Investing in Health from the EU
Structural Funds :
Hospital Perspective and Beyond
Rostislava Dimitrova
Policy officer
Unit” Health Strategy and Health Systems”
DG Health and Consumers
European Commission
1
Content
I.
II.
III.
Political context for the health systems in
the EU
Post 2013 Cohesion policy and Health
Investing in hospitals of the future
2
Political Context for the Health
Systems in the EU
EPSCO Council
Social Protection Committee and OMC access, quality and equity of healthcare
ECOFIN
Ecinomic Policy Commitee : manadate to
Ageing Woriking Group in March 2010 to
produce a report on health sysems efficiency
ECOFIN Council Conclusions December 2010 on
health systems efficiency
3
Post 2013 Cohesion Policy
Social, economic and territorial cohesion
Aligned to Europe 2020 targets and the
integrated guidlines for implementation
Improve effectiveness : conditionalities
Improve outcomes/results
4
Post 2013 Cohesion Policy and Health
Investing in health:
Support cohesion: reduce health inequalities
Support growth: aligned with Europe 2020
targets and integrated guidlines and National
Reform Programmes
Improve health and HLY
Reforms enhancing growth and economic
development - health system
transformatinal change
Cross- border cooperation in health
5
Hospitals of Today
Hospitals
Hospitals – key for provision of healthcare
and social cohesion and harmonious
regional development
Hospitals contributing to growth - health,
research , employment
Up to 50% of health spending
Hospital efficiency - EPC report on health
systems efficiency and identified 10
challenges for Member States
6
Investing in Hospitals of the Future
Invetsing in
Intergrated services and long term investments
Innovative solutions : responsible innovation
Good health and prevention
Investing in health workforce
Investing in effective technologies (HTA)
Hospitals of the future:
Intelligent and well –intercontected hopsitals
Part of integrated health services for the patients
No „one size fits all“
What could be the „common sense“ principles
which to be identified as an essential
precondition for sustainable and effective
7
investment in the health sector , e.g. hospitals?
Health Investment:
Conditionalities and Outcomes
Conditionalities
Ex- ante
Regulatory
Strategic
Infrastructural –planning
Institutional
Structural reforms
Macro - economic
Performance related
Indicators to prove outcomes
8
Thank you!
9
EU Cohesion Policy 2007-2013
Total Budget:
EUR 349 Billion
(35% of EU-Budget)
Of which 82% for
Convergence Regions
10
€5 billion have been
allocated to OPs to
support health
infrastructure (fixed
assets)
+ €6 billion earmarked
for ageing and eservices priorities (incl
e-health)
+ € X for ESF (amounts
being investigated)
(out of € 349 billion)
0
%
<1
%
12%
23%
34%
45%
>5
%
Health infrastructure: Percentage of planned
investments in health infrastructure in relation to
the total amount of Structural Funds allocated to
Member States in 2007-13.
Source: European Commission, Dg SANCO 2007
11
Allocation per country -infrastructures
Total
Hungary
Health Infrastructure
%
25.307.000.000
1.336.482.000
5,3%
Latvia
4.620.000.000
207.273.000
4,5%
Estonia
3.456.000.000
145.717.000
4,2%
Lithuania
6.885.000.000
240.087.000
3,5%
855.000.000
28.900.000
3,4%
Slovakia
11.588.000.000
242.175.000
2,1%
Greece
20.420.000.000
413.200.000
2,0%
Czech rep
26.692.000.000
432.274.000
1,6%
Portugal
21.511.000.000
321.986.000
1,5%
Poland
67.284.000.000
947.555.000
1,4%
6.853.000.000
70.164.000
1,0%
Spain
35.217.000.000
310.681.000
0,9%
Italy
28.812.000.000
222.130.000
0,8%
Romania
19.668.000.000
147.550.000
0,8%
Slovenia
4.205.000.000
15.486.000
France
14.319.000.000
18.000.000
Germany
26.340.000.000
17.550.000
Malta
Bulgaria
12
0,4%
0,1%
0,1%