the “department of international health” welcome teaching ... · 2. prevention – nutrition...

WelcomeAt Maastricht University

The “Department of International Health”Teaching and Research in

European Public Health EIPA visit Feb. 2010

“Yugosphere”

(Economist 20.8.09)

Treaty of Rome

European Integration: a peace keeping missionas a prerequisite for Health

Mandate for Health: Maastricht, Amsterdam etc.

Dep. of International Health

• Education• Research• Societal Impact

Education:

BSc, MSc and postgraduate MSc* in “European Public Health”

“Will it work in Europe?”

- How to compare- How to identify best practice- How to advice Governments- Develop a vision of “European Public Health”

(*in planning at UM’s Brussel Campus)

Research:Maastricht University Medical Centre+ (MUMC+) …on its way to an European Academic Hospital

Focus Points of MUMC+

1. The Wellness Continuum – Sport and Motion

2. Prevention – Nutrition – Personalized Medicine

3. Health Policy – Public Health

4. Risk assessment – reducing threats to society

5. The aging population – Leraning from demographic change

6. Lifelong learning – Knowledge based Society

Health Policy – Public Health

Develop a European Competence Center forHealth Policy Advice

- European Public Health (CAPHRI)

Design Framework for large population studies in Limburg- GGD, Zon Mw (CAPHRI)

Offer meeting place and common ground for ambulatory care organisations = academic health region

- Province (CAPHRI), TIGO

Translational aspects

• Imaging• Biomarker assessment• Genomics• Epidemiology• (clinical) Pharmacology and Toxicology• Individual Counseling/Personalised therapy• Policy advice – Think Tank• “Health landscape” – lifstyle checkpoint• Transparent laboratory – science museum• Biotech –valorisation campus

WHO HFA Database65

70

75

80

85

1970 1980 1990 2000 2010 2020

LatviaPolandEU members before May 2004 EU members since 2004 or 2007

Life expectancy at birth, in years

EU Health Strategy

Expanding EU:growing health gaps Ageing

Population

Climate Change, Pandemic and Bioterrorism Threats

Lifestyle Related DiseasesMigration &

Cross BorderHealthcare

New Technology and Innovation

Globalisation

Citizens wantmore

control

EC 2007

EU Health Strategy as a Research Agenda

Expanding EU:growing health gaps Ageing

Population

Climate Change, Pandemic and Bioterrorism Threats

Lifestyle Related DiseasesMigration &

Cross BorderHealthcare

New Technology and Innovation

Globalisation

Citizens wantmore

control

White paper on NutritionCommunication on AlcoholTobacco control strategy

Health informationHealth Portal

Health Literacy Survey

ECDCSIDARTHa

Interactions with WHO(e.g. Observatory)

Health Services InitiativeProject EUREGIO II/III

Health investments through Structural Funds etcEuregio II/III

E-HealthPublic Health Genomics

PHGEN II/GRaPH-int

Cross-sectoral workHealth in all Policies“Brussels Office”

EC 2007

Research Topics*

• EU Health Strategy– Health in All Policies– X-border care, surveillance, … (EUREGIO II and III)– Use of Structural Funds (EUREGIO III)– Health Literacy (HLS-EU)– „Ethics“ of European Public Health

• Public Health in „South East Europe“

• Surveillance Systems (SIDARTHa)

• Life Long Learning– EUPHA / ASPHER

* Preliminary

What Europe do we want: an “Economic free trade zone” orthe “United States of Europe”?

From “Public Health in Europe”:

Independent Health (Care) systems

Comparing MS

Identifying Best/Good Practice

To “European Public Health”:

Health in all policies (HiaP)

Citizens want Health Protection from the EU

What Health (Care) System(s) come up from the different European ideas?

Which measures to take (OMC)?

“Rare Diseases”as an example

Evaluation Criteria

• Publications• PhD• Money earned• Societal Impact

Rem Koohlhaas, AMO, 2001Reijn Dirksen 1950

As views on Europe change,so has “Public Health”


Thank you… and see you in Europe!

Educational Programmes in European Public Health at UM

André Meijer, outgoing programme director EPHPeter Schröder-Bäck, incoming programme director EPH

FHML

UM

BachelorEPH

(consecutive)

Master EPH

Int-Health

(post-graduate)

MasterEPH

@ BrusselsCampus

local, (eu-)regional, (trans-)nationalcross border

PH problems and solutions

European (Union) developments

top down

bottom up

EPH

Mission – Bachelor EPH

• To train students to become all-round specialists in European Public Health;

• Specialists capable of appreciating, analysing and comprehending the impact of European and transnational / cross border developments on – the health of populations and – on public health provisions, – being the organized efforts of society

• to prolong life, • to protect health,• to prevent diseases and • to promote a healthier living

Overview and structure Bachelor EPH

Semester 1: European Public Health Topics Today 30 ECTS

Semester 2: The Shape of Public Health in Europe Today 30 ECTS

Semester 3: European Public Health Objectives 30 ECTS

Semester 4: Minor Period 30 ECTS

Semester 5: Making Public Health Work in Europe 30 ECTS

Semester 6: Europe’s Future of Public Health: placement + thesis 30 ECTS

180 ECTS

Where do our students for Semester 4?• Argentina

Universidad nacional de Córdoba

• AustraliaDeakin University (Melbourne)

• DenmarkSuhr’s University College (Copenhagen)

• GermanyHochschule für Angewandte Wissenschaften HamburgBielefeld University

• Great Britain

Leeds Metropolitan University Loughborough University

• HungaryBudapestPécs

• NorwayUniversity of Bergen

• SwedenMalmö UniversityUniversity of JonköpingÖrebro University

• LithuaniaUniversity of Klaipeda

• MaltaUniversity of Malta etc.

Examples of Placements Semester 6

WHO, Copenhagen: Improving Surveillance Systems of Infectious Diseases

RIVM - Rijksinstituut v. Volksgezondheid en Milieu, Bilthoven:A comparison of health at work policies across Europe

European Public Health Alliance, Brussels:How health topics are brought on the agenda of policy domains

National Heart Foundation, London: Preventing Cardio-Vascular Diseases: A Best Practice Analysis

DG SANCO, Luxembourg: Alcohol Labeling in the EU

Topics of Modules in Bachelor EPHInfectious diseases: Tuberculosis

Social and Cultural Determinants: Work-related Stress and Burn-out

Environmental Determinants: Ambient Particulate Matter

European (Public Health) Institutions

Public sector: Mother and child care

Private sector: Aging in Europe

Alcohol and Drugs Use

Food, Novel Food, Food Safety

Lifestyles as a common denominator?The European Pharmaceutical Market

Health Systems in Europe

European PH policy and practice: planned change

Excursion to Central and Eastern Europe

Health Strategies in Europe

Master EPHMission Statement

The programme will teach skills and knowledge to search and identify best practices, to foster the transfer of best practices, and to implement innovations & best practices.

cf. Lisbon Treaty § 168

Formal Aspects• 1 year programme (40 weeks)• Full-time• English• 8 modules• 60 ECTS

Successive Modules of the M-EPH

No Title Objectives

1 Diversity Recognised and Explored

To explore and understand the present health status of populations and healthcare provisions in the European

Region

2 Diversity Compared To compare health and healthcare in the European Region

3 Diversity Embraces Unity To evaluate and define best practices in prevention and care in the European Region

4 Europe as one Zone To understand the position and role of transnational and European institutions, regulations and agencies in

prevention and care

5 Unity Faces Diversity To learn scenarios for translation and diffusion of innovation

6 From Diversity to Innovation

To acquire knowledge about the implementation of innovative practices in existing settings

7 Monitoring Innovation To work on monitoring, controlling and consolidating innovations

8 The European Union Revisited

To review the EU’s role in the quest for better quality, equity, transferability, innovativeness and

competitiveness in (global) health

Master Thesis To conduct an independent piece of advanced research

Problem-Based Learning

• Lectures, student presentations, workinggroups, excursions, role plays, lectures, workshops, papers, skills trainings etc.

• Tutorials: No lecture halls, but small groups(12 students)

Brainstorming

Independent studyExchange of Information

Problem

Description of a real lifeproblem composed by

faculty staff

What do we know about the subject? (activate own knowledge)

What do we have to find out to solvethe problem? (Learning goals/Learning

objectives)

Read given literature

Find extra information

Answer learning objectives

Did we get to solve the problemand did all group members

understand everything?

How it works…

PBL: The Learning Pyramid (Bales 1996)

Lecture

Reading

Listening & Hearing

Demonstration

Discussion Group

Do-it-yourself

Teach somebody else/ use in practice

5%

10%

20%

30%

50%

75%

80%

Average degree of

Memorization

A unique perspective on public health

Research in EducationLife Long Learning in European Public Health

Katarzyna Czabanowska

Department of International HealthFaculty of Health, Medicine and Life Sciences

Faculty of Health, Medicine and Life Sciences

Why?

• Changing healthcare demands and new health technologies,

• Need for extended repertoire of competencies for PH professionals,

• Evolving expectations of the labour market,

• Aging workforce


LLL • is an imperative for PH professionalsBut• LLL practice has not been well

developed in the area of PH.• Little is known about the supply-

demand gaps in PH courses delivered by schools of PH in Europe.


“The supply and demand of PH courses in the framework of lifelong learning in Europe” MAASTRICHT University, ASPHER, EUPHA* - a pilot study

goal:• to find out what is the supply of public

health courses in the framework of LLL in the European educational market and

• whether the existent supply meets the expectations of the PH workforce.

*Mikeska, L., (2009) The Supply and Demand of Public Health Courses in the Framework of Lifelong Learning in Europe. A Questionnaire Study. Maastricht University, Faculty of Health, Medicine, and Life Sciences, Bachelor European Public Health. Bachelor Thesis (working paper)


an on-line survey addressed:

• schools of Public Health (ASPHER

members)

• professional organizations (EUPHA members)


Figure 2. Supply and demand in the categories: ‘Public health speciality’, ‘Behavioural/interpersonal’ and ‘Generic/transferable’.

Mikeska, L., (2009)


Results:

• deficit areas between the supply and demand of LLL provision in PH,

• majority of courses in ‘traditional’ PH areas: ‘Epidemiology’, ‘Statistics’…

• most required areas were: ‘Management’, ‘Organizational Planning’, ‘Leadership’, ‘Teamwork’, ’Research’ and ‘Analytical & Critical thinking’.


Research plans:

1. Leadership in PH - investigating the potential of blended learning,

2. Assessment of professional competencies,

3. Evidence-based LLL in PH

A challenge: to develop the LLL system for PH professionals based on collaboration of:ASPHER, EUPHA and Maastricht University


Symposium on Life Long Learning in Health

11th June 2010

Department of International Health Faculty of Health Medicine and Life Sciences

EU Tender onPublic Health Capacity Development in Europe

Stephan Van den BrouckeDepartment of International Health

Background

• Emerging threats to Public Health– Infectious diseases

Resurgence of "old" infectious diseases and emergence of new ones linked to NCD

– Health inequalities – Global environmental changes– Changing demographic structure (e.g., older population, migration)

• Challenges for the Public Health community– Change of goals

from reduction of disease and mortality to reduction of health inequalities

– Change of approachfrom top-down, bureaucratic knowledge transfer model to a participatory model

– Change of actors• professional experts and decision makers are no longer the only relevant actors• Health in All Policies as a framework for action

Implications for public health capacity• Build the capacity to make a healthy public policy• Build capacity of public health professionals

– broaden professional basis with• Public Health management • Link to policy environment and policy making processes

– Integrate public health capacity in academic institutions – Role of professional associations as advocates

• Reorient health services EU health systems were developed to meet needs of demand-led health care, not enough attention to what sort investments produce most health

• Improve information and research – on the state of health of the population to guide action– on effectiveness of interventions and policies

Capacity Building in Public Health• Narrow meaning: The capacity to deliver specified, high

quality services or responses to particular problems- Defined by set criteria on particular competencies relating to specific

skills, procedures and structures - Linked to performance standards, competency assessment, and quality

improvement• Broader meaning: The capacity of a system to solve

new problems and respond to unfamiliar situations- Defined by more diffuse and complex criteria related to the ability of the

public health community to think creatively, adapt to change, innovate and solve problems

- Linked to leadership, service development, team development, workforce development, and organisational development

Tender: Developing Public Health Capacity in the EU• Consortium led by Dept. International Health UM

Partners: EuroHealthNet, EUPHA, IUHPE, ASPHER, EHMA, European Observatory on Health Systems and Policies, GEOMED

• Aims and objectives– Perform detailed review and systematic mapping of the capacity

in EU MS to develop and implement PH policies and interventions– Identify the main strengths, weaknesses, opportunities and

threats for PH in the EU, to feed into strategic planning to enhance capacity

– Make recommendations for action in areas where EU support could provide added value (including programs and instruments in areas other than public health)

– Identify key gaps in knowledge, capacity, functions and performance, in particular underserved areas

Method

Systematic mapping of PH capacity in the EU27

Assessment of key dimensions of public health capacity

“Atlas” and comparative analysis of public health capacity in EU

Case studies

SWOT analysis to identify current strengths, weaknesses, opportunities and threats for EU public health

Policy dialogues to test recommendations for further action at national/EU level

Development of a public health capacity assessment tool

Capacity mapping tool• Organisational level

– Health information and monitoring systems– Public administrative capacity– Public health aspects of the health service organisation– Programme delivery structures– Capacity to respond to public health emergencies

• Workforce– Availability of qualified human resources (by function/discipline)– Availability and quality of public health training options – Professional associations

• Expenditure on Public HealthCompared to health care budget and other governmental departments

• Partnerships Formal and informal

• Leadership– National policies and plans– Core of experise within the national ministries– Access to external experts

Data collection

• Mixed methodology involving document analysis and focus groups with key informants

– Key expert teams for each EU MS identified through the professional organizations of the Consortium

– Country expert to identify relevant documents related to PH capacity using protocol with pre-defined criteria

– Country experts to conduct a systematic analysis of the documents using the assessment tool

– Focus group with key persons with national expertise in public health in each MS to check completeness and correctness of the capacity assessment

– results of the assessment submitted to key persons of the Ministry of Health for endorsement

• One case study per country to provide more in depth information on capacity to develop and implement a certain policy or intervention

Data analysis & recommendations• Analysis

– Descriptive analysis of the scores on the dimensions of public health capacity per country

– Comparisons of public health capacity between countries– Graphic representation of the differences in public health capacity

within the European Union, using geographical mapping software – Additional in depth and specific analyses – Descriptive analysis of 1specific case study per country, providing

more in depth information of the capacity to develop and implement a certain policy or intervention addressing emerging or new issue for public health

• Recommendations– SWOT analysis to identify strengths, weaknesses, opprtunities, threats– Appreciative inquiry to analyse examples of how public health

professionals and policy makers have developed solutions and implemented change

– Policy dialogues with key decision makers to make suggestions and recommendations for further action

Conclusions

• Developing public health capacity is necessary to address the challenges to public health in Europe

• Public Health capacity models can guide efforts to enhance capacity

• Tender on developing Public Health capacity in the EU provides an opportunity to map capacities of MS and EU to address SDHI, and to provide recommendations for enhancement

Kristine SørensenDepartment of International Health

Health literacy

Introduction

The HLS-EU project

• Definition of health literacy • Objectives and outcomes • The milestones • The partners • The network on health literacy

HLS●EU

Definition of health literacy

Health literacy encompasses people’s capacities, skills, knowledge and motivation

to access, understand, appraise and use health information in written, spoken or digital form,

in order to form judgments and take decisions in terms of using the healthcare system, disease prevention and health promotion,

to improve quality of life throughout the life course

Objectives and outcomes

1. Establish a network for health literacy in Europe

2. Develop a European model instrument to measure health literacy

3. Generate first-time data on health literacy in the participating countries to provide indicators for monitoring at national and EU level

4. Perform a comparative assessment of health literacy in the participating countries

5. Achieve sustainability by establishing national committees on health literacy

The milestones

• 2009 Project organizationConceptual discussions

• 2010 Pilot and surveyData analysis

• 2011 ValorisationFinal conference

The partnersMaastricht University (main partner)Ass. Prof. Dr. S. van den BrouckeProf. Dr. H. Brand The Netherlands

Ludwig Boltzmann Gesellschaft GmbHProf. Dr. J. PelikanVienna, Austria

Faculty of Public Health, Medical UniversityProf. Dr. K. TchamovSofia, Bulgaria

Landesinstitut für Arbeit und GesundheitNRW

Dr. Wolfgang HellmeierDüsseldorf, Germany

National School of Public HealthProf. Dr. D. AgrafiotisAthens, Greece

University College Dublin, University of IrelandDr. G. DoyleIreland

National Institute of Public Health and the Environment(RIVM)Dr. M. DroomersThe Netherlands

Instytut KardiologiiIm. Prymasa Tysi�clecia Stefana Kardyna�aWyszy�skiegoProf. Dr. Z. SlonskaWarsaw, Poland

Fundació Biblioteca Josep LaporteDr. A. JowellBarcelona, Spain

The network on health literacy

Providing a platform for developing health literacy in Europe among stakeholders such as health professionals, medical staff, decision-makers etc. – Sharing knowledge– Stimulate research– Stimulate political attention– Explore solutions and activities

Conclusion

• Provoking the concept of health literacy• Expanding the European dimensions• Stimulating political actions• Aiming for a better health of Europeans• Health literacy as part of medical and

health related professionalization

Syndromic Surveillance…

…new application of a traditional public health tool

Nicole Rosenkoetter I Helmut Brand I Genc Burazeri I Janneke Kraan

DefinitionsSurveillance

The ongoing systematic collection, analysis and interpretation of healthdata essential to the planning, implementation, and evaluation of publichealth practice, closely integrated with the timely dissemination of these data to those responsible for prevention and control. CDC

Cycle of Surveillance

• occurrence of a health event in the population• detection by health care provider• notification of a health agency• analysis and interpretation of aggregated data• dissemination of the results

Examples

LIGA.NRW, Germany – Week 3/2010

ExamplesOutbreak of wound botulism in injecting drug users in Germany, October-December 2005

The Robert Koch-Institut (RKI) issued alerts through the European Early Warning System (EWRS) and the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) on 14 November. Two notices on the outbreak have been published in the national epidemiological bulletin [1,2].

If the vehicle of infection is contaminated heroin, it is possible that similar cases may be occurring elsewhere in Europe, and Dr Katharina Alpers at RKI would be grateful to receive information.

Syndromic surveillance

Grouping of large numbers of symptoms and data regarding non-traditional sources of information are labelled as ‘syndromic surveillance’.

Syndromes are…Influenza-like-Illnesses, Gastrointestinal Syndrome, …

Data sources are…School absenteeismOver-the-counter sales of drugs (e.g. anti-diarrheals)Web queriesData from emergency medical services

Advantages

Electronical

ly and

immediateavaila

ble

Example web queries as data source

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5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52

weeks 2009

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goog

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NRWgoogle trend searches "influenza" NRW

Week 17First report of influenza cases (Type new influenza, H1N1) in Mexico

Week 20/21First cases with new influenza (H1N1) in NRW

IntHealthcooperation with…

• General objective

• DG SANCO fundedproject (June 2008-December 2010)

ROUTINE DATA

ROUTINE DATA

ROUTINE DATA

REPORT/ALERT

REPORT/ALERT

REPORT/ALERT

REPORT/ALERT

REPORT/ALERT

REPORT/ALERT

REPORT/ALERT

Routine data from (i) emergencymedical dispatch centres, (ii)

ambulance patient documentationsand (iii) emergency department

information systemsis analysed for spatial and

temporal abberations at theregional level.

SIDARTHa alerts emergency professionals and regional publichealth authorities if a threshold is exceeded;

Via national authorities the European Commission, ECDC andWHO can be informed about regional and cross-border alerts;

SIDARTHa can be used for risk communication about the event;SIDARTHa only complements

but does not replace any existing system.

Tasks IntHealth

• Historical data analysis of data sets fromdifferent EU regions

– To identify differences/similarities in informationavailability

– To identify variables which can be used for syndromegeneration

– To identify patterns in the occurrence of events(Seasonal, daily variations)

– To test different early detection algorithms and theirrequirements for implementation

Expected outcomes

• Enhancement of cross border surveillance• Improved communication and networking among

European emergency medical professionals and health authorities by providing a risk communication platform

• Improved preparedness• Improved knowledge and understanding on the

use of emergency data for syndromic surveillance

Thanks for your attention!


Southeast European Southeast European PhDPhD--Research Network Research Network (SEE(SEE--PhD)PhD)

GENC BURAZERI, HELMUT BRANDGENC BURAZERI, HELMUT BRAND

Public Health Challenges in SEE

• Compared with the EU countries, SEE region is characterized by higher death rates including not only infant mortality and maternal death, but also cardiovascular mortality and injuries.

• Therefore, there is an urgent need to reconstruct public health research and training in SEE countries in order to improve living conditions in this region and to build bridges with the EU and thus to further integration.

Public Health ResearchChallenges in the SEE region

A general characteristic in almost all SEE countries relates to the comparable problems they face for engaging in research work which include:

•lack of funds

•lack of expertise

•lack of ”good data”

Public Health Research Network for Southeast Europe (PHR-Net)

• Kick-off meeting: April 16-17, 2009, Maastricht

• Participating centers: 7 countries (Albania, Bulgaria, Croatia, Macedonia,Romania, Serbia, Slovenia);

• Coordinating center: Department of International Health, School for Public Health and Primary Care (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University.

Aim of the PHR-Net

”To promote, provide guidance and support different research activities and research projects in SEE countries”.

• Expertise is desperately needed in all SEE countries in order to scientifically analyse the broad range of public health issues and, more importantly, to intervene at the population level;

• For each SEE country, the cooperation with other institutions in the region and especially collaboration with the EU organizations will be mandatory in view of the accession process;

• None of the SEE countries has enough resources to organize and conduct on its own high-quality research work.

Arguments in favour of establishment of the PHR-Net

”Targets” of PHR-Net• Establishment of a comprehensive list of priorities

for public health research in SEE countries based on a detailed analysis of the situation;

• Identification of present and future capacities to execute and conduct public health research work in SEE countries;

• Identification of suitable instiutions, agencies and funding opportunities to conduct research work in SEE region.

”Operationalization” of PHR-Net

• Establishment of an effective SEE-PhD network including candidates from Serbia, Macedonia, Albania, Kosovo, Bulgaria and Romania.

• External Ph.D. program (”zero appointment”)affiliated to the Department of International Health, UM.

Features of the SEE-PhD Program

• Duration: 2-3 years

• Sandwich-type (2-3 UM visits/year)

• Supervisor: Head of DIH

• All steps (including data collection) conducted at home institution (under supervision of a local supervisor).

• Ph.D. degree awarded (at UM) upon successful

thesis defence and/or publications.

SEE-PhD: Expected Outcomes

• Design and implementation of up-to-date and relevant public health research projects in order to inform policy and improve populations’ health in the SEE region.

• Comparative analysis of health indicators within SEE countries and between SEE region and the EU countries.

SEE-PhD: Expected Outcomes (cont.)

• Establishment of effective and sustainable partnerships between the EU and the SEE region, involving the EU research and academic institutions in the SEE countries.

• Capacity building for public health research and training, targeting especially the existing and the newly established Schools of Public Health and other training institutions, Institutes of Public Health and Public Health Associations in SEE countries.

Kai Michelsen Chibuzo OparaDepartment of International Health

EUREGIO II

The project EUREGIO II is funded by the European Union under the framework of the Public Health Programme (Grant Agreement No. 20077118, 12.2008 – 30.11.2011)

www.euregio2.euThe EUREGIO projects

EUREGIO I, II, III

Evaluation of cross border activities in the European

Union(EUREGIO)

Solutions for improvinghealth care cooperation in

border regions(EUREGIO II)

Health investments in Structural Funds 2000-

2006: learning lessons to inform regions in the

2007-2013 period(EUREGIO III)

20

04

-20

07

20

09

-20

11

Background• Mobility of patients: a somewhat

marginal phenomenon• Nevertheless: important phenomenon in

certain areas and contexts– tourist areas, border regions, specific

provider strategies to attract foreign patients, sometimes large expenditures for some economic units within health care systems

Need to support planning, implementation and monitoring, to ensure transparency and to reduce legal ambiguity

(Baeten/Martin McKee/Rosenmöller 2006: 179)

• And: border regions as practice laboratories

Evaluation of cross border activities in the European Union (EUREGIO, 2004-2007)

To contribute to• a comprehensive overview of

health related projects in border regions (e.g. funded by Interreg)

• share experiences of good practice and knowledge on cross-border cooperation from which other projects could benefit

• the setting up of networks• hypotheses on promoting and

hindering factors of successful projects

www.euregio.nrw.de

Solutions for improving health care cooperation in border regions (EUREGIO II, 2009-2011)

Better utilisation of resources:

• Handbook for the realisation of cross border projects (incl. Interreg IVa funds)

• Test of “local Health Technology Assessment” in small regions with multiple health systems

• Legal expertises about data protection and tort rights

www.euregio2.eu

Time schedule EUREGIO II

1/20

09

1/20

10

1/20

11

1/20

12

Handbook

Survey / Interviews

local HTA

Publications

Legal Aspects

(Draft) (Development)

www.euregio2.eu

Solutions for improving health care cooperation in border regions (EUREGIO II, 2009-2011)

Project leader• Maastricht University, Department of International

Health (The Netherlands)Co-Beneficiaries• Gesundheitsamt Kreis Heinsberg (Heinsberg, Germany)• Euregio Rhein-Waal (ERW; Kleve, Germany)• Gesundheitsmanagement Burger-Wieland (Vienna,

Austria)• European Hospital and Healthcare Federation (HOPE;

Brussels, Belgium)• Association of European Border Regions (AEBR;

Gronau, Germany)• Landesinstitut für Gesundheit und Arbeit NRW

(LIGA.NRW; Düsseldorf/Bielefeld/Münster)Collaborating Partners• Deutsches Institut für Medizinische Dokumentation und

Information (DIMDI; Köln, Germany)• ECORYS Research Rotterdam (The Netherlands)• WHO Regional Office for Europe (Copenhagen,

Denmark)• Regione del Veneto, International Health Social Affaire

Office Venice (Venice, Italy)• Cooperation and Working Together (CAWT;

Londonderry, Ireland)• Medical University Sofia, Faculty of Public Health (Sofia,

Bulgaria)• Center for Health Policies and Services (Bucharest,

Romania)www.euregio2.eu

Crossborder Cooperation Areas 2007

EU Cohesion Policy: The budget

http://ec.europa.eu/regional_policy/policy/fonds/2007-2013-by-objective_large_en.gif

Convergence andRegional Competitiveness Objectives

http://ec.europa.eu/regional_policy/atlas2007/index_en.htm

Areas of health investment within EU SF

Health Investments in Structural Funds 2000-2006: learning lessonsto inform regions in the 2007-2013 period (EUREGIO III, 2009-2011)

1. Review EUREGIO and agree best actions inclusion criteria

2. Learning lessons from health investments in the 2000-2006 period (and 2007-2013 period when available)

3. Clarifying regional support needs

4. Opportunities and barriers to knowledge exchange

5. Central access point and maximising uptake

6. Dissemination

7. Sustainable outcomes for the 2007-2013 period and beyond

www.euregio3.eu


Work packages:• WP1: Coordination• WP2: Dissemination• WP3: Evaluation• WP4: Scientific background• WP5: Inventory of case materials• WP6: Inventory of stakeholders,

expertise and resources• WP7: Website and knowledge

database• WP8: Training materials package• WP9: Master classes• WP10: Reference Group

www.euregio3.eu


Associate Partners• HealthClusterNet• European Centre for Health Assets & Architecture• Veneto Region• University of Maastricht• Liverpool University• EMK-Semmelweis UniversityReference Group• National SF Managing Authorities for Hungary, Poland,

Slovakia, Estonia, Bulgaria, Greece• Ruppiner-Kliniken/UMC representing Brandenburg• 5 other organisations representing former Objective 1

RegionsCollaborating partners• Assembly of European Regions• Regional Development Committee-European Parliament• EUROHEALTHNET• European Regeneration Areas Network (QeC-ERAN)• EIB• European Health Management Association (EHMA)• European Regional and Local Health Authorities

(EUREGHA)• European Association of Development Agencies Stakeholders• Executive Agency for Health and Consumers (EAHC)• DG SANCO - C2 (Health Information) and C5 Health

Strategy and Health Systems)• DG REGIO - D2 Thematic Development & Innovation• DG EMPLOY, DG ENTERPRISE

www.euregio3.eu

Thank you!

This presentation arises from the project“Solutions for improving health care cooperation in border regions” (EUREGIO II)

which has received funding from the European Union, in the framework of the Public Health Programme (Grant Agreement No. 2007118).

the “department of international health” welcome teaching ... · 2. prevention – nutrition...

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