European Union health policy and its implications for national convergence.
This paper explores the relevance for health care of European Union (EU) legislation, regulation and policies. Reports, communications and other materials of the European Commission and other relevant European bodies are screened for their implications for health care, primarily on the national health system level. The paper provides a brief overview of EU history and its main institutions, followed by an analysis of health (care)-related provisions in the EU's main legal documents--its treaties. The impact of the EU actions on health protection is considered with regard to both actions in the field of public health and health protection requirements in its policies. In the public health area, information systems that are now being developed are discussed, followed by an outline of health protection requirements in EU policies that can have an impact on health systems. These policies are then analysed using the political factions model. Finally an attempt is made to predict future developments, stressing the need for a far-reaching synchronization of national systems.
Cucic
S
S
Dutch Institute for Healthcare Improvement, Utrecht, The Netherlands. s.cucic@cbo.nl
D005062:European Union; D005161:Facility Regulation and Control / Q000458:organization & administration*; D005544:Forecasting; D006291:Health Policy / Q000331:legislation & jurisprudence; D006801:Humans; D007256:Information Systems / Q000458:organization & administration; D007391:International Cooperation; D008389:Marketing of Health Services / Q000458:organization & administration; D020380:Needs Assessment; D011057:Politics; D015980:Public Health Practice / Q000331:legislation & jurisprudence / Q000592:standards; D012106:Research