structural funds and health cross border health care brussels, 21 march 2006
DESCRIPTION
Structural Funds and health Cross border health care Brussels, 21 March 2006. COHEUR ALAIN Director european affairs. National Union of Socialist Mutual Health Funds. - PowerPoint PPT PresentationTRANSCRIPT
Structural Funds and Structural Funds and healthhealth
Cross border health careCross border health careBrussels, 21 March 2006Brussels, 21 March 2006
COHEUR ALAIN
Director european affairs
Some figures :Some figures :- 19 regional federation- 19 regional federation- 2 925 000 beneficiaries – 30% of the - 2 925 000 beneficiaries – 30% of the populationpopulation- 4 500 employees - 4 500 employees - 20 home service units- 20 home service units- 46 optical centres- 46 optical centres- 58 polyclinics- 58 polyclinics- 6 general hospitals offering 1452 beds- 6 general hospitals offering 1452 beds- 23 warehouses loaning out equipment- 23 warehouses loaning out equipment- 17 holiday centres- 17 holiday centres
National Union of Socialist Mutual Health Funds
3
COMMUNITYCOMMUNITYINITIATIVESINITIATIVES
2000 - 2006
• INTERREG 4.9 billion euro• LEADER 2.0 - -• EQUAL 2.8 - -• URBAN 0.7 - -
TOTAL TOTAL 10.3 10.3 -- --
4
General principles :General principles :- Economic and social cohesionEconomic and social cohesion- Balanced and sustainable development of the European Balanced and sustainable development of the European
territoryterritory- TTerritorial integration with candidate and other erritorial integration with candidate and other
neighbouring countriesneighbouring countries
INTERREG III 2000 - 2006INTERREG III 2000 - 2006
Increased budgetIncreased budget : : - 2000-2006: 4.9 billion euro- 2000-2006: 4.9 billion euro- 1994-1999: 3.6 billion euro- 1994-1999: 3.6 billion euro
3 strands :3 strands : - A : - A : Cross-border co-operationCross-border co-operation (67%)(67%)
- B : Trans-national co-operation- B : Trans-national co-operation (27%)(27%)
- C : Interregional co-operation- C : Interregional co-operation (6%)(6%)
5
Cross BorderCross Borderco-operation co-operation
Eligible Eligible regionsregions
INTERREG III - STRAND AINTERREG III - STRAND A
6
Strand BStrand BCo-operationCo-operation
Areas Areas
7
A : Priority actions (not A : Priority actions (not exhaustive) :exhaustive) :
urban, rural (incl. coastal) urban, rural (incl. coastal) developmentdevelopment
entrepreneurship, SMEs, local entrepreneurship, SMEs, local developmentdevelopment
labour market integration & labour market integration & social inclusionsocial inclusion
RTDI, culture, RTDI, culture, info/communications info/communications networks,networks,
environment and energy environment and energy (espc. renewable)(espc. renewable)
transport infrastructuretransport infrastructure institutional capacity buildinginstitutional capacity building
INTERREG III STRAND A - INTERREG III STRAND A - BB
B : Thematic priorities (not B : Thematic priorities (not exhaustive) : exhaustive) :
Spatial development Spatial development strategies strategies
Cities’ and Rural/Urban co-Cities’ and Rural/Urban co-operationoperation
Transport and Transport and communications systemscommunications systems
Management of natural Management of natural resources (e.g. water)resources (e.g. water)
Management of cultural Management of cultural heritageheritage
Small-scale infrastructureSmall-scale infrastructure Maritime and insular co-Maritime and insular co-
operationoperation
8
Origin of the collaboration in health-careOrigin of the collaboration in health-care
European tendencies:European tendencies: growing mobility of the citizens, esp. in growing mobility of the citizens, esp. in
euregions, the first European citizenseuregions, the first European citizens mobility of working, mobility of living and mobility of working, mobility of living and
residing, migration,…residing, migration,… ageing population in Western Europeageing population in Western Europe growing challenges in health-caregrowing challenges in health-care mobility of patients, especially in border-mobility of patients, especially in border-
regions: "health-care in the neighbourhood, regions: "health-care in the neighbourhood, even across borders"even across borders"
freedom of settlement for providers of health-freedom of settlement for providers of health-care, e-health developments, …care, e-health developments, …
9
Eligible zone between France & Belgium Eligible zone between France & Belgium and Belgium – Germany – The and Belgium – Germany – The
NetherlandsNetherlands
VEURNE
IEPERKORTRIJK
MOUSCRON
TOURNAIATH
MONS
THUIN
PHILIPPEVILLEDINANT
NEUFCHATEAU
VIRTON
BELGIQUE
AISNE
ARDENNES
NORD
FRANCE
10
Cross border care Cross border care INTERREG III STRAND AINTERREG III STRAND A
- Forum for cross border matters and groups together people with numerous skills from organisations involved in health domain (sanitary domain and health insurance)
- Permanent arena for discussion, prospective studies and activities. The partners analyse concrete problems which exist in this area with a view to resolving them in the best possible may
- Bring competence and expertise to those who want to improve access to health care for the citizens in the frontier zone by way of cross border co-operation projects.
The Euregio Meuse-Rhin platform
Franco-Belgian Health Observatory (OFBS)
11
Cross border care Cross border care INTERREG III STRAND AINTERREG III STRAND A
The assignments are as follows :- to have a knowledge not only of the expectations of the population but also the health care available in the border zone
- to carry out studies which open up potentials ways of co-operation and complementarities
- to bring help and advice to projects operators
- to follow legal developments in national and Community law
- to be a vector of communication for the people and the health professionals and healthcare establishments settled on the border zone
- to be a catalyser for the cross border co-operation in the areas of public health and health promotion
The Euregio Meuse-Rhin platform
Franco-Belgian Health Observatory
12
Cross border care Cross border care
INTERREG III STRAND AINTERREG III STRAND A
The Euregio Meuse-Rhin platform
Franco-Belgian Health Observatory
The results :
- Creation of areas of access organised for cross border health care
- interhospital co-operation agreements in diverse domains such as urology, radiology, dialysis, infectious illness, pediaetric heart surgery, medical analysis for genetic illness
- evaluation of the cover for the elderly
- emergency services cross border
- accessibility to information for patients and professionnals via a website
13
Trans national border care Trans national border care
INTERREG III STRAND BINTERREG III STRAND B
The transnationalStrasbourg – Liège – Luxembourg hospital co-operation networkWHY :
To optimise the ways of contributing to the development and to the planning of the territory of North-West Europe
14
Trans national border care Trans national border care
INTERREG III STRAND BINTERREG III STRAND B
The objectivesPooling • potential medical – human – technological – scientific - intellectual• respective know-how
in order to - create an example and centres of excellence in the health sector - create a dynamic between professionals and encourage their mobility - promote the co-ordination of action - develop new techniques of communication, data-processing
15
Cross border care Cross border care
INTERREG III STRAND BINTERREG III STRAND B
The new information technologiesCreation of a transnational data-processing communication networkTreatment of patients and technological innovations in the health sectorTransnational development of innovative cognitive methods of treatment for patients with schizophreniaOptimisation of the treatment and rehabilitation of liver transplant patients in North-West EuropeTechnological innovation and transnational development of cell therapy treatment, haematology and oncologyHuman resources and in-service trainingVocational training for nursing care managersJoint transnational action to improve the quality of care in operating theatres
3 fields of action
16
Cooperation obstacles and difficulties
At the macro level- the historical and legal development of social context
- organization and financing of social security and health insurance
- the legislation in the field of public health, the role played by authorities, social partners and private organizations in the decision-making process concerning the projects and their implementation
17
Cooperation obstacles and difficultiesAt the micro level
- language used
- remuneration of doctors and medical demography
- equivalence of medical protocols
- management of the patient in the sense of continuity of care
- impact of the coverage of care on the hospital budget
- noscomial infections
- financial burden for the patient
18
Synergies and potentials for co-operation
Existence of formal structures can occurs :
- role of facilatator (of assistance) by creating working parties
- role of identifier of supply and demand
- role of negociator (of representative) in the contacts with authorities, providers and insurance organizations
- role of catalyst and diffuser of experiences and results with other partners
19
Synergies and potentials for co-operationCross-border cooperation enables :- better access to health infrastructures and can therefore reduce distances of access and possible waiting lists
- better knowledge of regional and cultural differences and constitutes therefore a powerful factor of integration
- better exchange of information and favours therefore the development of exchange and training for the medical hospital staff
- better consideration of deficiencies and insufficiencies of the offer and can therefore lead to reflections on the maintenance of services or installation of common equipment (cross-border planning of health infrastructures
20
Thank you Thank you very much very much
for your attentionfor your attention