National Health Services In The EU 2022-2023 PDF

30/08/2022 Together for Health: A strategic approach for the UE Introducció a la Salut 2022 - 2023 The EU fully respects the responsibilities of the Member States for the organisation and delivery of health services and health care. Tema S7: National Health Services in the EU Antoni Trilla, MD,...

30/08/2022 Together for Health: A strategic approach for the UE Introducció a la Salut 2022 - 2023 The EU fully respects the responsibilities of the Member States for the organisation and delivery of health services and health care. Tema S7: National Health Services in the EU Antoni Trilla, MD, PhD, MSc School of Medicine and Health Sciences – UB Hospital Clinic of Barcelona @Toni Trilla 1 4 Outline: EU health strategy (I) 1.- The EU role in health. 2.- Free movement of workers 3.- The working time directive 4.- Basic EU health statistics 1.- Cooperation, exchange of information and knowledge (e.g.: Eurostat, common purchase of vaccines, European Medicines Agency…) 2 2.- Rapid response to health threats (control of infectious diseases) (e.g.: European Center for Disease Control, ECDC) 5 Together for Health: A strategic approach for the UE Health is central in people's lives. Health is the aim of policies and actions by the EU Member States. EU Member States have the main responsibility for health policy and for the provision of healthcare to EU citizens. http://epp.eurostat.ec.europa.eu/portal/page/portal/eurostat/home 3 6 1 30/08/2022 Rights of EU citizens to establish themselves or to provide services anywhere in the EU EU rules guarantee the mutual recognition of professional qualifications between Member States. These rules are: - Harmonisation of training requirements - Automatic recognition of professional qualifications http://epp.eurostat.ec.europa.eu/portal/page/portal/eurostat/home 7 10 The EU Working Time Directive (EWTD): Set of regulations concerning hours of work, designed to protect the health and safety of the workers. Key features: - Maximum working week time: 48 hours in 7 days (average over 6 months) - 11 hours of rest a day - A right to a day off each week - A right to a rest break if the working day is > 6 hours - A total of 5.6 weeks paid leave each year. Very important for physicians’ on-duty shifts! http://www.ecdc.europa.eu/en/Pages/home.aspx 8 11 EU health strategy (II) 3.- Patient safety and quality of healthcare 4.- Mobility of health professionals and patients 9 12 2 30/08/2022 Health expenditures as % of GDP (2020) Number of practising physicians per 1000 inhabitants (2019) 20 7 18,8 6,2 6 17 4,4 4,2 10,3 11 10,9 8 7,3 5,9 4 9,9 9,8 9,5 8,9 8,5 8 3,2 4,1 3,3 3,2 4,4 4,3 3,7 3 3 6,8 5,6 2,6 2 5 1 2 -1 5,3 5 14 0 BEL DEN FRA GER GRE IRL ITA NET POR SPA SWE UK BEL USA DEN FRA GER GRE IRL ITA NET POR SPA SWE 13 UK USA Font: Estadístiques OCDE - 2021 Font: Estadístiques Ministerio de Sanidad y OCDE - 2021 16 Health expenditures by country (2020) % distribution public vs private Number of Medical graduates per 100.000 inhabitants (2019) 28 100% 23 17 23 22 26 26 40 75% 15 44 39 21 29 25,8 23 24 20 49 17,6 17,6 15,1 16 50% 77 83 77 78 74 74 60 25% 85 66 61 12 79 71 12,3 51 15,8 14 12,5 13,5 13,1 9,5 8,1 8 4 0% BEL DEN FRA GER GRE IRL ITA NET POR SPA SWE UK USA 0 BEL DEN FRA GER GRE IRL ITA NET POR SPA SWE Font: Estadístiques OCDE - 2021 UK USA Font: Estadístiques OCDE - 2021 14 17 Health expenditures (€) per càpita (2020) (PPP) Number of nurses* per 1000 inhabitants (2019) 16 12000 10948 10000 12 12,9 11,1 6518 5458 5478 5274 5739 5083 8,2 5,9 3,4 4 2319 7,1 6,2 6 3347 3600 10,9 10,7 8 5552 4500 3653 4000 12 11,1 10,1 10 8000 6000 13,9 14 2 2000 0 0 BEL BEL DEN FRA GER GRE IRL ITA NET POR SPA SWE UK USA Font: Estadístiques OCDE - 2021 15 DEN FRA GER GRE IRL ITA NET POR SPA SWE UK USA *Nurses does not include nursing aids. Midwives are excluded (except in IRL and SPA) Font: Estadistiques de la OCDE - 2007 GRE only reports nurses working in hospitals Font: Estadistiques de la OCDE - 2021 18 3 30/08/2022 Number of Nursing graduates per 100.000 inhabitants (2019) 70 66,6 60 50 40 65,6 58,6 54,3 44,7 43,2 40,4 31,1 28,9 30 20 30,9 26,6 21,8 18,4 10 0 BEL DEN FRA GER GRE IRL ITA NET POR SPA SWE Nursing graduates include graduates from both higher-level and lower-level nursing programmes in countries where this distinction exists. UK USA Font: Estadístiques OCDE - 2021 19 Europa, com opció bàsica, ha de fer un exercici d’equilibri entre la nova economia i l’estat del benestar, adaptant-lo als temps actuals. Europa segueix essent el lloc més bonic i civilitzat del món, però, com algunes antigues residències, té la necessitat imperiosa de fer el seu manteniment i una renovació a fons. Indro Montanelli Premi Princep d'Astúries 1996 20 Summary: 1.2.3.4.5.6.- The EU role in healthcare is limited. Member States are responsible of health care. EU Doctors can work in any UE Member State. The working time directive. All EU National Health Systems are based in public coverage. Basic data are different between UE States. 21 4