Thursday, May 10, 2012

[EQ] Health systems, health, wealth and societal well-being. Assessing the case for investing in health systems

Health systems, health, wealth and societal well-being
Assessing the case for investing in health systems

Edited by Josep Figueras and Martin McKee
Published by Open University Press
World Health Organization 2012 on behalf of the European Observatory on Health Systems and Policies

Available online PDF [330p.] at:

“…..Member States in the WHO European Region are facing a formidable economic crisis that is also calling into question the sustainability of the European social welfare model as a whole and necessitating even greater cost–effectiveness of health systems. Policy-makers are being called on to account for each and every area of public expenditure and are expected to maximize value for money; indeed, the sizeable share of public money that is devoted to health and the ever-increasing cost pressures and demands to cut public expenditure put health systems at the heart of the policy debate….”

‘….The new policy argues for ‘whole-of-government’ and ‘whole-of-society’ approaches that will consolidate the ideals encompassed in health in all policies.

This concept emphasizes the need to improve the integration of government activities with health and to reach out beyond government to engage patients and citizens, developing a responsive and inclusive approach to governance for health.

The policy will be accompanied by a raft of evidence that underlines its rationale, most particularly around enabling implementation – a lynchpin for policy success. This includes a review of social determinants and the health divide in the European Region, pointing towards successful interventions, and studies on the economics of prevention and on effective tools to improve health governance……..”



one Health systems, health, wealth and societal well-being: an introduction

two Understanding health systems: scope, functions and objectives

three Re-examining the cost pressures on health systems

four Economic costs of ill health in the European Region

five Saving lives? The contribution of health care to population health

six The contribution of public health interventions: an economic perspective

seven Evidence for strategies to reduce socioeconomic inequalities in health in Europe

eight Being responsive to citizens’ expectations: the role of health services in responsiveness and satisfaction

nine Assessing health reform trends in Europe

ten Performance measurement for health system improvement: experiences, challenges and prospects

eleven Investing in health systems: drawing the lessons



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