EHMA Annual Conference 2012

HOSTED BY 

EHMA Annual Conference 2012 

Public healthcare: 

who pays, who provides? 

13-15 June 2012 

Kursaal Bern - Bern, Switzerland 

PROGRAMME

The 2012 EHMA 

Annual Conference 

is sponsored by:

COnTEnTS 

WELCOME 

WELCOME ......................................................................................................................... 3 

PrOgrAMME AT A gLAnCE ........................................................................................... 4 

PrOgrAMME OVErVIEW ................................................................................................ 5 

DETAILED PrOgrAMME: WEDnESDAY 13 JUnE 2012 .................................................... 10 

DETAILED PrOgrAMME: THUrSDAY 14 JUnE 2012 ........................................................ 13 

DETAILED PrOgrAMME: FrIDAY 15 JUnE 2012 ............................................................. 19 

KEYnOTE SPEAKErS .......................................................................................................... 23 

POSTEr PrESEnTATIOnS ................................................................................................... 30 

PrACTICAL InFOrMATIOn .............................................................................................. 32 

MAP OF BErn ................................................................................................................... 33 

FLOOrPLAn KUrSAAL BErn HOTEL ................................................................................. 34 

Welcome to Switzerland. Welcome to Bern! We are delighted to be here and grateful to 

the Faculty of Medicine, of Law and of Economics and Social Science of the University of 

Bern, and in particular to Dr. iur. Christoph Zenger for hosting us in this beautiful setting. 

The EHMA Annual Conference takes place as many health systems across Europe are 

altering the role of the private sector in public healthcare. At a time when systems are 

looking for ways to control costs and drive up quality, it is often argued that private sector 

involvement is an important lever for change. But is this right, and how can funders, 

policy makers, health leaders and managers navigate the changing healthcare 

environment to deliver the best care possible for patients? 

Together we will explore the opportunities and challenges that the involvement 

of the private sector brings to those funding and managing service provision. In 

particular we will explore three aspects of this: the system and policy challenges, the 

management challenge of mixed public and private sector provision and finally the 

role of participatory healthcare. 

To tie the many strands together across the conference Dr. robert Sinclair from 

Region Västra Götaland, will facilitate us through the three days, bringing reflections 

and insights from the parallel sessions into the discussions and helping us to reflect 

on and refine our thinking. As ever the programme is packed with a mix of research 

and practice papers from across Europe to create the richness of discussion that the 

EHMA conference is famous for. 

We have a beautiful place to explore these challenges, and we hope that you will 

enjoy your time in Bern. 

Prof. Aad de roo 

EHMA President 2010 

Jeni Bremner 

EHMA Director 

TABLE OF COnTEnTS / WELCOME 

3

4 

PrOgrAMME AT A gLAnCE 

8.00 

8.30 

9.00 

9.30 

10.00 

10.30 

11.00 

11.30 

12.00 

12.30 

13.00 

13.30 

14.00 

14.30 

15.00 

15.30 

16.00 

16.30 

17.00 

17.30 

18.00 

18.30 

19.00 

19.30 

20.00 

20.30 

21.00 

21.30 

22.00 

22.30 

23.00 

23.30 

PrOgrAMME AT A gLAnCE 

Preconference 

Symposium: 

Health Systems 

Transformation 

through 

eHealth 

WEDNESDAY 13 JUNE 

“Members' Day” 

SIG 

Session Best 

Practice in 

Managenment 

SIG 

Session 

Primary 

Care 

Annual General Assembly 

(EHMA Members only) 

Opening Plenary 

Welcome Reception 

SIG 

Session 

Workforce 

The Melting Boundaries Between 

Public and Private: Challenges for 

Health Systems Governance 

YRIHN 

Workshop 

The Swiss 

Experience. 

Learning from 

International 

Best Practice 

EHMA SCIEnTIFIC ADVISOrY COMMITTEE 

Prof. Kieran Walshe (Chair), Manchester Business 

School, United Kingdom 

Prof. runo Axelsson, University of Gothenburg, 

Sweden 

Prof. James Buchan, Queen Margaret University, 

United Kingdom 

Mr. nick Fahy, Nick Fahy Consulting Limited, 


Ms. Annette Katrava, International Consultant, 

Greece/Canada 

Prof. Federico Lega, Bocconi University, Italy 

Prof. Dr. Kim Putters, Erasmus University Rotterdam, 

The Netherlands 

Prof. Jouke Van der Zee, University of Maastricht, 


THURSDAY 14 JUNE FRIDAY 15 JUNE 

Parallel Sessions 

Cohabitation 

Within Public and 

Private Players-The 

Swiss Experience 

Managing the Public 

Private Interface 

Poster Session 

Social Dinner 

EU Health 

Policy 

Session 

2012 European 

Year for Active 

Ageing and 

Solidarity between 

Generations 

Themed 

Parallel 

Sessions 

Bus transfer to Gunter Restaurant 

Bus transfer to Bern city Centre 

THAnKS 

HSMR 

Session 

SAC 

Breakfast 

Session 

PhD 

Students' 

Session 

EU Sector 

Skill Council 

for Nursing? 

Poster Session 

Directive on the 

application of Patients’ 

Rights in Cross-Border 

Healthcare: Outcome 

of a Simulation 

FIBAA 

Session 

PDs' 

Meeting 

Conference Closing 

Parallel 

Sessions 

TCN 

Session 

Patient, 

Citizens, Consumers 

EHMA thanks the “Alumni NDS MiG UniBE” for having 

established the “EHMA/Alumni NDS MiG UniBE Fund” 

that provided grants for 15 EHMA AC 2012 attendees 

from Central and Eastern European countries. 

EHMA gratefully acknowledges the support of the 

University of Bern, in particular Dr. iur. Christoph 

Zenger and Ms. nicole Oehrli.

PrOgrAMME OVErVIEW: WEDnESDAY, 13 JUnE 2012 

09.00-18.00 

10.00-12.00 

11.00-15.00 

13.00-15.00 

13.30-15.30 

15.00-16.00 

16.00-17.00 

19.00-20.30 

20.30 

rEgISTrATIOn DESK OPEn 

SPECIAL InTErEST grOUP (SIg) BEST PrACTICE In MAnAgEMEnT 

(Lunch provided in the room after the session) 

PrECOnFErEnCE SYMPOSIUM: 

HEALTH SYSTEMS TrAnSFOrMATIOn THrOUgH eHEALTH 

CHAIr: 

Prof. naomi Chambers, Professor and Head of the Health 

Management Group, Manchester Business School, University 

of Manchester, United Kingdom 

SPEAKErS: 

Mr. Joan Cornet i Prat, Executive Chairman, Ticsalut 

Foundation, Spain 

Ms. Seher Korkmaz, Unit Chief, Department of e-health and 

Strategic IT, Stockholm County Council, Sweden 

Mr. John Howard, Director, Management Consulting, KPMG, 


SPECIAL InTErEST grOUP (SIg) On PrIMArY CArE 

(Lunch provided in the room before the session) 

SPECIAL InTErEST grOUP (SIg) On HEALTHCArE WOrKFOrCE 

MAnAgEMEnT 

(Lunch provided in Vivace 4 at 12.00) 

COFFEE BrEAK 

AnnUAL gEnErAL ASSEMBLY 

(EHMA Members only) 

OPEnIng PLEnArY 

CHAIr: 

Prof. Aad de roo, Co-founder TRANZO Department, Tilburg 

University, The Netherlands 

WELCOME: 

Mr. Alexander Tschäppät, Mayor of Bern, Switzerland 

Prof. Dr. Martin Täuber, Rector of the University of Bern, 

Switzerland 

FACILITATOr: 

Dr. robert Sinclair, Senior Medical Advisor, Region Västra 

Götaland, Sweden 

OPEnIng rECEPTIOn 

Ground Floor 

Vivace 4 

Vivace 1-2 

Vivace 4 

Vivace 3 

Arena Foyer 

Vivace 1-2 

Bern Town Hall, 

Rathausplatz 2 

Bern Town Hall, 

Rathausplatz 2 

PrOgrAMME OVErVIEW: WEDnESDAY, 13 JUnE 2012 

5

6 

PrOgrAMME OVErVIEW: THUrSDAY, 14 JUnE 2012 


08.30-18.00 

09.00-10.30 

10.30-11.00 

11.00-12.30 

11.00-12.30 

12.30-14.00 

12.30-14.00 


PLEnArY SESSIOn: THE MELTIng BOUnDArIES BETWEEn 

PUBLIC AnD PrIVATE: CHALLEngES FOr HEALTH SYSTEMS 

gOVErnAnCE 

Session organised in collaboration with the European Observatory 

on Health Systems and Policies 

CHAIr: 

Mr. Willy Palm, Dissemination Development Officer, European 

Observatory on Health Systems and Policies, Belgium 

SPEAKErS: 

Prof. richard B. Saltman, Professor of Health Policy and 

Management, Rollins School of Public Health, Emory 

University, USA 

Ms. Dominique Polton, Director of Strategy, Research and 

Statistics, National Health Insurance, France 

COFFEE BrEAK 

PArALLEL SESSIOnS 

• Primary Care and Financial Incentives 

• Evidence Based Planning 

• Health Workforce: New World-New Roles? 

• Patients’ Perspective 

EU HEALTH POLICY SESSIOn – WHAT DO YOU nEED TO 

KnOW ABOUT THE grOWIng IMPACT OF THE EU On HEALTH 

SYSTEMS? 

CHAIr: 

Mr. nick Fahy, Independent Consultant and Researcher, Nick 

Fahy Consulting Limited, United Kingdom. 

LUnCH 

2012 EUrOPEAn YEAr FOr ACTIVE AgEIng AnD SOLIDArITY 

BETWEEn gEnErATIOnS 

(Lunch provided in the room) 

YrIHn SESSIOn: 10 THIngS YOU OUgHT TO KnOW 

TO SUCCEED In THE ACADEMIC WOrLD – AnD HOW TO gET 

FrOM THEOrY TO PrACTICE 


CHAIrS: 

Dr. K. Viktoria Stein, PostDoc Research Assistant, Medical 

University of Vienna, Austria 

Ms. Susanne Bethge, MSc, Research Assistant, University of 

Applied Sciences Neubrandenburg, Germany 

Ground Floor 

Szenario 1-2 

Arena Foyer 

Vivace 1 

Vivace 3 

Vivace 4 

Vivace 5 

Szenario 1 

Arena Foyer 

Vivace 1 

Vivace 4


12.30-14.00 

14.00-15.30 

15.30-16.00 

16.00-18.00 

16.00-17.30 

16.00-18.00 

19.00 

COHABITATIOn WITHIn PUBLIC AnD PrIVATE PLAYErS – THE SWISS 

EXPErIEnCE 


MODErATOr: 

Dr. Heinz Locher, Health Economist, Managing Partner, 

Management- & Consulting Services, Switzerland 

SPEAKErS: 

Prof. em. robert Leu, Member of the Board Hirslanden of AG and 

of VISANA, Switzerland 

Mr. Erwin r. griesshammer, President of the Board of Directors 

Clinenia AG; Member of the Board of Directors, Spital Baden AG, 

Switzerland 

Mr. Jean-François Andrey, CEO, Lindenhof-Sonnenhof 

Foundation, Switzerland 

PLEnArY SESSIOn: MAnAgIng THE PUBLIC PrIVATE InTErFACE 

CHAIr: 

Prof. rod Sheaff, Professor in Health Services Research, 

University of Plymouth, United Kingdom 

SPEAKErS: 

Dr. Alicia granados, Senior Director of Global Health 

Technology Assessment (HTA), Genzyme, Spain 

Dir. Harald Maikisch, Managing Director, Landeskrankenhaus 

Feldkirch, Austria 

POSTEr SESSIOn & COFFEE BrEAK 

Come and meet the poster presenters at their posters! 

THE SWISS EXPErIEnCE. LEArnIng FrOM InTErnATIOnAL 

BEST PrACTICE 

MODErATOr: 

Ms. Christina Bachmann-roth, Management Consultant, 

ICME, Switzerland 

SPEAKEr: 

Mr. François Muller, Senior Consultant and Head Healthcare 

Zurich, ICME, Switzerland 

(Session sponsored by ICME) 

THEMATIC PArALLEL SESSIOnS 

• Mental Health 

• Integration 

• Working Together 

THEMATIC PArALLEL SESSIOn 

• Operations Management 

DEPArTUrE FOr SOCIAL DInnEr 

Vivace 5 

Szenario 1-2 

Arena Foyer 

Szenario 1 

Vivace 1 

Vivace 3 

Vivace 4 

Vivace 5 

Bahnhofplatz, in front 

of Bern Train Station 


7

8 

PrOgrAMME OVErVIEW: FrIDAY, 15 JUnE 2012 

PrOgrAMME OVErVIEW: FrIDAY,15 JUnE 2012 

09.00-16.00 

08.00-09.00 

09.00-11.00 

09.30-10.30 

09.00-10.30 

10.30-11.00 

11.00-12.30 

12.30-14.00 


gETTIng PUBLISHED In HEALTH SErVICES MAnAgEMEnT 

rESEArCH: WHAT (nOT) TO DO 

CHAIr: 

Prof. Kieran Walshe, SAC Chair, Professor of Health Policy 

and Management, Manchester Business School, University of 

Manchester, United Kingdom 

nETWOrKIng BrEAKFAST 

PROGRAMME DIRECTORS’ NETWORK 

SAC BrEAKFAST SESSIOn: DEMYSTIFYIng EU rESEArCH 

FUnDIng – FP7 AnD HOrIZOn 2020 

(Breakfast provided) 

CHAIr: 


and Management, Manchester Business School, University of 

Manchester, United Kingdom 

COFFEE BrEAK 

PHD STUDENTS’ SESSION 

CHAIr: 


and Management, Manchester Business School, University 

of Manchester, United Kingdom 

DIRECTIVE ON THE APPLICATION OF PATIENTS’ RIGHTS IN 

CrOSS-BOrDEr HEALTHCArE 

CHAIr: 

Mr. nick Fahy, Independent Consultant and Researcher, Nick 

Fahy Consulting Limited, United Kingdom 

SPEAKErS: 

Ms. rita Baeten, Senior Policy Analyst, European Social 

Observatory (OSE), Belgium 

Dr. Caroline Wagner, Researcher and Project leader, Scientific 

Institute of TK for Benefit and Efficiency in Health Care 

(WINEG), Germany 

PArALLEL SESSIOnS 

• Sustainable Financing 

• New Providers, New Models of Care 

• Involving Citizens 

LUnCH 

Ground Floor 

Vivace 3 

Arena Foyer 

Vivace 4 

Vivace 3 

Arena Foyer 

Szenario 1 

Vivace 3 

Vivace 1 

Vivace 4 

Vivace 5 

Arena Foyer

PrOgrAMME OVErVIEW: FrIDAY,15 JUnE 2012 

12.30-14.00 

13.30-14.00 

14.00-14.10 

14.10-15.30 

15.30-16.00 

EU SECTOr SKILL COUnCIL FOr nUrSIng? 


TCn SESSIOn 


FIBAA SESSIOn: LEArnIng OUTCOMES – An ESSEnTIAL FOr 

SUCCESSFUL STUDY COnDITIOnS 


POSTEr SESSIOn 

Come and meet the poster presenters at their posters! 

KArOLInSKA InSTITUTET MEDICAL MAnAgEMEnT 

CEnTrE/EHMA rESEArCH AWArD AnnOUnCEMEnT 

PLEnArY SESSIOn: PATIEnTS, CITIZEnS, COnSUMErS 

CHAIr: 

Ms. Marianne Olsson, EHMA President, Process Director, 

County Council of Sörmland, Sweden 

SPEAKErS: 

Dr. Angela Coulter, Director of Global Initiatives, Informed 

Medical Decisions Foundation, United Kingdom 

Dr. Lucien Engelen, Director, Radboud REshape & Innovation 

Centre of the Radboud University Medical Centre (RUNMC), 


CLOSIng SESSIOn 

Dr. iur. Christoph Zenger, Health Management Training 

Programme, University of Bern, Switzerland 

WELCOME TO MILAnO 2013 

Dr. Federico Lega, Associate Professor, Bocconi 

University, Italy 

Vivace 1 

Vivace 3 

Vivace 5 

Arena Foyer 

Szenario 1-2 

Szenario 1-2 

Szenario 1-2 

PrOgrAMME OVErVIEW: FrIDAY, 15 JUnE 2012 

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10 

WEDnESDAY, 13 JUnE 2012 


SPECIAL InTErEST grOUP (SIg) BEST PrACTICE In MAnAgEMEnT: 

In SEArCH OF EXCELLEnCE 

Time: 10.00-12.00 

Location: Vivace 4 

Chairs: Prof. Dr. Dr. Wilfried von Eiff, Center for Hospital Management (CKM), Germany 

Ms. Anastasia Balasopoulou, Hospital Management Scientific Center (HMSC), Greece 

referent: Dr. Sandra C. Buttigieg, University of Malta, St. Francis Hospital, Malta 

Topic: Benchmarking and Performance Indicators 

Best Practice Management leverages medical quality and patient outcome by containing costs 

simultaneously. The Best Practice Management SIG will show how to identify best practices, especially 

from other industries and will learn how to transfer those into leapfrog results fostering their own hospital to 

an outstanding position in the community. Aims and benefits of BPM will be reached by the professional 

use of helpful BPM tools and methodologies. The spirit and power of generic benchmarking will be 

emphasized by comparing best-in-class solutions from other industries and different countries. As a 

long-term goal, the “Crossing the Chasm Award” will be announced. 

PrECOnFErEnCE SYMPOSIUM: HEALTH SYSTEMS TrAnSFOrMATIOn THrOUgH eHEALTH 

Time: 11.00-15.00 

Location: Vivace 1-2 

Chair: Prof. naomi Chambers, Manchester University, United Kingdom 

Speakers: Mr. Joan Cornet i Prat, Ticsalut Foundation, Spain 

Ms. Seher Korkmaz, Stockholm County Council, Sweden 

Mr. John Howard, KPMG, United Kingdom 

The potential benefits of eHealth are well documented. However, while there are examples of successful 

pilot projects, often times they do not make it to a large scale implementation due to their complexity, 

resistance to change or spiraling implementation costs. As a result, recently both the UK and the 

Netherlands have scaled back their eHealth initiatives reflecting the challenges faced by some of the 

larger government led programmes. 

Facilitated by Professor Chambers, co- author of the report by KPMG and the Manchester Business School 

‘Accelerating innovation: the power of the crowd’, the workshop will introduce examples of eHealth 

initiatives from Catalonia and the Stockholm region against the backdrop of the findings of the KPMG / 

MBS report. In a highly interactive session design participants will be invited to share their ideas on how 

the challenges of eHealth implementation at various levels could be addressed. 

This symposium is co-funded by the European Union, in the framework of the Health Programme. 

SPECIAL InTErEST grOUP (SIg) On PrIMArY CArE 

Time: 13.00-15.00 


Chairs: Dr. Antoni Peris, CASAP, Spain 

Prof. rod Sheaff, University of Plymouth, United Kingdom

The financial crisis is placing ever-greater demands for efficiency on health care providers, financiers and 

governments. The Primary Care SIG will compare, analyse and link primary care activities and strategies 

to improve health systems outcomes in these circumstances. We collect and compare experiences from 

diverse European countries in community activities and patients’ involvement, vertical and horizontal 

integration, and examine what roles primary care organisations can, and do, play. Our goal is to observe 

changing systems from a bottom up perspective and share experiences and knowledge on Primary 

Care Health Services. 

PrESEnTATIOnS 

Developing Clinical governance Innovative practices in Primary-care: Self-organization and 

vertical integration dynamics 

Luis Lapão, Institute of Hygiene and Tropical Medicine, Portugal 

Assessing the economic impact of Disease Management programs to prevent cardiovascular 

diseases in Italy: the raffaello Program 

Matteo ruggeri, Catholic University of Sacred Heart of Rome, Italy 

Working as a locum gP: their professional role in organizational context 

ronald Batenburg, NIVEL, The Netherlands 

Clinical Vignettes: a time-driven activity based method for measuring micro-costs in Primary 

Care in Europe 

Almudena Albertos, Institute of Health Carlos III, Spain 

A proposal to define a framework to classification models of primary care in Europe 

Virginia del Pino, Institute of Health Carlos III, Spain 

SPECIAL InTErEST grOUP (SIg) On HEALTHCArE WOrKFOrCE MAnAgEMEnT 

Time: 13.30-15.30 


Chair: Dr. Wendy Knibb, University of Surrey, United Kingdom 

The 2012 SIG session will focus on interactive lively debate and shared learning of hot management topics 

such as managing patient safety with reductions in the workforce from differing perspectives and the 

impact of clinical management roles as well as other management challenges. There are four papers from 

Albania, Bulgaria, UK and Bosnia and Herzegovina discussing implications of these issues in the context of 

the EHMA conference theme of ‘’Who provides, who pays’’. In addition, this year we are lucky to link with 

the COST Action on Management and Medicine to provide a further platform for debate around clinical 

management. The session closes with an opportunity to express opinions on how we take the SIG forward. 

PrESEnTATIOnS 

Achievement of patient safety through quality occupational health management in Bulgaria 

nevena Tzacheva, Medical University Sofia, Bulgaria 

Patient safety in primary care in Albania 

Jonila gabrani, University of Tirana, Albania 

nurses and burn-out at work place 

Zarema Obradovic, Institute for Public Health of Canton Sarajevo, Bosnia and Herzegovina 

´ 

Clinicians on board: What difference does it make to hospital performance? 

Kathy Hartley, Leeds Univerity, United Kingdom 

Cost action: management and medicine? 

Susan Hamer, NIHR Clinical Research Network, United Kingdom 

next steps for the SIg 

Wendy Knibb, University of Surrey, United Kingdom 


11

12 


OPEnIng PLEnArY - SETTIng THE SCEnE 

Time: 19.00-20.30 

Location: Bern Town Hall, rathausplatz 2 

Chair: Prof. Aad de roo, Tilburg University, The Netherlands 

Welcome: Mr. Alexander Tschäppät, Mayor of Bern, Switzerland 

Prof. Dr. Martin Täuber, University of Bern, Switzerland 

Facilitator: Dr. robert Sinclair, Region Västra Götaland, Sweden 

The opening will build on the interactive approach developed over recent years. The involvement of 

the private sector in healthcare can arouse passionate and conflicting views, from those that think the 

strong focus on the consumer, high output and efficiency in the private sector is essential to modernise 

European Healthcare, deliver better value for money and help fill the gap between available resources 

and growing demands. Through to those that think that introducing competition and the profit motive into 

healthcare is inefficient, ideologically driven and going to result in less healthcare, frightening inequality 

and likely to hurt most the most vulnerable. 

Facilitated by Robert Sinclair this session will seek to engage the audience in exploring the spectrum 

of views and to develop the key lines of inquiry for reflection in the conference as it progresses. To be 

summed up at the end: Public or private – the winner is…! 

OPEnIng rECEPTIOn 

Time: 20.30-22.00 

Location: Bern Town Hall, rathausplatz 2

THUrSDAY, 14 JUnE 2012 

PLEnArY SESSIOn: THE MELTIng BOUnDArIES BETWEEn PUBLIC AnD PrIVATE: 

CHALLEngES FOr HEALTHSYSTEMS gOVErnAnCE 

Time: 9.00-10.30 

Location: Szenario 1-2 

Chair: Mr. Willy Palm, European Observatory on Health Systems and Policies, Belgium 

Speakers: Prof. richard B. Saltman, Rollins School of Public Health, Emory University, USA 

Ms. Dominique Polton, National Health Insurance, France 

For speaker bios and full abstracts please see pages 24-25. 

PArALLEL SESSIOnS: 11.00-12.30 

Primary Care & Financial Incentives 

Time: 11.00-12.30 


Chair: Dr. Taina Mäntyranta, Ministry of Social Affairs and Health, Finland 

Primary care across health systems worldwide is facing many challenges. The demand for change lies in 

improving financing, improving quality and getting better value for money, new organizational models 

and more health promoting activities in healthcare. The following session will explore the perspectives 

from variety of country settings including Sweden, the Netherlands, Italy and Spain. 

PrESEnTATIOnS 

Economic incentive - one way of promoting patients’ health gain in the health care system 

Anna Friberg, County of Skåne, Sweden 

Shared savings between payers and providers of health care: preliminary findings from a case 

study in the netherlands 

Arthur Hayen, Tilburg University, The Netherlands 

Integrated or not integrated? What future for PCgs? 

Francesca Scolari, Carlo Cattaneo University, Italy 

Provider strategies in the downturn: the power of economic incentives to primary care 

resolution improvement 

Tino Martí, CASAP, Spain 

Evidence Based Planning 

Time: 11.00-12.30 


Chair: Mr. Petar gabric, The Institute of Cardiovascular Diseases Vojvodina, Serbia 

Healthcare policy should be based and underpinned by evidence based research. But is that always 

the case? Case studies of recent projects from Sweden, United Kingdom and Greece, will provide an 

opportunity to reflect on the challenges of evidence based planning. Weaknesses and strengths for the 

implementation, potential benefits for the stakeholders and implications for healthcare policy formation 

are to be discussed. 


13

14 


PrESEnTATIOnS 

PrESEnTATIOnS 

research Inventory of Child Health in Europe (rICHE) - An EU Project for systematic collection 

and presentation of evidence 

Michael rigby, Keele University, United Kingdom 

Management capacity of greek hospitals - a case study in the development of strategic 

management plans 

Elisabeth Kounougeri Petsetaki, National School of Public Health, Greece 

Prediction of unplanned readmission among hospitalized patients in Stockholm county council: 

a population based cohort study 

Michael Högberg, Stockholm County Council, Sweden 

Planning for future health care in Stockholm 

Birger Forsberg, Karolinska Institute, Sweden 

Health Workforce: new World-new roles? 

Time: 11.00-12.30 


Chair: Dr. ronald Batenburg, NIVEL, The Netherlands 

What are the current trends in the health workforce area? Trends such as the advanced role for nurses 

or pharmacists, inter-professional collaboration and the need for clinical governance to be designed in 

tandem with performance evaluation are some of the topics to be discussed. 

PrESEnTATIOnS 

Employing nurses in advanced roles in Portugal: evidence, enablers and barriers to innovation 

gilles Dussault, Institute of Hygiene and Tropical Medicine, Portugal 

Exploring the potential of e-health in the provision of integrated pharmaceutical care services 

Luís Lapão, Institute of Hygiene and Tropical Medicine, Portugal 

Performance analysis within clinical directorates: evidences from Italian nHS 

Americo Cicchetti, Catholic University of Sacred Heart of Rome, Italy 

Patients’ Perspective 

Time: 11.00-12.30 


Chair: Dr. Susanna Bihari Axelsson, Nordic School of Public Health, Sweden 

Improvement of healthcare systems is a concern for patients as well as professionals. As consumers of 

healthcare, patients need to be involved in the process of change in health services. Therefore their view 

needs to be included. This session introduces different issues in health system in Romania, Spain, Austria 

and Finland. The question is what changes can they and will they bring? 

Informal health care payments in romania in the context of health system reform 

Marius Ionut Ungureanu, Babes-Bolyai University, Romania 

Long term healthcare reform effects in health professionals and patients’ knowledge and attitudes. 

A social anthropology perspective 

Antoni Peris, CASAP, Spain 

Producing and funding future elderly care services - different generations’ perspectives 

Minna Kaarakainen, University of Eastern Finland, Finland 

The integration of patients in the services processes. Attitudes of the Upper Austrian population 

Margit raich, UMIT, Austria

EU HEALTH POLICY SESSIOn: WHAT DO YOU nEED TO KnOW ABOUT THE grOWIng IMPACT OF 

THE EU On HEALTH SYSTEMS? 

Time: 11.00-12.30 

Location: Szenario 1 

Chair: Mr. nick Fahy, Nick Fahy Consulting Limited, United Kingdom 

This year’s EU Health Policy session will step back from the detail of individual EU initiatives to give an 

overview of key areas where the EU already presents challenges and opportunities to health systems 

across Europe, and how these are likely to evolve in the future. This will include how EU policies driven 

by the current financial crisis also have implications for all European health systems; how the upcoming 

budget negotiations for 2014-2020 will determine the EU funds available for investment, for research 

and for cross-border collaboration on health; and the potential wider effects of implementing the crossborder 

healthcare directive in 2013. 

Nick Fahy will present an overview of the current areas of EU impact on health systems, and the likely 

upcoming changes. An open discussion will then provide an opportunity for participants to explore the 

implications for their own areas of work in more depth. 

Session supported by: InSELSPITAL Universitätsspital Bern, Universitätsspital Zürich, Universitätsspital Basel, 

HUg Hôpitaux Universitaires de genèves, Centre Hospitaliers Universitaires Vaudois CHUV. 

2012 EUrOPEAn YEAr FOr ACTIVE AgEIng AnD SOLIDArITY BETWEEn gEnErATIOnS 

Time: 12.30-14.00 


Chair: Prof. Siegfried Walch, Management Center Innsbruck, Austria 

Speakers: Katharina Bauer, Katharina Huber, Benedikt Köpnick, Jan Joseph Siroky, 

from the Management Center Innsbruck, Austria 

The ageing population is one of the greatest challenges facing Europe. But is it also one of the greatest 

opportunities? As health systems are reshaped, caring well for older people gives the chance for new 

models and innovative partnerships. With many arguing that integrated care should lie at the heart of 

these changes, this session focusses on integration in the context of the European Innovation Partnership 

for Active and Healthy Ageing. 

YOUng rESEArCHErS In HEALTH nETWOrK SESSIOn: 10 THIngS YOU OUgHT TO KnOW TO 

SUCCEED In THE ACADEMIC WOrLD – AnD HOW TO gET FrOM THEOrY TO PrACTICE 

Time: 12.30-14.00 


Chairs: Dr. K. Viktoria Stein, Medical University of Vienna, Austria 

Ms. Susanne Bethge, University of Applied Sciences Neubrandenburg, Germany 

The sooner Young Researchers in Health gain access to the various fields concerned and learn to work 

in a multidisciplinary setting, the better we will be prepared for future excellence. The workshop content 

will consist of a skills input on the essentials of scientific writing and presenting which will be followed 

by some hands-on healthy networking activities. Both parts will be supplemented by good practice 

examples. The session is designed for young researchers who would like to gain insight into the essential 

skills and methods of scientific work and networking in the world of health care sciences. 


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COHABITATIOn WITHIn PUBLIC AnD PrIVATE PLAYErS – THE SWISS EXPErIEnCE 

Time: 12.30-14.00 


Moderator: Dr. Heinz Locher, Management- & Consulting Services, Switzerland 

Speakers: Prof. em. robert Leu, Hirslanden AG / VISANA, Switzerland 

Mr. Erwin r. griesshammer, Clinenia AG/ Spital Baden AG, Switzerland 

Mr. Jean-François Andrey, Lindenhof-Sonnenhof Foundation, Switzerland 

The Swiss health care system is characterized by a culture of co-habitation (sometimes rather co-agitation 

or cohabi-tension) between public, private not-for-profit and private for-profit players, especially in the 

hospital sector. Numerous forms of joint initiatives between these types of providers can be observed. 

The aim of the session is to present innovative projects crossing the borders of these categories in order 

to provide a value added to patients (and providers) - a source of inspiration for the participants. 

The speakers of the session will represent: the Hirslanden AG, the largest private hospital group in 

Switzerland, VISANA one of the largest health insurance companies in Switzerland, the Clinenia AG, a 

private for profit psychiatric hospital group; the Lindenhof-Sonnenhof Foundation, a private non-profit 

hospital group, and the Spital Baden AG a public hospital. 

PLEnArY SESSIOn: MAnAgIng THE PUBLIC PrIVATE InTErFACE 

Time: 14.00-15.30 


Chair: Prof. rod Sheaff, University of Plymouth, United Kingdom 

Speakers: Dr. Alicia granados, Genzyme, Spain 

Dir. Harald Maikisch, Landeskrankenhaus Feldkirch, Austria 

For speakers bios and full abstracts please see page 26-27. 

THE SWISS EXPErIEnCE. LEArnIng FrOM InTErnATIOnAL BEST PrACTICE 

Time: 16.00-18.00 


Moderator: Ms. Christina Bachmann-roth, ICME, Switzerland 

Speaker: Mr. François Muller, ICME, Switzerland 

Despite its relative prosperity and stability, Switzerland and its healthcare sector are facing many of 

the same challenges that other European countries are confronting: rising costs, workforce shortages, 

ageing infrastructures, demographic shifts, etc. To cope with these pressures, Swiss hospital managers 

are adopting a number of strategies: they redefine the roles hospitals play in healthcare provision vis-àvis 

other players; they adapt their business models and try cooperation and mergers; they redesign their 

internal processes and specialise or streamline; and others. This session will identify the Swiss challenges 

with a focus on those that may be transferable to other countries, before exploring with participants best 

practices and solutions that have been tested and proven elsewhere in Europe. The result will be an indepth 

discussion focused on management practice. The session will be led by expert consultants from 

International Consulting Management & Engineering (ICME), a management consulting firm founded 

and headquartered in Switzerland. 

(Session sponsored by ICME)

THEMATIC PArALLEL SESSIOnS: 16.00-17.30 

Mental Health 

Time: 16.00-17.30 


Chair: Dr. M.P.O Stoop, Ggz inGeest, The Netherlands 

e-Health is becoming increasingly important in mental healthcare, as it is seen as one of the key 

solutions for organizing it more efficiently. This workshop will explore experiences from different 

European counties and to discuss the implementation of eHealth in Mental health care. The workshop 

will begin with a presentation of the experience, the ambitions, the latest developments and the 

challenges faced by GGZ inGeest, a mental health organization in the Netherlands and members of 

the Asklepios Foundation. Their experience will act as a springboard for a broader interactive session 

with the participants at the workshop. 

Integration 

Time: 16.00-17.30 


Chair: Dr. Elly Breedveld, Erasmus University Rotterdam, The Netherlands 

The aim of this session is to explore the enablers and barriers of the integrated care implementation 

efforts. Existing models, their effectiveness and the organizational perspective of such endeavours will 

be discussed. 

PrESEnTATIOnS 

Increasing integration of healthcare services through new organizational forms: 

networks for multi-chronic patients 

Federica Segato, Politecnico of Milan, Italy 

Shedding a network light on integrated care -A different (re)view on performance of dementia 

care networks 

Sanja Korac, Alpen-Adria University of Klagenfurt, Austria 

Trends of models in hospital governance in the netherlands: failing integration of medical 

specialists in hospitals? 

Linda Muijsers, Erasmus University Rotterdam, The Netherlands 

Developing Clinical governance Innovative practices in Primary-care: Self-organization and 

vertical integration dynamics 

Luis Lapão, Institute of Hygiene and Tropical Medicine, Portugal 

Working Together 

Time: 16.00-17.30 


Chair: Ms. Elisabeth Kounougeri Petsetaki, National School of Public Health, 

Greece 

This session will focus on the relationship between different groups of professionals, the research community 

and the clinical providers under the framework of initiatives addressing quality of care, patient safety 

and anti-infection policy implementation. Such examples provide a more clear view on the role of 

organisational culture and what are the implications for the future policy and practice in this area. 


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PrESEnTATIOnS 

PrESEnTATIOnS 

Hospital boards and medical specialists collaborating for quality of care 

Daan Botje, NIVEL, The Netherlands 

InFESTO – Anti Infection Policy 

Juhani Pekkola, Kymenlaakso University of Applied Sciences, Finland 

Different work values and aims of subcultures - Impacts on patient care 

Margit raich, UMIT, Austria 

Understanding board governance and patient safety: a programme theory perspective 

ross Millar, University of Birmingham, United Kingdom 

Operations Management 

Time: 16.00-18.00 


Chairs: Prof. Paul gemmel, Ghent University, Belgium 

Health care redesign: managing a changing health care environment 

Melissa De regge, Ghent University, Belgium 

Processes’ mapping in health centres 

Silvina Santana, University of Aveiro, Portugal 

Quality of service and quality of consumables and medical devices: who pays and how the 

de- centralized vs centralized procurement process can support patient safety? 

Anastasia Balasopoulou, Hospital Management Scientific Center, Greece 

Operational access to long-term care for elderly: findings from a case study in the Netherlands 

Lisette Schipper, Tilburg University, The Netherlands 

Selection and weighting of performance indicators in a private healthcare organization: 

the balanced scorecard as a tool to support management 

Lara Santos, Autonomous University of Lisbon, Portugal 

The application of logical framework technique as quality management tool across diverse 

settings in a tertiary care hospital in Malta 

Sandra C. Buttigieg, University of Malta, Malta 

DEPArTUrE FOr SOCIAL DInnEr 

Time: 19.00 

Location: Train station 

Dr. Bert Meijboom, Tilburg University, The Netherlands 

Health care providers are increasingly challenged to deliver demand-based and responsive care in 

a cost-effective way no matter their institutional background. However, the current public-private 

approach in various health care sectors might well enforce the traditionally supply-driven approach 

where each entity provides only partial help. Integrally fulfilling clients’ needs and wants in a cost-effective 

way is a challenge which has been studied for years in the field of OM (operations management). OM 

offers a heritage of concepts which have been proven to be successful in industrial settings (e.g., lean 

management, theory of constraints, modular production and front/back office design). This session is 

related to the SIG on ICOM (Integrated Care Operations Management), which aims at studying how 

health care clients’ needs and wants can be managed in an integrated and cost-effective way. 

The Social Dinner will take place at the Gurten Restaurant overlooking the city of Bern. Buses will leave 

at 19.00 Bahnhofplatz, in front of Bern Train Station.

FrIDAY, 15 JUnE 2012 

gETTIng PUBLISHED In HEALTH SErVICES MAnAgEMEnT rESEArCH: WHAT (nOT) TO DO 

Time: 8.00-9.00 


Chair: Prof. Kieran Walshe, University of Manchester, United Kingdom 

Health Services Management Research is the new official journal of EHMA. It is an authoritative 

international peer-reviewed journal which exists to publish theoretically and empirically rigorous research 

on questions of enduring interest and concern to health-care organizations and systems throughout 

the world. It aims to serve an international community of academics and researchers on the one hand 

and healthcare managers, executives, policymakers and clinicians on the other. 

Editor in Chief, Professor Kieran Walshe, will lead a session on getting published in HSMR and other 

academic journals. Using real examples from the journal he will illustrate how to prepare and present 

your research so that it completes the peer review process and makes it into publication. He will also 

explore the wider issues of publishing and dissemination. 

SAC BrEAKFAST SESSIOn: DEMYSTIFYIng EU rESEArCH FUnDIng – FP7 AnD HOrIZOn 2020 

Time: 9.00-10.30 



Pannel: Dr. Johan Hansen, NIVEL, The Netherlands 

Dr. Marcin Kautsch, Jagiellonian University Medical College, Poland 

Prof. gilles Dussault, Institute of Hygiene and Tropical Medicine, Portugal 

This session, hosted by the EHMA Scientific Advisory Committee, is particularly aimed at researchers who 

are involved in EU funded research projects in FP7, or who are interested in being involved in future 

projects in FP7 and Horizon 2020. It will provide an introduction to EU funding for research, and will focus 

particularly on the call for proposals which we expect to be published in July 2012. It will be informal and 

participative, with some short presentations and lots of opportunities for discussion and networking. 

PROGRAMME DIRECTORS’ MEETING 

(This session is open only to Programme Directors) 

Time: 09.30-10.30 


EHMA’s Programme Directors’ Network discusses developments in the field of postgraduate health 

management education and provides a platform to exchange experience and ideas between 

progremmes. During the informal network meeting at the Annual Conference current trends and 

activities of the network are discussed. 

PHD STUDENTS’ SESSION 

Time: 11.00-12.30 



This dedicated PhD students’ session will showcase submissions for the Karolinska Medical Management 

Centre and EHMA Research Award 2012. Overseen by EHMA’s Scientific Advisory Committee (SAC), the 

award promotes high-quality research into health organisation and management by encouraging early 

career researchers to carry out such work and to be recognised for their contribution. 


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PrESEnTATIOnS 

PrESEnTATIOnS 

Strategizing in a messy context. A Study of Academic Medical Centres 

Adriana Allocato, University Magna Graecia, Italy 

Public healthcare organizations: Who really drives the change? 

Ekaterini Fameli, Athens University of Economics and Business, Greece 

Developing integrated care. Towards a development model for integrated care 

Mirella Minkman, Vilans, The Netherlands 

Framing and re-framing calamities in hospitals: how different views on calamities shift 

responsibilities from professionals towards managers 

Lonneke Behr, IBMG/Erasmus University Rotterdam, The Netherlands 

DIRECTIVE ON THE APPLICATION OF PATIENTS’ RIGHTS IN CROSS-BORDER HEALTHCARE 

Time: 11.00-12.30 


Chair: Mr. nick Fahy, Nick Fahy Consulting Limited, United Kingdom 

Speakers: Ms. rita Baeten, European Social Observatory (OSE), Belgium 

Dr. Caroline Wagner, WINEG, Germany 

The session will explore the latest evidence of the use and impact of the Directive. The session will build 

on information from a simulation of the Directive in practice and also the latest data from TK on the use 

of cross-border healthcare by their insurants. 

The simulation highlighted issues that received little attention in the run up to the adoption of the 

Directive. The most striking set of conclusions related to the potential burden for patients travelling 

under the Directive. The responsibility to find information on potential treatments, the burden of proof in 

demonstrating to the health care payers that the treatment has been carried out and the responsibility 

to submit the correct documentation was seen to lie with patients. Patients in effect are perceived as 

consumers shopping around with their ‘voucher’. TK will present their latest data and how they as an 

insurer are able to offer their insurants some protection from the problems highlighted in the simulation. 

PArALLEL SESSIOnS: 11.00-12.30 

Sustainable Financing 

Time: 11.00-12.30 


Chair: Dr. Johan Hansen, NIVEL, The Netherlands 

Due to longer life expectancy and increase in the number of chronic disease, governments are facing 

increases in spending on healthcare. Anomalies of upcoding and miscoding in diagnosis related groups 

can also cause problems. What are the possible ways to overcome the challenges the health system is 

facing? This session will provide examples from Slovenia, United Kingdom and Estonia. 

How to get maximum reimbursement 

Anne-Marie Yazbeck, National Institute of Public Health, Slovenia 

Use of patient level costing data to establish value-based public healthcare in England 

Mahmood Adil, Manchester Business School, United Kingdom 

Possibilities for sustainable financing of the Estonian social insurance system 

Priit Kruus, Praxis Centre for Policy Studies, Estonia

new Providers, new Models of Care 

Time: 11.00-12.30 


Chair: Mr. Michael Attwood, Sue Ryder & Myton Hospice Charities, United Kingdom 

How do we introduce new providers into established health systems and what are the potentials gains 

and challenges? 

PrESEnTATIOnS 

Pluralism in healthcare commissioning: patterns of destablisation in the English nHS 

rod Sheaff, University of Plymouth, United Kingdom 

Public-private-partnerships in health promotion: experiences, opportunities and readiness in 

Switzerland 

Michael Kirschner, Health Promotion Switzerland, Switzerland 

Non-profit Providers in Stockholm County Council – Obstacles to Entering the Healthcare Market 

Kajsa Westling, Stockholm County Council, Sweden 

Can health care system be able to personalize its service? 

Mathias Waelli, EHESP, France 

Involving Citizens 

Time: 11.00-12.30 


Chair: Dr. Sandra C. Buttigieg, University of Malta, Malta 

The contribution of patients to improve health services is invaluable. What are the opportunities for the 

involvement of patients in healthcare? Patient influence on healthcare provision will be presented in the 

following session through the experiences in the United Kingdom, the Netherlands, and Sweden. 

PrESEnTATIOnS 

Engaging patients in the commissioning of chronic pain services: a model for effective patient 

and public involvement 

Elaine Mcnichol, University of Leeds, United Kingdom 

A paradigm shift in governance of local care and social service in the netherlands: from 

central provision to local participation 

Maarten Janssen, Erasmus University Rotterdam, The Netherlands 

Bring a Friend - a peer education program for cervical cancer screening among immigrants 

Malena Lau, Angereds Local Hospital, Sweden 

EU SECTOr SKILLS COUnCIL FOr nUrSIng? 

Time: 12.30-14.00 


Chair: Ms. Jeni Bremner, EHMA 

With the ageing population and health workforce putting increasing pressure on nursing and care skills, 

delivery and training, could an EU Sector Council provide an opportunity to accelerate knowledge 

development and support across the EU. Launched in January 2012 the “Feasibility study on the 

establishment of a European Sector Council on Employment and skills for Nursing and Care workers” aims 

to test the interest from Member States. This session will briefly present the feasibility study and gather 

views from participants on whether and how an EU wide sector skills council for nurses might add value. 


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TrAnSITIOnAL COUnTrIES nETWOrK SESSIOn 

Time: 12.30-14.00 


Chair: Dr. Marcin Kautsch, Jagiellonian University Medical College, Poland 

Speaker: Ms. Judit Csiszar, EHMA 

2012 marks a turning point in the life of the TCN. After three years of evolution the network is now set to 

embark on becoming actively involved in translating issues related to Transitional Countries and health system 

transformation to the EU level policy agenda, and help TCN members to use the support the of EU policy and 

financing mechanisms in their quest for change. To make the network activities more tailored to the needs 

of the CEE countries and their health care systems a systematic investigation is needed on the domains 

and specific areas of concern. The goal of the session is to initiate a consensus debate around a proposed 

Framework for Action. The workshop seeks to involve health care policy and decision makers, health services 

researchers and practitioners with interest in the health care developments in the TC countries. 

FIBAA SESSIOn: LEArnIng OUTCOMES – An ESSEnTIAL FOr SUCCESSFUL STUDY COnDITIOnS 

Time: 12.30-14.00 


Moderator: Dr. Birger Hendriks, FIBAA Special Representative, Germany 

Learning outcomes may be a written module, a whole study programme or a component of it. Including 

their link to qualifications frameworks they are important for academic staff in designing study programmes, 

for students in getting information on what they may learn, for recognition purposes as well as for quality 

assurance measures. This context will be described on the basis of practical use and examples. 

PLEnArY SESSIOn: PATIEnTS, CITIZEnS, COnSUMErS 

Time: 14.00-15.30 


Chair: Ms. Marianne Olsson, County Council of Sörmland, Sweden 

Speakers: Dr. Angela Coulter, Informed Medical Decisions Foundation, United Kingdom 

Dr. Lucien Engelen, Radboud REshape & Innovation Centre of the Radboud University 

Medical Centre (RUNMC), The Netherlands 

CLOSIng SESSIOn 

Time: 15.30-16.00 


For speakers bios and full abstracts please see page 28-29.

Mr. rOBErT SInCLAIr, SENIOR MEDICAL ADVISOR, DEPARTMENT OF HEALTH CARE, 

REGION VÄSTRA GÖTALAND, SWEDEN 

FACILITATOr 

Born and based in Göteborg, Sweden. Medical 

studies at the University of Göteborg. Thesis 

on inflammation and pain published in 1996. 

Specialist in Anesthesiology and Intensive Care 

1982, Head of the Department of Anesthesia and 

Intensive Care at Sahlgren University Hospital/ 

Mölndal 1997 - 2003. Long-time interest in travel 

medicine and international health, diploma 

course in tropical medicine and hygiene and 

author of a handbook in travel medicine. Field 

studies of medical care facilities and systems 

worldwide. Chair of an international network 

specialized in workplace safety and health and 

wellbeing promotion. From 2004 Senior Medical 

Advisor to the Region Västra Götaland, with a 

special focus on; 1) medical and health care 

matter and systems within the European Union 

and in other international contexts; 2) acute 

care processes and patient empowerment; 3) 

the possibilities of health and medical care to 

contribute to equality in health as well as regional 

development and economic growth. 

KEYnOTE SPEAKErS: BIOS AnD ABSTrACTS 

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PrOF. rICHArD B. SALTMAn, PROFESSOR OF HEALTH POLICY 

AND MANAGEMENT, ROLLINS SCHOOL OF PUBLIC HEALTH, EMORY UNIVERSITY, USA 

KEYnOTE SPEAKEr - THUrSDAY 14 JUnE 2012, 9.00-10.30 

richard B. Saltman is Professor of Health Policy 

and Management at the Emory University School 

of Public Health in Atlanta, Georgia, USA. He cofounded 

the European Observatory on Health 

Systems and Policies in Brussels in 1998, and is 

currently head of the Atlanta hub. He is an Adjunct 

Professor of Political Science at Emory University, a 

Visiting Professor at the London School of Economics 

and Political Science, and Visiting Professor at 

the Braun School of Public Health at the Hebrew 

University in Jerusalem. From 1991 to 1994, he was 

Director of the Department of Health Policy and 

Management at Emory. He holds a doctorate in 

political science from Stanford University. 

He has published 17 books and over 130 articles on 

a wide variety of health policy topics, particularly 

on the structure and behavior of European health 

care systems, and his work has been widely 

translated. In 1987 and again in 1999, he won the 

European Healthcare Management Association’s 

annual prize for the best publication in health 

policy and management in Europe. His volumes for 

the European Observatory book series published 

by McGraw-Hill Education have been short-listed 

for the Baxter Prize by the European Healthcare 

Management Association in 2002, 2004 and 2006. 

SYnOPSIS 

Health care systems are highly dependent on 

the economic context in which they sit. In the 

2010s, the ongoing shift of economic power from 

developed economies to BRIC and other Asian Rim 

countries has triggered a permanent reduction 

in the availability of health and other welfare 

state sector resources in a number of European 

countries. While this process has begun in Southern 

Europe, it is now starting to surface elsewhere on 

the continent and in North America. 

Responses to this permanent reduction in health 

sector resources will require a variety of health 

system strategies, some already underway, some 

yet to emerge. All will involve a shift in the balance 

of public and private responsibilities in health 

systems. These shifts will, in turn, generate an altered 

balance of collective and individual responsibility in 

the health sector – in effect, a new social compact 

between citizen and state. 

This presentation will explore the links between the 

altered macro-economic climate and the changes 

now underway in the public-private mix of actors 

in the funding and delivery of health care services. 

It will consider the different responses to date from 

different countries, and explore the likely implications 

for future directions in European health policy.

Dominique Polton is heading the division of strategy, 

research and statistics of the French National 

Health Insurance Fund for Salaried Workers, 

covering 85% of the French population. Formerly, 

she was director of a research centre in health 

economics and health services research (Institut 

de recherche et documentation en économie de 

la santé - Institute for research and information in 

health economics). She is a member of permanent 

advisory committees such as the Haut Conseil pour 

l’Avenir de l’Assurance Maladie (High Council For 

the Future of Health Insurance). 

SYnOPSIS 

MS. DOMInIQUE POLTOn, DIRECTOR OF STRATEGY, RESEARCH AND STATISTICS, 

NATIONAL HEALTH INSURANCE, FRANCE 

KEYnOTE SPEAKEr – THUrSDAY 14 JUnE 2012, 9.00-10.30 

THE PUBLIC PrIVATE MIX In HEALTH CArE: 

rEFLECTIOnS In THE LIgHT OF THE FrEnCH 

EXPErIEnCE 

1) The issue of the role of the private sector in 

health care is controversial and the subject of 

hot national debates in nearly all our health 

care systems. However, the reality behind this 

general label of privatisation may be diverse, 

with a first important distinction between health 

care provision and health care funding. 

To take a closer look, very few systems are and 

have been entirely public in both respects. In 

most countries, when patients visit a general 

practitioner, they see an independent 

professional in a private practice. In all systems, 

there are user charges, even if their amount 

varies, and this is private funding. 

It is thus necessary to go beyond the status (for 

health care provision) or source of funding to 

characterize what is at stake when the role of 

private operators is considered. An analysis of 

the different configurations of public / private 

mix in health care will be proposed. 

2) In terms of health care provision, the debate 

about the public/private mix is generally 

intertwined by value jugements and ideological 

arguments. The common rhetoric is that public 

providers are inefficient, unresponsive to the 

needs of patients, no flexible and reluctant to 

change, while private providers are motivated 

only by self-interest and are 

Is it possible to document these arguments on 

empirical grounds? The French case will be 

used as an illustration, since it offers a particular 

mix of public and private delivery, in order to try 

to draw more general conclusions. In particular, 

the respective roles of the legal status of the 

provider and of other elements such as the 

incentives to which they are subject or the 

organisational changes will be discussed. 

3) Although it is included in the same notion of 

privatisation, the growing involvement of the 

private sector in the financing of health care 

has different implications. 

The proponents of this extended role see it as a 

way to meet the rising demands while coping 

with the constraints on public finance. Indeed 

in a lot of countries the difficulty to keep public 

funding in line with the trend growth of health 

expenditures leads to shift part of the financing 

towards individuals or private health insurance, 

or to seek additional capital funding through 

private finance initiatives. 

On the basis of a mapping of the roles that can be 

played by these private operators, the experience of 

various countries with different public / private mix will 

be analysed in order to assess some consequences 

of this development on diffrent aspects: 

- efficient use of health are resources, 

- dynamic of expenditures, 

- equity of financing and access to care. 


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Dr. ALICIA grAnADOS, SENIOR DIRECTOR OF GLOBAL 

HEALTH TECHNOLOGY ASSESSMENT (HTA), GENZYME, SPAIN 


Alicia granados has over 25 years of experience 

in Health Technology Assessment (HTA), strategy 

development, assessment methods, practices and 

implementation. Her experience in the field started 

back in 1986 in relation to her clinical and research 

background as pneumologist at a teaching hospital 

in Catalonia (Spain), and as advisor to the Catalan 

Department of Health (Government of Catalonia) in 

health technology and management. Later, in 1991, 

she was responsible for the creation and direction of 

Catalan Agency for Health Technology Assessment 

and Research, directly reporting the Catalan 

Government. Founder member of INAHTA, the first 

international HTA network. She was the General 

Director and CEO of CAHTAR until December 1999. 

Former President of the international Society for 

Technology Assessment in Health Care (ISTAHC) 

and Chair of the Committee for the Creation of a 

New Society of HTA: HTAi 

From 2000 to 2003, she was the Catalan Institute of 

Health’ President and CEO. She has been, since 

1992, temporary advisor of several UN agencies 

and Acting Regional Advisor of WHO European 

Office, leader of the Health Evidence network. 

SYnOPSIS 

WInDS OF CHAngE FOr HEALTH SYSTEMS: 

InnOVATIOnS AnD HEALTH TECHnOLOgY 

ASSESSMEnT 

Currently health systems are at a crossroads. 

We are evolving, once again, and the winds of 

change are carrying strong messages about the 

need for new ways of doing things in both public 

and private sector. 

Changes are envisioned in the provision of care 

for specific subpopulation, for chronic and 

fragile patients. Modifications of R&D models for 

more value based innovations and new sort of 

organizational models and relationship, as well 

as rising professional, organizational and scientific 

networks are, probably, the changes to be. 

The presentation will described some of the existing 

drivers for health system change and some policy 

deliberations about the meaning of innovation 

and HTA will be provided”.

Harald Maikisch has been Managing Director at 

the Academic Teaching Hospital LKH Feldkirch, 

Austria since 2008. 

Prior to this post, from 1991, he was Deputy CEO 

Vorarlberger Krankenhaus-Betriebsgesellschaft m.b.H., 

and from 1982, he was responsible for Organisation, 

Coordination and Revision. 

Harald is currently Lecturer at Danube University 

Krems and MCI Management Center Innsbruck. 

SYnOPSIS 

DIr. HArALD MAIKISCH, 

MANAGING DIRECTOR, LANDESKRANKENHAUS FELDKIRCH, AUSTRIA 


The Vorarlberger Krankenhaus-Betriebsgesellschaft 

m.b.H. is the company that owns the former hospitals 

of the Land Vorarlberg. This company was established 

in 1979 at that time a completely new and trendsetting 

idea in hospital management, meanwhile 

copied by all Austrian provinces. The objectives 

include coordinated and economic management 

of the hospitals, taking into consideration up-todate 

medical care for the population of Vorarlberg. 

Goals are decentralization and flexible organization, 

competence shifting, decision-finding on the scene 

a.s.o. The structures are created for improving 

operational efficiency using methods of private 

industries in a public owned setting. Due to these 

efforts excellent relation of costs and performance 

and high efficiency could be gained. Many efforts 

are made to hold high standards. 

Impacts of Privatization in a public owned setting: 

• flat command structures 

• clear competences 

• fast decision making 

• methods to improve efficiency and 

effectiveness 

• flexible, future oriented organization 

• reliable and continuous management 

• use of methods of private enterprises 

• no ancient bureaucratic structures 

The speaker Harald Maikisch will share his expertise 

of 30 years of hospital management and highlight 

in his keynote the most important key factors to 

succeed in fast changing conditions. Real practical 

and realized examples of PPP will demonstrate, 

that it can be valuable to combine public and 

private knowhow. 


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Dr. AngELA COULTEr, DIRECTOR OF GLOBAL INITIATIVES, INFORMED MEDICAL DECISIONS 

FOUNDATION, UNITED KINGDOM 

KEYnOTE SPEAKEr - FrIDAY 15 JUnE 2012, 14.00-15.30 

Angela Coulter is a health policy analyst and 

researcher who specialises in patient and public 

involvement in healthcare. She is Director of Global 

Initiatives at the Informed Medical Decisions 

Foundation, Boston, and Senior Research Scientist at 

the Department of Public Health, University of Oxford. 

A social scientist by training, Angela has a doctorate 

in health services research from the University of 

London. From 2000 to 2008 she was Chief Executive 

of Picker Institute Europe. Previous roles included 

Director of Policy and Development at the King’s 

Fund, and Director of the Health Services Research 

Unit at the University of Oxford. She is a Senior Visiting 

Fellow at the King’s Fund in London, holds Honorary 

Fellowships at the UK Faculty of Public Health and the 

Royal College of General Practitioners and is a Trustee 

of National Voices. Angela has published more than 

250 research papers and reports and several books 

including The Autonomous Patient, The European 

Patient of the Future (with Helen Magee), The Global 

Challenge of Healthcare Rationing (with Chris Ham) 

and Hospital Referrals (with Martin Roland). She 

was the founding editor of Health Expectations, an 

international peer-reviewed journal on patient and 

public involvement in health care and health policy. 

Her latest book, Engaging Patients in Healthcare, was 

published by Open University Press in August 2011. In 

January the Donabedian Foundation at Barcelona 

University awarded her the 2012 Donabedian 

International Award in healthcare quality for her 

work on patient-centred care. 

SYnOPSIS 

THE FUTUrE PATIEnT – CO-PrODUCIng HEALTH 

Across Europe health policy makers are searching 

for ways to improve quality standards and meet 

public expectations while keeping costs under 

control. This task is especially difficult at a time 

when technological, commercial, demographic 

and political pressures are driving demand 

relentlessly upwards. 

One response to these pressures that is beginning 

to develop some traction in policy circles is the 

recognition that patients can play a key role 

as co-producers of health. Indeed someone 

has described them as the greatest untapped 

resource. If, instead of being treated as merely 

passive recipients of professional interventions, 

they were encouraged to play a more active role 

in their own and their communities’ healthcare, 

then we might get a step closer to the holy grail of 

sustainable healthcare systems. 

In this talk I shall examine the evidence underpinning 

this assertion, looking at current trends in public 

expectations, at technological developments that 

are opening up new ways of responding to these 

aspirations, and at how health systems will need 

to adapt if they are to capitalise on the desire for 

greater involvement.

Dr. LUCIEn EngELEn, DIrECTOr, RADBOUD RESHAPE & INNOVATION CENTRE OF THE RADBOUD 

UNIVERSITY MEDICAL CENTRE (RUNMC), THE NETHERLANDS 

KEYnOTE SPEAKEr - FrIDAY 15 JUnE 2012, 14.00-15.30 

Lucien Engelen (1962) is the initiator and director 

of the Radboud REshape & Innovation Centre at 

the Radboud University Medical Centre (RUNMC). 

The Innovation Center studies technology trends 

and oversees their practical implementation in 

patient care. Lucien is also head of the Regional 

Acute Healthcare Network and advisor of the 

Executive Board of RUNMC. In 2011 he initiated 

the Radboud REshape Academy, offering 

Masterclasses on the current changes in patient 

care. Lucien is originator of “The Future of 

Health” TEDxMaastricht, that was first organized 

in 2011 and faculty of the Singularity University/ 

FutureMed track (founded by Google, NASA and 

Autodesk) in Silicon Valley. He is Mentor Health at 

The Founder Institute Amsterdam and together 

with the Mayo Clinic, he started a Global Social 

Media Network for Healthcare. With Roni Zeiger 

(Google) he founded MyHealthStory.me. 

Central to his thinking, doing, and inspiration is 

what he calls Participatory Healthcare. ”Their 

health is taken away from them, their data is being 

kept away from them, and we make choices for 

them. Patients want to be involved in their own 

diseases again.” 

SYnOPSIS 

Never before in history healthcare faced more 

challenges then nowadays. Not only budget 

cuts, shortage of skilled personel and doubling 

demand are at hitting the branche but also two 

other autonomous developments leverage this 

even more: exponential technology and the 

empowered patient. 

With the increase of technological possibilities, (i.e. 

thrive e-health which I start calling empowered 

health two years ago) possibilities hit health(care) 

with almost lightning speed and nearly everything 

is possible at costs that drop swiftly to fractions of 

“traditional” diagnostics, monitoring and treatment. 

The internet for one has brought knowledge and 

options to patient who are looking at it in high 

numbers, almost 65% of visits to the Dr, Google before 

they step into the doctor’s office, and almost 50% 

of them afterwards. People expect understandable 

information that is findable at the moment THEY 

need it. Just like the travel and music industries have 

seen, selecting doctors will take a high paced route 

with patients driving choices with their feet, leaving 

non empowerings doctors and institutions. 

All of this also brings great opportunities like those 

of crowd sourcing for health (C4H) where the 

public and health professionals gather online or 

in real life to collect data, experiences options or 

even money to improve their health(care). 

It is at the intersection of data and narration that 

new changes are to be found for coping with the 

challenges we are facing: let’s start listening to 

each other! 


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POSTEr PrESEnTATIOnS 

1 

2 

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4 

5 

6 

7 

8 

9 

10 

11 

12 

13 

14 

15 

16 

17 

18 

19 


PrESEnTEr TITLE 

Americo Cicchetti, Catholic University of 

Sacred Heart of Rome, Italy 

Americo Cicchetti, Catholic University of 


Ana Simões, INESC Porto, Portugal 

Andrea Marcellusi, University of Tor 

Vergata, Italy 

Andrea Marcellusi, University of Tor 

Vergata, Italy 

Antoniya Yanakieva, Medical University 

of Sofia, Bulgaria 

Carl-Ardy Dubois, University of Montreal, 

Canada 

Christine Vietor, Techniker Krankenkasse, 

Germany 

Christine Vietor, Techniker Krankenkasse, 

Germany 

Emanuele Porazzi, Carlo Cattaneo 

University, Italy 

Femke Vennik, Institute of Health Policy 

and Management, The Netherlands 

Gena Grancharova, Medical University 

of Pleven, Bulgaria 

Gözde Terekli, Ankara University, Turkey 

Guido Fontana, Pavia Local Health 

Authority, Italy 

Harald Stummer, UMIT, Austria 



Helena Periera, UAL, Portugal 

Jasmine Pavlova, Faculty of Public 

Health, Bulgaria 

CEOs’ career patterns in healthcare: evidences from 

the Italian National Health Service 

Investigating the organizational impact of the 

introduction of new oral anticoagulant therapies 

(OATs) 

Conceptual framework for organizational model 

assessment of Hospital Centers (HC) 

Comprehensive value estimation of adalimumabbased 

treatments: Covet study 

Social impact of Adalimumab in the Italian 

perspective 

Research on the Need for “Medical Home Patronage” 

Services in Bulgaria 

Conceptualizing and measuring performance in the 

domain of nursing care: a systems approach 

How does prenatal care affect the birth mode? 

Improving health care in women with uterine fibroids 

by using an integrated care model 

The use of Root Cause Analysis for error detection in 

Histology - impact on quality and safety of patients 

Patient participation through patient-centered 

eHealth applications: A utopia? 

Hospice care in Bulgaria - who pays, who provides? 

Outsourcing in Turkish hospitals: a systematic review 

New proposed schemes for chronic patient 

management in Regione Lombardia.”Chronic related 

Groups (CReG)” under testing in five Local Health 

Authorities and the experience of “Primary Care 

Groups” PCG) in the Pavia Local Health Authority, 

(Lombardy, Italy), for care delivery to chronic patients 

Medical Service Centers – Fixed Income versus 

Individual Income within Cooperations of SHI-doctors 

Path Management in multimodal pain management – 

Impact on quality and costs? Evidence from Germany 

Managed Care - a Pilot Project of Stroke Management 

in Austria 

Raising funds for the National Health System: 

Physician’s perspective. 

Approaches for optimizing the financial hospital 

management and quality of services (through 

experience in Bulgaria) 

THEME 

Policy and Financing 

Healthcare Provision 

Integration 


PhD Students’Session 

Phd Students’ Session 

Quality and Patient 

Safety 



Safety 


Safety 

Patients, Citizens, 

Consumers 



SIG Primary Care 

SIG Primary Care 


Integration 


Policy and Financing

20 

21 

22 

23 

24 

25 

26 

27 

28 

29 

30 

31 

32 

33 

34 

35 

36 

37 

38 


PrESEnTEr TITLE 

Keren Dopelt, Ben Gurion University of 

the Negev, Israel 

Maria Teresa Herdeiro, University of 

Aveiro Portugal 

Maria Teresa Herdeiro, University of 

Aveiro Portugal 

Marja-Leena Kauronen, Kymenlaakso 

University of Applied Sciences, Finland 

Matteo Ruggeri, Catholic University of 


Pirjo Räsänen, Hospital District of Helsinki 

and Uusimaa, Finland 

Ranko Stevanovic, Croatian Society 

for Pharmacoeconomics and Health 

Economics, Croatia 

Roberto Nuño, Basque Institute For 

Healthcare Innovation, Spain 

Ronald Batenburg, NIVEL, The 

Netherlands 

Siegfried Walch, Management Center 

Innsbruck, Austria 

Skirmante Sauliune, Lithuanian University 

of Health Sciences, Lithuania 

Taina Mäntyranta, Ministry of Social 

Affairs and Health, Finland 

Valentina Iacopino, Catholic University 

of the Sacred Heart of Rome, Italy 

Verdiana Morando, Catholic University 

of Sacred Heart of Milan, Italy 

Victoria Höß, University for Health Life 

Sciences, Austria 

Virva Hyttinen, University of Eastern 

Finland, Finland 

Vitaliy Koikov, Republican Centre for 

Health Development, Kazakhstan 

Wilfried von Eiff, Center for Hospital 

Management, Germany 

Wilfried von Eiff, Center for Hospital 

Management, Germany 

Developing National Quality Measures for Infants 

and Toddlers Preventive Health Services as a Tool for 

Decision Making 

Attitudes of pharmacists and physicians to antibiotic 

use and microbial resistances - a pilot study. 

Educational Interventions to improve antibiotic use 

and to reduce costs associated with inappropriate 

consumption. 

Influence of the self-efficacy on the health behavior 

among vocational educated youth and young adults 

Assessing the costs of the health pathways: the case 

of diabetes in an Italian healthcare district 

Routine assessment of effectiveness of secondary 

health care in the Helsinki University Hospital 

Alzheimer`s disease - resource providing and 

economics for ensuring care of patients in palliative 

medicine 

IEMAC: a tool for guiding healthcare organizations in 

their answer to chronicity 

Foreign trained dentist working in the Netherlands: 

motives and movements in cross-border behaviour 

Evaluation of Tyrolean hospitals to obtain the 

accreditation “Selbsthilfefreundliches Krankenhaus” 

(Support Group Friendly Hospital) 

Accessibility of primary health care services in urban 

community of Lithuania 

Public-private cooperation in oral health care in 

Finland 

The network structure of nanomedicine: exploring the 

role of health care providers 

The performance evaluation of policy networks in the 

integrated care: connecting theories to organizational 

praxis. An experimental case study developed in 

a Spinal Unit of Lombardia Region to evaluate the 

performance of policy networks managing the 

pathway of persons with Spinal Cord Injury 

Integrated health care - Austria on its way 

Seniors’ willingness to participate in working life after 

retirement. 

Comprehensive assessment of patient safety in 

medical organizations of the Republic of Kazakhstan 

Practice Example: Status Quo of back-pain patient’s 

cross-sectoral path of medical treatment in Germany 

Burden of MRSA - Quality, Costs and Risks in Patient 

Care 

THEME 



Safety 


Safety 


Consumer 



Safety 


Consumer 


SIG Workforce 


Consumer 



Integration 

PhD Students’session 




Safety 



Safety 


31

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PrACTICAL InFOrMATIOn 

PrACTICAL InFOrMATIOn 

COnFErEnCE VEnUE 

KURSAAL BERN 

Kornhausstrasse 3, 3000 Bern 25, 

Switzerland Tel: +41 31 339 55 00 

Fax: +41 31 339 55 10 

www.kursaal-bern.ch/en/kursaal 

BErn InFOrMATIOn 

For information about Bern and its cultural activities, 

please visit www.bern.com/en 

InTErnET SErVICE AT THE KUrSAAL BErn 

Wireless internet in all conference rooms is available 

for a fee (15 CHF per day). 

For internet access ask at the Kursaal reception. 

PrESEnTATIOnS 

All oral presentations will be posted on www.ehma. 

org two weeks after the Conference. 


Posters are on display in the Arena Foyer. On 

Thursday 15.30-16.00 and on Friday 13.30-14.00 

authors will be at their posters and answer your 

questions. 

WELCOME AnD rEgISTrATIOn DESK 

The welcome and registration desk is located in 

the Arena Foyer and it will be open as follows: 

Wednesday 13 June from 9.00 to 18.00 

Thursday 14 June from 8.30 to 18.00 

Friday 15 June from 8.30 to 16.00 

OPEnIng PLEnArY AnD rECEPTIOn 

The Opening Plenary and Reception will take 

place on Wednesday 13 June at 19.00 at the Bern 

Town Hall, Rathausplatz 2. The venue is in walking 

distance. No transport will be provided. 

SOCIAL DInnEr 

The Social Dinner will take place at the beautiful 

Gurten Restaurant overlooking the city of Bern. 

Buses will leave at 19.00 from Bahnhofplatz, in front 

of Bern Train Station to the Gurten Funicular. If you 

miss the bus, please use other transportation (at 

own expense). 

From the city centre Bernmobil tram number 9 

till Webern Station, then Gurten Funicular uphill. 

Please note that no cars are allowed uphill. 

TIME ZOnE 

Time zone in Bern is GMT +1. 

TrAnSPOrTATIOn 

Airports 

From Bern-Belp Airport: Bernmobil bus number 334 

(20 minutes). www.bernmobil.ch 

From Zurich airport and Geneva airport Bern: 

frequent direct trains. www.sbb.ch 

Transportation in the City 

Public transportation: Bern has an efficient and 

modern public transportation system. 

Info on www.bernmobil.ch 

Bicycle: Free bicycle rental at Bern rollt. Just present 

a valid ID and a deposit of CHF 20, and you can 

rent a bike. www.bern.com/en 

Taxis 

Bären-Taxi: Tel: +41 31 371 11 11 

Nova-Taxi: Tel: +41 31 331 33 13 

EMErgEnCY InFOrMATIOn 

Please dial: 117 for police; 118 for fire department; 

144 for paramedic and ambulance

MAP OF BErn 

2 3 

1 

1 

2 

3 

KU R S A A L BERN, Kornhausstrasse 3 

TR A iN STATioN, Ba h n h o f p l a t z 

BERN To w N HA L L, ra t h a u s p l a t z 2 

MAP OF BErn 

33

34 

FLOOrPLAn - KUrSAAL BErn 

FLOOrPLAn KUrSAAL BErn 

5th Floor 

3 

ground Floor 

1 

2 

3 

4 

REcEpTioN: 

RegistRation Desk 

ViV A c E 1-5 

Sz E N A R i o 1+2: 

Pl e n a R y Ro o m s 

Fo y E R AR E N A 

lu n c h & coffee BR e a k aR e a 

P o s t e R aR e a 

2 

4 

1 

Main 

Entrance

5TH EUROPEAN WINTER SCHOOL ON HEALTH LEADERSHIP 

MANAGING AND LEADING HEALTHCARE IN PRACTICE 

INNSBRUCK, 20 – 22 MARCH 2013 

Leadership in a pluralist system 

european 

winter 

school 

20 – 22 MARCH 

2013 

A UDIENCE 

The EHMA / MCI Winter School is an event designed for health leaders who want an international context in which to interrogate 

ideas and build a network of like-minded peers. It is suitable for senior managers, healthcare executives and clinicians 

looking to grow in management and leadership skills and to build an international peer network. 

“Concrete, solid knowledge in a easily understandable context. The EHMA / MCI winter school catalyzes personal 

awareness of the importance to respect culture and underlying forces in order to facilitate change and integration!“ 

Martin Olsen, Norwegian Nurses League, Norway 

“It was a great pleasure to meet with global health leaders from so many various countries. The method and the 

facilitation were excellent and boosted a high interaction and a strong exchange of thoughts between the 

participants.” 

Harald Maikisch, Hospital Manager, Austria 

„The winter school was a very enriching experience. It gave us deeper insights, more space for sharing experience 

and a better direction to our managerial decisions. Encouraging healthcare managers to join such retreats to share 

their reflections would help in reshaping the future of the healthcare industry.“ 

Mostafa Hunter, Opthalmologist & Healthcare Consultant, Egypt 

FOR M ORE INF ORM ATION AND TO REGISTER 

PLEASE SEE OUR WEBSITE 

www.healthleadership.eu 

www.ehma.org

MEDIA PARTNERS 

EUROPEAN HEALTH MANAGEMENT ASSOCIATION 

Rue Belliard 15-17, 6 th Floor | 1040 Brussels | Belgium 

Tel.: + 32 2 5026525 | Fax: + 32 2 5031007 

www.ehma.org

EHMA Annual Conference 2012

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