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[IWS] OECD: HEALTH AT A GLANCE: EUROPE 2014 [3 December 2014]
IWS Documented News Service
Institute for Workplace Studies-----------------Professor Samuel B. Bacharach
School of Industrial & Labor Relations-------- Director, Institute for Workplace Studies
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Organisation for Economic Cooperation and Development (OECD)
HEALTH AT A GLANCE: EUROPE 2014 [3 December 2014]
[read online, 144 pages]
This third edition of Health at a Glance: Europe presents a set of key indicators related to health status, determinants of health, health care resources and activities, quality of care, access to care, and health expenditure and financing in 35 European countries, including the 28 European Union member states, four candidate countries and three EFTA countries. The selection of indicators is based largely on the European Core Health Indicators (ECHI) shortlist, a set of indicators that has been developed to guide the reporting of health statistics in the European Union. This is complemented by additional indicators on quality of care, access to care and health expenditure, building on the OECD expertise in these areas.
Compared with the previous edition, this third edition includes a greater number of ECHI indicators, reflecting progress in the availability of comparable data in the areas of non-medical determinants of health and access to care. It also includes a new chapter dedicated to access to care, including selected indicators on financial access, geographic access and timely access.
Press Release 3 December 2014
Inequalities in health and access to quality care persist in Europe, shows a new OECD/EC report
03/12/2014 - Today, Europeans enjoy a much longer life expectancy than the previous generation, but large inequalities in health remain across and within countries. These are largely due to disparities in access to and quality of care, as well as individual lifestyles and behaviours, according to a new joint OECD/European Commission report.
shows that life expectancy in EU member states has increased by more than five years on average since 1990. But the gap between those countries with the highest life expectancies (Spain, Italy and France) and those with the lowest (Lithuania, Latvia, Bulgaria and Romania) remains around eight years.
Within all EU countries, highly educated people are likely to live several years longer and in better health than those with low level of education. This is particularly the case in Central and Eastern Europe.
This makes it all the more important that all European countries put in place effective public health strategies to prevent diseases and contribute to the reduction in health inequalities.
Inequalities in access to health care contribute to inequalities in health
In most EU countries, universal health coverage has ensured continued access to health care during the recent economic crisis. But in Bulgaria and Greece, many people lost their insurance coverage, at least temporarily. Several countries have seen their coverage for certain health services and goods reduced, and out-of-pocket payments by patients have risen. The new OECD/EC report shows that, on average across EU countries, the proportion of low-income people reporting some unmet needs for medical care and dental care is two-times greater than among the population as a whole, and four-times greater than for high-income groups. Such unmet care needs may have long-term health and economic consequences.
Quality of care continues to improve, but there remain large gaps
Quality of care has generally continued to improve in recent years in most European countries, despite the crisis. For example, mortality rates for people suffering from a heart attack have decreased by 40% and strokes by 20%, on average across EU countries over the past decade. But large gaps remain in the chances of surviving these life-threatening diseases. For example, a person admitted to a hospital for a heart attack is twice more likely to die 30 days after the hospital admission in Hungary and Latvia than in Denmark and Sweden. Survival from different types of cancer also varies substantially across EU countries. Efforts are needed to improve the prevention, early diagnosis and treatment of cancer and other life-threatening diseases in countries that are lagging behind.
Key other main findings of include:
· The crisis has had a mixed impact on population health and mortality: while suicide rates rose at the start of the crisis, they seem to have return to pre-crisis levels in most countries in recent years. Mortality from transport accidents has declined following the economic crisis, and so did the exposure to air pollution, although some air pollutants seem to have risen again in recent years.
· Between 2009 and 2012, expenditure on health in real terms (adjusted for inflation) fell in half of the EU countries and significantly slowed in the rest. On average, health spending decreased by 0.6% each year, compared with annual growth of 4.7% between 2000 and 2009. This was due to cuts in health workforce and salaries, reductions in fees paid to health providers, lower pharmaceutical prices, and increased patient co-payments.
· On average across EU countries, the number of doctors per capita increased from 2.9 doctors per 1 000 population in 2000 to 3.4 in 2012. This growth was particularly rapid in Greece (mostly before the economic crisis) and in the United Kingdom (an increase of 50% between 2000 and 2012). In all countries however, the density of doctors is greater in urban regions than in rural regions, resulting in growing shortages in certain areas.
· There are wide variations across EU countries in waiting times for non-emergency surgical interventions. While some countries have been able to achieve progress in reducing waiting times for planned surgical interventions over the past few years, waiting times have started to rise following the crisis in other countries such as Portugal and Spain.
More information on and country-specific notes for France (in French), Germany (in English and in German), Ireland, Italy (in English and in Italian), Norway, Poland (in English and in Polish) and the United Kingdom are available at .
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