EUREGIO III - Venice Stakeholder Event 25-26 February 2010 - Andor Urmos by wanghonghx


									EU Cohesion Policy supporting
health for regional development
                    Andor Urmos
                    Policy Analyst,
           Thematic Coordination, Innovation
                      DG Regio

                Venice Stakeholder Event
                      EUREGIO III
                 25th of February, 2010

 European Commission, Regional Policy Directorate General

    Regions, health policy and
    Cohesion policy
    Cohesion policy investments in
    Health inequalities
PART I - Health and regions

       Regional / territorial dimension of
       health policy

       Relevance of health in Cohesion
               Health as a prerequisite for socio- economic
               Health care “industry” R&D, SMEs
               Public health care initiatives
EU cohesion policy in a nutshell
       Disparities in levels of development between EU27 regions
       are significant and have doubled compared to EU15 (measured
       in GDP/head).

       Based on a strategic approach (Community Strategic
       Guidelines on Cohesion), cohesion policy instruments invest in
       endogenous growth potential, competitiveness of regional
       economies and infrastructure.

       Cohesion policy instruments account for one third of the EU
       budget or EUR 347 billion over the 2007-2013 period.

       Based on the policy‟s principles of concentration, programming,
       partnership, additionality and efficiency, the funds‟
       implementation follows shared management between the
       Commission, the Member States and the regions.
Regional Disparities in EU27
GDP per head in % in Purchase Power Standard PPS


          50 - 75
          75 - 90
          90 - 100

          100 - 125

           125

Index, EUR-27 = 100
  EU Cohesion Policy 2007-2013
  Eligible Regions

Total Budget:
EUR 347.4 Mrd.
(35,6% of the EU-Budget)

Of which 82% for
Convergence Regions,
15% for the other.
PART II - Cohesion Policy 2007-2013

ERDF         „Convergence‟           Investment in health
                                     infrastructure to contribute to
                                     regional development and
                                     quality of life
             „European territorial   Development of collaboration
             cooperation‟            and capacity

ESF          „Convergence‟           Training of health professionals
             And                     Safety at work to promote more
             „Regional               productive forms of work
             competitiveness and     organisation
EU Funding 2007-2013

Between 2007 and 2013:

•€5.1 billion (1.5% of the
total of cohesion policy

funding) has been                                                                      <1

earmarked to support
health infrastructure                                                                  2%
•€5 billion have been                                                                  3-
earmarked for e-services                                                               4%

(including e-health)                                                                   4-
•€1 billion has been                                                                   %

earmarked for active
ageing, etc.                 Health infrastructure: Percentage of planned
                             investments in health infrastructure in relation to the
                             total amount of Structural Funds allocated to Member
                             States in 2007-13.
Cohesion policy 2007-2013

     Health infrastructure is the most visible
     Additional range of actions to eligible for
      Structural Funding:
       Population ageing

       Healthy workforce

       Health innovation and research

       Knowledge and information technology

       Environment
Cohesion Policy: instruments and
objectives 2007-2013

    3 Objectives           Structural Funds and Cohesion Fund

                             ERDF                ESF             Fund
Regional Competitiveness
and Employment               ERDF                ESF

European territorial
Cooperation                  ERDF

                           Infrastructure,     Measures
                             Innovation       Occupational

                                                             Member States with a
                             All Member States and regions
                                                             GDP/head below 90%
Cohesion Policy: instruments and
objectives 2007-2013
    Direct investments
        ERDF, ESF – infrastructure, e-health, health promotion,
         access to services, edication/training, etc.
    Indirect investments
        ERDF, ESF - workplace health, inclusive employment,
         health & safety
    Investment with potential health gain
        ERDF, ESF, Cohesion Fund - urban rehabilitation, social
         cohesion, R&D, transport, environment, etc.

 By Jonathan Watson (Health and Structural Funds in 2007-2013: Country and
    regional assessment)
Structural Funds 2007-2013: health
Member States health priorities in NSRFs and OPs (by area of investment)

  Health promotion, prevention: BE, CZ, EL, HU, IE, LT, SK                  7
  Screenings: HU, LT, SK                                                    3
  Health promotion, safety at work:
  BE, CZ, DE, DK, EL, ES, FI, HU, LX, RO, SK                               11
  eHealth: CY, DK, EL, LT, NL, RO                                           6
  Health infrastructure: BG, CZ, DE, EL, FR, HU, LT, LV, PL, RO, SK        11
  Education of health care professionals: CY, CZ, EL, ES, HU, LT, LV, SK    8
  Quality (management): CZ, EL, HU, LT, PL, SK                              6
  Environmental health: CZ, FI, HU, LT, MT, RO                              6
  Demographic change: AT, FI, FR, RO, SK                                    5
  Access to health care: BE, CZ, EL, ES, FI, FR, HU, LT, LV, SK            10
  Emergency care: HU, LT, LV, PL, SK                                        5
PART III - Health inequalities in the EU:
BETWEEN Countries
   Life expectancy at birth (years) for males ranges from 65 (Latvia, Lithuania) to 79 (Sweden), a gap
    of 14 years
   Life expectancy at birth (years) for females ranges from 76 (Bulgaria, Latvia, Romania) to 84
    (France, Italy, Spain), a gap of 8 years
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October

 5-fold difference in deaths of babies (under 1
 14 year gap in life expectancy (men), 8 year
  gap (women)
 Regions, rural-urban areas, neighbourhoods,
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October
   Need for further actions – negative consequence for
    health, social cohesion, economic development
   An equitable distribution of health as part of overall
    social and economic development
   Lisbon agenda objectives
       Economic growth
       Greater social cohesion
       Healthy life years indicator (to monitor progress)

                 Need for reducing health inequalities
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October
 Improving data base (measuring, monitoring, evaluation,
   Collection of data and health inequality indicators (age, sex,
      socio-economic status, geographic dimension)
   Orientation of EU research - 7th EU Framework Programme for
   Common set of indicators – monitoring health inequalities
      (Member States, Commission)
 Building commitment across society
   Improving the exchange of information, knowledge, across
      sectors (social care, employment, education, regional
      development, etc.)
   Promotion of good practices at EU level
   Training to address health inequalities
Solidarity in Health:
Reducing Health Inequalities in the EU
Communication, 2009. October
   Meeting the needs of vulnerable groups
       Special attention to be given to needs of people in poverty, migrants, ethnic
        minority groups, people with disabilities, elderly, child poverty
       Raise awareness, promotion of actions to improve access to health services,
        health promotion, preventive care
       Report on using Community instruments and policies for Roma inclusion
        (Roma Summit April, 2010, Spain)
       Report on health inequalities by Fundamental Right Agency (access to
        adeqaute health care, social and housing assistance, etc.)

   Developing the contributions of EU policies
       Half of EU Member States do not place emphasis on reducing health
        inequalities, lack of comprehensive inter-sectoral strategies.
       To assist Member States about better use of SF, Cohesion Policy for
        reducing health inequalities
       Further use of rural development policy, market policy (school milk, school
        fruit scheme) – rural poverty
       Provide funding under PROGRESS, peer reviews, developing relevant
From health infrastructure to health promotion
                            The 'Saude' programme,
                            Example of a comprehensive
                            health programme, funded by
                            ERDF and ESF since 1986. In the
                            initial phase, construction of
                            hospitals and health centres,
                            training of nurses. Focus now as
                            well on health promotion and
                            disease prevention, access to
                            health services and partnership
                            structures in the health sector

                            Budget 2000-06: EUR 698 million,
                            of which 476 million from
                            Structural Funds
Health, research, innovation and ICT
                        Kuopio Science Park, East of
                        Regional cluster for health,
                        nutrition and environmental
                        sciences reinforced by ICT
                        development, in the second half
                        of the 1990ies. 18,000 people
                        work and study in the science

                        Funding: ERDF
Interregional networking
                           The “Regions for Economic
                           Change“ initiative
                           Between 2007 and 2013,
                           networks of regions working
                           together on 30 selected themes
                           will be created under the
                           initiative. Three of them will be
                           specific for health related issues:

                           Making healthy communities

                           Meeting the demographic

                           Promoting a healthy
                           workforce in healthy
Thank you for your attention!

              Andor Urmos
               DG Regio
         Tel: +32-2-229-50679

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