interfaces and links between health systems and LTC. Good practice determinants will be identified and validated across countries. A European state of the art model for describing and analysing long-term care provision will thus be constructed as an analytical toolbox that takes into account pathways of reform policies at any stage of a national LTC systems development. The project outcome will guide policy analysis and design, permit comparison and will substantially broaden the scientific base that supports the Member States to better organise their health and LTC systems. It will also integrate the professional and the non-professional domain with inputs from a wide range of stakeholders by means of National Expert Panels and European-level Sounding Board Conferences. The project will be carried out by a consortium of 17 partners from universities, national and international research institutes with international and interdisciplinary expertise, also in cross-national research. The consortium represents 14 Member States covering different welfare regimes and geographical domains to allow for the regional and developmental, path-dependent differences to be addressed.
Agency: European Commission | Branch: FP7 | Program: CSA-CA | Phase: HEALTH-2009-3.3-5 | Award Amount: 1.78M | Year: 2010
The European Commission and other funding agencies make a large investment in child health research. The health of our children is satisfactory, but there are serious concerns, for example, obesity, mental health, alcohol abuse, and sexuality. We know that there are strong links between the health of young people and their social inclusion and level of education. Our objective is to establish a sustainable network for researchers, funders, policy makers, advocates and young people in Europe, to support collaboration in developing the future of child health research. We will produce an inventory of research, and reports, on gaps in research, and on roadmaps for the future of research. Our co-ordination will establish a unique, open, multi-lingual platform for child health research. This will embrace the full multi-disciplinary diversity of European research, while addressing fragmentation by making the parts visible, and supporting multi-lingual input and searching. We will develop formal processes for finding gaps in research, and for making roadmaps. We will use these to find current gaps, and make roadmaps for the future, including for the necessary research capacity. We will promote our work and our results in a series of meetings open to researchers and other stakeholders. Our consortium is a multi-disciplinary team, with great experience in doing innovative child health research in Europe, in developing, and in delivering child health strategies at national, and European level. This mixture of skills and experience gives us a unique perspective on the strategic problems at European level. We have an Expert Group, including young people, advocates, and researchers who will support us. RICHE will support the development and implementation of child health research strategies, and the use of evidence for child health action. These in turn will support innovative research, improve social policy for children, and so improve the quality of life of European children.
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2007-3.2-3 | Award Amount: 3.10M | Year: 2009
Health professionals have always moved to, from and within Europe for work and other reasons. However, concerns about the scale of movement and its impacts on health systems are increasing. New disease patterns, new technology and increasingly global markets have multiplied pressures on health systems. Policy makers and managers need to respond but do not know enough about what is happening. EHMA and European Observatory on Health Systems and Policies are leading a multi-disciplinary team to address this information gap. 11 partners from 8 EU MS with 24 country correspondents / informants will provide missing data, an understanding of drivers for movement, and insights into mobilitys impact on health system access quality and sustainability. They will address 6 key objectives by answering the questions How much professional mobility is there? What is it about countries, health systems and people that encourage professionals to move? What does mobility do to systems, professionals and patients? What policy responses make a difference? What are the future challenges? What can decision makers do? This project progresses beyond the state of art by providing comprehensive maps of professional mobility and 19 country case studies. It will also capture and assess effective responses. Recommendations will be framed for policy makers and managers and reflect the likelihood of future change. They will emphasize accessible options and implementation of initiatives to recruit, integrate or retain staff. This project is timely, particularly given the complex risks and benefits of a fluid workforce, EU growth and the sometimes competing agendas of Lisbon and a Social Europe. The project will mix methods from quantitative data analysis to focus groups considering the international, national, regional and institutional levels; to best answer the questions above; and generate advice for stronger, more appropriate human resource policies.
Grilc E.,Institute Za Varovanje Zdravja Republike Slovenije
Zdravstveno Varstvo | Year: 2012
Introduction: The surveillance of infectious diarrhoea (ID) in Slovenia is based on the Law on Communicable Diseases (Official Gazette 33 / 06) and the Act on Registration (Official Gazette 16/99). The incidence of ID is based on passive notification.Methods: The epidemiological situation of infectious diarrhoea in Slovenia from 1999 to 2009 was estimated. The estimation was based on notifications.Results: From 1999 to 2009, the incidence of all ID inclusive of bacterial, viral and unknown etiology increased. The incidence of all ID increased for 61% from 1999 to 2009 in spite of decrease of incidence of bacterial ID. The incidence of viral enteritis increased: the incidence of rotavirus enteritis by 80% and the incidence of norovirus enteritis by 360%. On the contrary, the incidence of bacterial gastroenterocolitis decreased. The decrease in incidence was greatest for salmonella ID (71%), then E.coli ID (53%) and campylobacter ID (32%). The average incidence of all ID from 1999 to 2009 was 536 / 100 000 inhabitants.Conclusions: Notifications for all ID comprise a quarter of all the notifications of all infectious diseases and remain an important public health problem.
Agency: European Commission | Branch: FP7 | Program: CP-FP | Phase: HEALTH-2009-3.2-2 | Award Amount: 3.40M | Year: 2010
ECHO, European Collaboration for Healthcare Optimization, gathers the interests for Healthcare Performance Measurement of different Academic and Research Institutions from six European countries and an International Body for Healthcare Policy Analysis. Designed as a 48 months project, it has been conceived as a pilot study based on available administrative databases. It aims at describing the actual performance of six different Healthcare Systems at hospital, healthcare area, regional and country level. To tackle performance measurement in this project, two different methodological approaches will be used: [a] a population geographical-based, responding the question: Is the access to a diagnostic or surgical procedure dependant on the place where a person lives? And, [b] a provider-specific, answering the question: Is the risk for a patient to access high quality care -and have better health outcomes- different regarding the provider in which he or she is admitted? Utilization, equity in access and allocative efficiency will be analysed as performance measures in the former approach; and, healthcare outcomes and associated costs will be measures in the latter one. ECHO has been envisaged as a five work packages project. The first two work packages are devoted to prepare the core work package (WP#3) Performance Measurement and Report; so, the WP#1 is committed with the creation of the ECHO Data Warehouse and the second one is dedicated to the Methodological foundations of the project. Work packages #4 (web-based tools development) and #5 (dissemination) are carefully thought to ease the diffusion of our findings to decision-makers; in the former, a web-based analytical tool will allow advanced users to replicate methods and analysis; in the latter, local key agents like policy decision-makers and managers, will feed the findings making them transferable to their own decision-making process.