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CoR study: “The management of health systems in the EU Member States – the role of local and regional authorities”

The European Committee of the Regions has recently launched the study “The management of health systems in the EU Member States – the role of local and regional authorities”. The study aims to contribute with the local and regional authorities’ perspective to the Commission initiative “State of Health in the EU”, to provide a better understanding of the local and regional authorities’ role within the health management systems of EU Member States and also to highlight those health-related policy areas where local and regional inputs may add value to EU policy development processes.

The health system profiles are prepared by the European Observatory for Health Systems and Policies and the study is a re-make of the work carried out for the Committee of the Regions in 2011, which can be found here.

The study includes health management system profiles of 28 EU Member States, outlining the structure of health systems, main actors and responsibilities, modalities for the delivery of health care services, financing mechanisms and main types of expenditure. A typology of existing health management systems across the EU is also outlined in the study to allow analysis of the different systems. The five main types of health management systems outlined in the study are: 1) Decentralized systems, 2) partially decentralized systems, 3) operatively decentralized systems, 4) mostly centralized systems, 5) centralized systems. The five main types are all defined in the study and includes characteristics which allows the 28 health systems to be categorized in one of the types. The study concludes by highlighting specific areas where local and regional input could add value in terms of policy development. The highlights are based on the evidence gathered through the inventory compiled of the health systems and trough other recent investigations by the Committee of the Regions.

According to the study, there is scope for input by local and regional authorities in the following policy areas:

·         Effectiveness of health systems

·         Accessibility of health systems

·         Resilience of health systems

To read more, please find the study here. 


CoR bild rapport

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