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Regional health care in the EU: ESI funds as a means of building the European Health Union
Regionale Gesundheitsversorgung in der EU: ESI-Fonds als Mittel zum Aufbau der Europäischen Gesundheitsunion
[research report]
Corporate Editor
Stiftung Wissenschaft und Politik -SWP- Deutsches Institut für Internationale Politik und Sicherheit
Abstract This research paper examines the role of the European Structural and Investment (ESI) funds in building the European Health Union (EHU) in the context of the mid-term review of the multiannual financial framework and the high variance in excess mortality during the Covid-19 pandemic. It provides a ... view more
This research paper examines the role of the European Structural and Investment (ESI) funds in building the European Health Union (EHU) in the context of the mid-term review of the multiannual financial framework and the high variance in excess mortality during the Covid-19 pandemic. It provides a detailed analysis of the determinants of regional excess mortality and investigates how ESI funds can contribute to building the EHU and resilient health systems through cohesion funding and the convergence of living conditions. It focuses on verifying three hypotheses derived from the literature: (1) economic deprivation and differences in medical infrastructure influence excess mortality; (2) ESI funding leads to an improvement in medical infrastructure; (3) ESI funds support the development of resilient health systems. The results show that economically disadvantaged areas were hit harder by the pandemic and that ESI-funded regions show positive developments in their medical infrastructure. ESI-funded regions have lower excess mortality than comparable regions. This only applies, however, to regions which had experienced a positive economic development in the context of the funding. Alongside ESI-supported economic development and the improvement of medical infrastructure, there must be capacity-building specifically for fighting dangers to health. This research paper recommends using ESI funds to enhance resilience, taking economic determinants into account, and distributing health resources equitable. Building the EHU will thus require an across-the-board approach that combines ESI funds with other initiatives. (author's abstract)... view less
Keywords
EU; health policy; health care; medical care; European cooperation; European Structural Funds; health care delivery system; regional difference; resilience
Classification
Health Policy
Free Keywords
Gesundheitshilfe; Bildung von Institutionen; Finanzierungsprogramm; Epidemie/Pandemie; Kohäsion
Document language
English
Publication Year
2024
City
Berlin
Page/Pages
49 p.
Series
SWP Research Paper, 1/2024
DOI
https://doi.org/10.18449/2024RP01
ISSN
1863-1053
Status
Published Version; reviewed
Licence
Deposit Licence - No Redistribution, No Modifications