Martin McKee, Laura MacLehose, Ellen Nolte's Health Policy and European Union Enlargement (European PDF

By Martin McKee, Laura MacLehose, Ellen Nolte

ISBN-10: 0335213537

ISBN-13: 9780335213535

ISBN-10: 0335226442

ISBN-13: 9780335226443

The method of eu Union expansion can have significant implications for wellbeing and fitness and overall healthiness care coverage all through Europe. the variety of nations inquisitive about this technique and the demanding situations they face is the point of interest of this ebook. This e-book should be of curiosity to scholars of wellbeing and fitness coverage, economics, public coverage and administration, in addition to well-being managers and coverage makers.

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Additional info for Health Policy and European Union Enlargement (European Observatory on Health Systems and Policies Series)

Example text

However, even a superficial examination of the data highlights the importance of a few specific conditions in explaining this divide, cardiovascular disease, injuries and violence, cancer, and some alcohol-related diseases such as cirrhosis. Each will be considered in turn. The high levels of cardiovascular disease in CEE reflect high levels of many of the usual risk factors, such as fat consumption and smoking. Differences in access to and quality of health care for cardiovascular disease may also explain some part of the differences in mortality for this condition and it is also increasingly recognized that the traditionally very low levels of fruit and vegetables in diets in this region have also played a role (Bobak et al.

Rates of HIV infection are still low, in global terms, but are rising extremely quickly in many parts of CEE (Dobson 2001). At present, spread is primarily due to needle sharing among addicts but the epidemic is beginning to move into the wider population by means of sexual spread. Rates of tuberculosis have also increased markedly in the 1990s in some countries. In particular, in the Baltic states, especially among prison populations, conditions are highly conducive to rapid spread and treatment is often inadequate (Stern 1999).

A more recent analysis, comparing the Baltic states with the United Kingdom (selected as an example of a western European country) shows that the east-west gap in deaths from avoidable causes began to emerge about 1970. At that time many modern pharmaceuticals and innovative surgical techniques were being adopted in the west, but not to anything like the same extent in the east (Andreev et al. 2003). While the specific impact of health care on measures of population health is often difficult to detect, there are several well-documented examples of where this has been identified (Becker and Boyle 1997; Nolte et al.

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Health Policy and European Union Enlargement (European Observatory on Health Systems and Policies Series) by Martin McKee, Laura MacLehose, Ellen Nolte


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