addressing the economic crisis in the context of health 2020
TRANSCRIPT
Zsuzsanna JakabWHO Regional Director for Europe
Addressing the economic crisis in the context of Health 2020
17–18 April 2013, Oslo, NorwayHealth Systems in Times of Global Economic Crisis
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Rationale and background
Generating evidence
Challenges and questions for debate
Next steps
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Why is WHO so concerned?
Financial and economic crisis is threatening the health gains made across Europe in recent decades, and exacerbating the longer-term challenges facing our health systems.
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Growing health divide
The crisis exacerbates the health divide within and across countries by:
• multiplying exclusionary factors• increasing vulnerability• depleting the coping capabilities
of individuals and communities
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Health 2020 adopted by 2012 Regional Committee for EuropeAim: to significantly improve health and well-being of populations, to reduce inequalities in health and to ensure sustainable people-centred health systems
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Solidarity at a time of uncertainty for many
Prolonged economic crisis in affected
countries is in its fifth year
Policy response, based on our strong values as
solidarity, critical to ensure our citizens’ health is protected
This meeting takes stock of the evidence and identifies some emerging messages
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
WHO’s engagement with Member States
Oslo 1Andorra ForumRC60
2009–2011
Survey of 53
countriesIreland report
2011–2012
Joint OECD–WHO
meetingTallinn
2012
Barcelona course on
health financing
2012–2013
Updated evidence
synthesized2012–2013
EU health ministers, Ireland
Mission to Greece
2013
HEALTH 2020
RC: Regional CommitteeOECD: Organisation for Economic Co-operation and Development EU: European Union
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Our involvement since the onset of the crisis
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Rationale and background
Generating evidence
Challenges and questions for debate
Next steps
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Health 2020 – a two-year process of generating evidence
• With Member States and partners
• Unprecedented evidence review • Gathering of new evidence• Solutions that work• Integrating and connecting• Stakeholder (Peer) reviewed
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Impact of crisis on health and health systems: the most up-to-date evidence (1)
Two surveys of policy responses in all 53
Member States
Review of published literature and official
databases(fiscal and health)
In-depth studies of selected countries
underway
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Impact of crisis on health and health systems: the most up-to-date evidence (2)
ECONOMIC SHOCK:GDP declines across the
Region in 2009
NOT ALL COUNTRIES EQUALLY AFFECTED
PROLONGED CRISIS,particularly in
the EUUNEMPLOYMENT:fiscal shock turns into
rapid increase in unemployment,
especially in the EU
GDP: gross domestic product
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Economic impact of health systems
In the EU, the health sector accounts for about 10% of GDP: more than financial services or retail sector
Health sector is a major employer – an important
political priorityFurther, unemployment is the single largest way in
which financial crises directly increase the risk of
ill health
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
UNEMPLOYMENT
Increased risk of alcohol
poisoning, liver cirrhosis
Increased risk of mental
health problems and
suicides
Recovery from illness
60% less likely
Active labour and social policy can mitigate effects
Ensure safety nets in place.
Broader social
spending also matters
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Rationale and background
Generating the evidence
Challenges and questions for debate
Next steps
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
How can we spend more efficiently?Cardiovascular diseases (CVD)
Alcohol-related harm
Cancer
Road-traffic injuries
Obesity-related illness (including
diabetes and CVD)
€169 billion annually in the EU, health care accounting for 62% of costs
€125 billion annually in the EU: equivalent to 1.3% of GDP
Over 1% of GDP in the United States, 1–3% of health expenditure in most countries
6.5% of all health care expenditure in Europe
Up to 2% of GDP in middle- and high- income countries
Sources: data from Leal et al. (Eur Heart J, 2006, 27(13):1610–1619 (http://www.herc.ox.ac.uk/pubs/bibliography/Leal2006)), Alcohol-related harm in Europe – Key data (Brussels, European Commission Directorate-General for Health and Consumer Protection, 2006 (http://ec.europa.eu/health/archive/ph_determinants/life_style/alcohol/documents/alcohol_factsheet_en.pdf)), Sassi (Obesity and the economics of prevention – Fit not fat. Paris, Organisation for Economic Co-operation and Development, 2010) and Stark (EJHP Practice, 2006, 12(2):53–56 (http://www.google.co.uk/url?q=http://www.eahp.eu/content/download/25013/162991/file/SpecialReport53-56.pdfandsa=Uandei=BNI4T-K7JoKL0QGXs6HFAgandved=0CBwQFjAFandusg=AFQjCNHS922oF8d0RLN5C14ddpMVeRn8BA).
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
How can we better monitor the health effects of economic downturns?
Monitoring the health impact of the crisis during the crisis
Priority area for joint work in the future
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
How can we protect funding for public health?
How can we safeguard access to services?
How can we better protect poor and vulnerable people?
How can we make our health systems more resilient in the future?
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
Rationale and background
Generating the evidence
Challenges and questions for debate
Next steps
Addressing the economic crisis in the
context of Health 2020
Wednesday, 17 April 2013
From here to Regional Committee 2013
Discussion draft Oslo meeting
outcome document
Open SCRC
May 2013
Web-based consultation with Member States
Summer 2013
Finalization of evidence
generationSummer 2013
Submission of Oslo meeting outcome
document to Regional Committee
Sept 2013
SCRC: Standing Committee of the Regional Committee