Gaining health : analysis of policy development in European ...

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It is hoped that much of the material presented will be part of a European dialogue and debate about the way forward in substantially reducing the threats posed by NCD and related inequalities in health. References 1. Preventing chronic diseases: a vital investment. Geneva, World Health Organization, 2005 (http://www.who. int/chp/chronic_disease_report/full_report.pdf, accessed 14 February 2009). 2. WHO Regional Committee for Europe resolution EUR/ RC54/R4 on the prevention and control of noncommunicable diseases in WHO’s European Region. Copenhagen, WHO Regional Office for Europe, 2004 (http://www.euro.who.int/Governance/resolutions/2004/20040913_6, accessed 14 February 2009). 3. Gaining health: the European Strategy for the Prevention and Control of Noncommunicable Diseases. Copenhagen, WHO Regional Office for Europe, 2006 (http:// www.euro.who.int/document/E89306.pdf, accessed 14 February 2009). 4. WHO Regional Committee for Europe resolution [EUR/RC56/R2] on the prevention and control of noncommunicable diseases in the WHO European Region. Copenhagen, WHO Regional Office for Europe, 2006 (http://www.euro.who.int/Governance/resolutions/2006/20060919_6, accessed 14 February 2009). 5. The Health for All policy framework for the WHO European Region: 2005 update. Copenhagen, WHO Regional Office for Europe, 2005 (European Health for All Series, No. 7) (http://www.euro.who.int/document/ e87861.pdf, accessed 14 February 2009). Chapter 1 3 Introduction
Page 1 and 2: Gaining Health Analysis of policy d
Page 3 and 4: Abstract There is no greater threat
Page 5 and 6: Abbreviations The abbreviations sho
Page 7 and 8: vi Preface The WHO European Strateg
Page 9 and 10: Contributors Jill L. Farrington was
Page 11: Chapter 1 2 the European Region, sh
Page 15 and 16: Chapter 2 6 were collected. This mo
Page 17 and 18: Chapter 2 8 During the late 1980s a
Page 19 and 20: Table 1. Range of NCD-relevant poli
Page 22 and 23: Chapter 3 Methodology, underlying c
Page 24 and 25: • legislation and regulatory meas
Page 26 and 27: es) to health education and disease
Page 28 and 29: of explicitly stating equality in h
Page 30 and 31: • progress reports from countries
Page 32 and 33: 18. Lindblom CE. The policy making
Page 34 and 35: Chapter 4 Case studies: policy deve
Page 36 and 37: doctors are not trained in general
Page 38 and 39: In the last seven years, Albania ha
Page 40 and 41: enable the Ministry of Health to in
Page 42 and 43: The NGO “For a tobacco-free Alban
Page 44 and 45: are published or even accessible fo
Page 46 and 47: References 1. Albania: trends in po
Page 48 and 49: ished, however, differences between
Page 50 and 51: mination and active participation i
Page 52 and 53: tion of making the reasoning more m
Page 54 and 55: ing this “club” and explored th
Page 56 and 57: 2.1.7. Monitoring and evaluation Fi
Page 58 and 59: 2006. The report stresses the need
Page 60 and 61: school nurses. This approach was ne
Page 62 and 63:
In addition to the more traditional
Page 64 and 65:
programme along the lines of the se
Page 66 and 67:
2.6. Settings Finland has used the
Page 68 and 69:
More recently, however, the school
Page 70 and 71:
It was envisaged that people would
Page 72 and 73:
eports on the state and development
Page 74 and 75:
due to concern that the local level
Page 76 and 77:
policy by active participation on E
Page 78 and 79:
terests, on the whole these values
Page 80 and 81:
steering vacuum, and the capacity a
Page 82 and 83:
istry of Social Affairs and Health,
Page 84 and 85:
France Zsófia Németh 1. Country p
Page 86 and 87:
existing French NCD programmes. 4 I
Page 88 and 89:
the Government and Parliament. The
Page 90 and 91:
Box 1. The role of regions and depa
Page 92 and 93:
Box 2. Communication and health edu
Page 94 and 95:
• dissemination of examples of go
Page 96 and 97:
of the HCSP. A thorough situation a
Page 98 and 99:
passing in 1991 of strict alcohol l
Page 100 and 101:
to reduce work accidents and profes
Page 102 and 103:
period of the programme, while othe
Page 104 and 105:
Despite substantial improvements an
Page 106 and 107:
• This situation creates fragment
Page 108 and 109:
Greece Anna Ritsatakis 1. Country p
Page 110 and 111:
substantial increases to hospital p
Page 112 and 113:
On taking office in 2004, the new C
Page 114 and 115:
efer to disease-specific mortality
Page 116 and 117:
• establishment of a modern PHC n
Page 118 and 119:
prevention of CVD. The association
Page 120 and 121:
of the present ten-year strategy. R
Page 122 and 123:
Society of Nutrition and Foods, whi
Page 124 and 125:
measures. For example, the Departme
Page 126 and 127:
Despite these developments, “Gree
Page 128 and 129:
tion from sister medical specialiti
Page 130 and 131:
for example, information, advice an
Page 132 and 133:
surance organizations or other desi
Page 134 and 135:
carried out and how funds were spen
Page 136 and 137:
35. Ministerial decision concerning
Page 138 and 139:
ity cause the greatest burden of di
Page 140 and 141:
er of unique circumstances within a
Page 142 and 143:
the delivery of health care shall i
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ation in the long- and medium-term
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tics are based on close cooperation
Page 148 and 149:
Smoke-Free Association, have develo
Page 150 and 151:
healthy nutrition and physical acti
Page 152 and 153:
In 2008, the target funding from th
Page 154 and 155:
One of the key opportunities for ta
Page 156 and 157:
The health of excluded and vulnerab
Page 158 and 159:
Ireland Anna Ritsatakis 1. Country
Page 160 and 161:
This includes: broad umbrella-type
Page 162 and 163:
2.1.4. Setting the agenda From the
Page 164 and 165:
e reduced by 10%, and that similar
Page 166 and 167:
taken their place. These new region
Page 168 and 169:
Two detailed progress reports have
Page 170 and 171:
Ireland), and requiring the tobacco
Page 172 and 173:
have a right to choose what they wa
Page 174 and 175:
2.6. Settings Since the mid-1990s,
Page 176 and 177:
tives and targets over the period 2
Page 178 and 179:
3.2. Human resources The usual way
Page 180 and 181:
The assessment of the consultation
Page 182 and 183:
From interviews conducted, it was f
Page 184 and 185:
Towards2016PartnershipAgreement.pdf
Page 186 and 187:
47. Burke S. Setting health targets
Page 188 and 189:
stan and Uzbekistan. Serious concer
Page 190 and 191:
2.2.1. General objective 1 An impor
Page 192 and 193:
the planning process will confront
Page 194 and 195:
The reorganization of PHC is still
Page 196 and 197:
There are some examples of good pra
Page 198 and 199:
Lithuania Anna Ritsatakis 1. Countr
Page 200 and 201:
the poorer municipalities in partic
Page 202 and 203:
as wide an understanding as possibl
Page 204 and 205:
health insurance system. Overall, i
Page 206 and 207:
The State Public Health Service was
Page 208 and 209:
ing public health must be available
Page 210 and 211:
Participation in this and similar i
Page 212 and 213:
at reducing inequalities in health
Page 214 and 215:
for elderly people, was established
Page 216 and 217:
years, there have been strenuous at
Page 218 and 219:
Vestiges of the old system still re
Page 220 and 221:
5.4. Sustaining policy implementati
Page 222:
22. The European tobacco control re
Page 225 and 226:
Chapter 5 216 through consensus bui
Page 227 and 228:
Chapter 5 218 • Six (all but Gree
Page 229 and 230:
Chapter 5 220 opment needs longer-t
Page 231 and 232:
Chapter 5 222 was detected from the
Page 233 and 234:
Chapter 5 224 surveys over long per
Page 235 and 236:
Chapter 5 226 Experience from other
Page 237 and 238:
Chapter 5 228 mentary Health Commit
Page 239 and 240:
Chapter 5 230 a formal stakeholder
Page 241 and 242:
Chapter 5 232 Key tasks in policy f
Page 243 and 244:
Chapter 5 234 • The process of se
Page 245 and 246:
Chapter 5 236 has been shown to be
Page 247 and 248:
Chapter 5 238 aged to implement ext
Page 249 and 250:
Chapter 5 240 multiple partnerships
Page 251 and 252:
Chapter 5 242 way through the imple
Page 253 and 254:
Chapter 5 244 The impact of interna
Page 255 and 256:
Chapter 5 246 and levels of policie
Page 257 and 258:
Chapter 5 248 most urgent needs - m
Page 259 and 260:
Chapter 5 250 2. Lomas J. Improving
Page 262 and 263:
Chapter 6 Pointers to the future P
Page 264 and 265:
Alcohol abuse is a serious and not
Page 266 and 267:
Numerous multinational and local fi
Page 268 and 269:
• Utilizing programmes for povert
Page 270 and 271:
-- possible measures for achieving
Page 272 and 273:
In fact, the opposite is true. Acti
Page 274:
Chapter 6 265
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