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Gesundheitswesen 2013; 75(05): e28-e33
DOI: 10.1055/s-0033-1343433
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Financing Public Health in Europe

Die Finanzierung von Public Health in Europa
B. Rechel
1   European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London
,
H. Brand
2   Department of International Health, School for Public Health and Primary Care, Maastricht
,
M. McKee
1   European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London
› Author Affiliations
Further Information

Publication History

Publication Date:
24 April 2013 (online)

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Abstract

Aim:

The aim of this study was to ascertain the levels and mechanisms of funding public health in Europe.

Methods:

A review of published and unpublished documents and expenditure data was undertaken.

Results:

Expenditure on public health in Europe is difficult to determine, but data from national health accounts suggest that it differs greatly across countries, both as a percentage of total health expenditure and per capita. Better data are urgently needed, given that a lack of sustainable, long-term funding may be the most significant barrier to public health programmes and interventions in Europe.

Conclusions:

In view of the current economic crisis, it will be essential to safeguard financing for public health and to put it on a more sustainable basis.

Zusammenfassung

Ziel:

Die Höhe und Mechanismen der Finanzierung öffentlicher Gesundheit in Europa festzustellen.

Methodik:

Auswertung veröffentlichter und unveröffentlichter Literatur und Analyse von Gesundheitsausgaben.

Ergebnisse:

Ausgaben zur öffentlichen Gesundheit in Europa lassen sich nicht zweifelsfrei ermitteln, aber, gemäß vorliegender nationaler Gesundheitskonten, variieren stark zwischen Ländern, sowohl als Anteil von Gesamtgesundheitsausgaben, als auch pro Kopf. Verlässlichere Daten sind dringend erforderlich, da das Fehlen einer nachhaltigen und langfristigen Finanzierung die größte Herausforderung von Programmen zur öffentlichen Gesundheit in Europa zu sein scheint.

Schlussfolgerung:

Im Hinblick auf die gegenwärtige Wirtschaftskrise ist es wichtig, die Finanzierung von Programmen zur öffentlichen Gesundheit sicherzustellen und auf eine nachhaltigere Grundlage zu stellen.

Key words

public health - expenditure - financing - Europe

Schlüsselwörter

öffentliche Gesundheit - Ausgaben - Finanzierung - Europa
 

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