Health Targets In Europe: Polity, Progress and Promise

Health Targets in Europe: Polity, Progress and Promise......Page 1
Contents......Page 3
Contributors......Page 5
Acknowledgements......Page 7
1: Evidence and imagination......Page 9
Minding our language......Page 11
Targeting health and illness......Page 14
Fairness and freedom......Page 16
Politics and evidence......Page 18
Governance and imagination......Page 19
Europe......Page 21
Conclusion......Page 24
References......Page 25
Developments in population health......Page 26
Developments in health policy......Page 28
Developments in health target setting......Page 31
European Union......Page 33
World Health Organization......Page 35
European landscape......Page 37
Conclusion......Page 39
References......Page 40
The ethical imperative......Page 42
Coronary heart disease......Page 43
Cancers......Page 44
References......Page 45
4 May 2001......Page 46
9 May 2001......Page 48
18 June 2001......Page 49
12 July 2001......Page 51
References......Page 53
20 July 2001......Page 54
References......Page 56
What could targets achieve?......Page 57
Making targets work in health development......Page 58
Three strategies......Page 59
Legislation and target setting at the central level......Page 60
Health for all: easier abroad than at home......Page 63
The new national perspective......Page 64
Regional and local target setting for health development......Page 66
Targets in practice across political levels: the case of road traffic safety......Page 68
Systematic health surveillance and “implicit target setting”......Page 70
On to new health......Page 73
Where are we heading?......Page 74
Process of health policy development......Page 77
Health situation analysis......Page 79
Targeted structure of National Health Programme......Page 80
Monitoring and evaluation......Page 81
Conclusion......Page 82
References......Page 83
Introduction......Page 84
The heritage of General Franco’s dictatorship......Page 85
A coincidence: Alma-Ata and Spanish democracy......Page 87
Social policy in a quasi-federal state......Page 89
Health targets in Spain......Page 90
The Spanish Public Health Association assessment......Page 92
The Las Palmas Declaration......Page 93
References......Page 95
The general background for target setting......Page 97
Targets and the German healthcare system......Page 98
The past (1983–1993)......Page 100
1997–2000: from medical orientation to health targets......Page 103
The future......Page 107
Conclusion......Page 109
Introduction......Page 111
State Health Conference in North Rhine-Westphalia......Page 113
Local health conferences......Page 115
The targets and their functions......Page 116
Target areas......Page 118
Quantification......Page 119
Further consolidation and implementation......Page 120
Provisional results......Page 121
Prospects and further planning......Page 122
References......Page 123
Introduction......Page 125
Health in Finland......Page 126
Changes in planning and management of health policy......Page 127
Experiences from the 1980s and 1990s......Page 128
The beginning of the 21st century......Page 131
Conclusion......Page 135
References......Page 137
The Italian policy for health targets......Page 138
A constrained system of governance**......Page 143
Health policy in Italy......Page 145
An exceptional policy*......Page 148
But also more of the same......Page 151
Conclusion......Page 153
References......Page 154
Introduction......Page 156
Review of the policy on health targets......Page 159
Assessing the impact of health targets......Page 164
National inequalities targets......Page 165
Target based approach to health policy......Page 167
References......Page 171
Introduction......Page 173
Political, social and economic development: variations and dichotomies......Page 174
Stakeholder perspectives......Page 178
Tactics and targets......Page 182
Targets: the route to intersectoral action and service integration?......Page 184
Conclusions: passing the “health flame” on......Page 186
References......Page 187
Introduction......Page 189
The future of the welfare state: how did we get here and where are we going?......Page 190
From solidarity to targets for health......Page 194
Values and beliefs......Page 197
Crisis in the welfare state?......Page 201
The wider European context......Page 203
The wider world......Page 208
Conclusion......Page 209
References......Page 210
Introduction......Page 214
Health targets: redefining and expanding the territory......Page 217
The new order of things......Page 220
Patterns of power sharing......Page 226
The future of health governance......Page 230
References......Page 235
Index......Page 239