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The title and focus of the conference “Health promotion strategies to achieve reorientation of health services: evidence-based policies and practices».

Good governance for health promoting health services
There is no effective and sustainable change in organizations without adequate governance. Governance includes more than decisions on which services are covered, it also is about on how services are funded, managed, and delivered. Governance in this context addresses culture, structures and processes to enable health services to be more health promoting. So, we need to look on perspectives of global governance and how they support and interact with national and regional strategies. Which governance tools/policies have been experienced by health services to be helpful for implementing health promotion? What was the contribution of HPH to good governance of health services so far and how can HPH better contribute to further improvement?

The role of HPH in developing people-centered health care systems by coordinated and integrated care services
Reorienting health services means developing better integrated and stronger people centered health services as an answer to the “dominant fragmented system designed around diseases and health institutions”. For this to happen, WHO demands “… putting the comprehensive needs of people and communities at the center of health systems, and empowering people to have a more active role in their own health”. The goal is to “refocus on the total needs of the individual as a whole person”. Presentations will reflect on how concepts and experiences of health promoting health services have contributed to achieving more people-centered health systems and how the New Haven Recommendations on partnering with patients, families and citizens from 2016 can contribute to future developments. How are these concepts supported by experience from everyday practice in the field in various kinds of health services and considering diverse user and patient groups?

Incorporating health promotion into disease management programs for NCDs
The enormous burden of non-communicable diseases even brought this health topic on the agenda of the UN General Assembly in 2011. There, it was acknowledged that the global burden and threat of NCDs constitutes one of the major challenges in the twenty-first century. While management of NCDs is understood as the detection, screening and treatment of NCDs, health promotion, also addresses the determinants of health – both, personal behaviors and situational living conditions – and thus the underlying risk factors of NCDs. WHO recently published the “Montevideo roadmap 2018-2030 on NCDs as a sustainable development priority”, which supports this priority with strong reference to health literacy. The health promotion perspective widens the scope of interventions and offers a variety of activities which can be undertaken. Those interventions and activities typically counteract more than one health problem, e.g. cardiovascular conditions, obesity, mental health disorders. What are successful examples that bring disease management and health promotion together?

Co-producing better health gain through user participation and community involvement
Individuals are the experts on their own health, thus reorientation of health services will not work without good participation of people who have to be enabled to contribute to creating their health and co-producing treatment of their diseases. Therefore, the question is how to best provide the opportunities, skills and resources people need to be articulate and empowered users of health services? Which structures, practices and professional skills are needed for accompanying participation processes and community involvement? How do patients and their families want to be involved in health care decisions, and what specific role can self-help groups and the self-help-friendly hospital play? How can it be ensured that underserved and marginalized groups become involved? And, last but not least, how can risks of under- and overuse of the health system be managed?

Strengthening health promotion and disease prevention in primary health services
40 years have passed since the Alma Ata declaration on strengthening primary health care has been agreed, however, too little happened so far. Nevertheless, there is evidence that those health care services are efficient and effective that prioritize primary and community care services (PHC) and the co-production of health. WHO states “A strong primary health care platform with integrated community engagement within the health system is the backbone of universal health coverage.” Which obstacles have to be overcome and which incentives, competencies, forms of delivery and types of organization can support the strengthening of health promotion in primary health services? Which experiences from HPH can be transferred to primary health care, but also, which new and supplementary approaches have to be developed and applied?


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In 2017, the annual International Conference on Health Promoting Hospitals and Health Services (International HPH Conference) will be hosted by the Austrian Network of Health Promoting Hospitals and Health Care Institutions, which was already involved into previous International HPH Conferences. The conference venue will be the University of Vienna, one of the oldest universities in Europe. The title and focus of the 25th International HPH Conference will be “Directions for Health Promoting Health Care. Lessons from the past, solutions for the future”.
Under this general theme, the conference will specifically focus on five sub-themes:
Contributions of health care to mitigating and adapting to climate change
Reorienting health services and systems: 30 years after the Ottawa Charter
Celebrating achievements from the past, identifying challenges for the future
The role of health promoting health care to achieve the Sustainable Development Goals: steps towards 2030
Transforming health care to empower and meet the health needs of refugees and migrants

The 2016 EFPC conference in Riga was again a success. With 145 participants it was well attended and the strength of the conference was in the content and discussions.
Most of all other presentations of the parallel sessions can also be found at the conference Programme webpage


The 2016 EFPC conference will be in Riga from 4 to 6 September with the title: Crosscutting Informal Care and Professional Primary Care”.
Scope: How to make sure that informal carers at community level will feel supported, surrounded and even integrated with professional Primary Care in such a way that the best possible care can be provided for those elderly or chronic patients. 

Health systems will not automatically gravitate towards greater fairness and efficiency. This world will not become a fair place for health all by itself. Deliberate policy decisions are needed. It requires appropriate conditions at the health care system level and in actual practice to make primary care providers able and willing to take responsibility for the health of the population under their care. The EU Health Commissioner defined the challenges as follow: we need to ensure the cost-effectiveness and sustainability of health systems and call for concrete reforms to optimize the hospital sector, strengthen primary care and rationalize pharmaceutical spending.

There is a need for a policy shift from separation to integration of services in order to tackle the complex social and health problems experienced by vulnerable populations. In order to enable these people to maintain stability and encourage independency and employment, access to stable services that suit their complex needs must be ensured.

Fragmentation is often the result of organisations, professionals, carers and services operating independently of each other, with adverse consequences for service users. Often, a comprehensive set of changes in the health care delivery is needed to firstly improve coordination of care with a special focus on addressing the rising burden of Chronic Diseases, the ageing population and the high prevalence of comorbidity. Secondly, in acknowledging the specific needs of the individual, people centeredness and patient empowerment are key in this approach. Much of the focus on fighting fragmentation has tended to be on structures and governance. This is, however, only one aspect; process and cultural changes are likely to be at least as important.

Integrated primary care with the involvement of the informal carer as a hub for person-centred health systems with ensured continuity. The conference organizers emphasize that the key players in primary care like medical doctors, nurses (general and more specialized), pharmacists, dieticians, physiotherapists and social workers will connect with informal carers on the above mentioned dimensions.

The limited empirical evidence-base for, and the absence of tools for, measurement and comparison of involving informal carers remain a significant barrier for the evaluation and implementation of these policies. The conference organizers recognize the need for comparative analysis at an international level to assist stakeholders and policymakers to prepare for future challenges. It calls upon all researchers from the different professions to share their results in providing the evidence which is needed to develop further progress and nurture the policy discussion.

The conference will provide an opportunity for the health service delivery system to interact and exchange useful information and lessons learnt. The conference will therefore build upon the individual capacities and knowledge of informal carers, pharmacists, patients/citizens, GPs, hospitals, nurses and health insurers, to increase their understanding.

The Riga conference will enable participants to identify, define and appreciate the significance of questions -ranging from policy to organization, management and clinical care – which are likely to determine the future of primary care in Europe.


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Despite urgent calls for governments at all levels to take action on the social determinants of health such as the distribution of resources and power, the gap between those at the top and those of the bottom of social hierarchies is still growing. The concentration of global wealth into an increasingly limited proportion of individuals has reached an unprecedented level. The health impacts of such a concentration are visible globally through international comparisons showing that population health in wealthy nations is still improving pushing the limits of human lifespan to unchartered territories, whereas that in the poorest and most disorganized countries is regressing. Health impacts are also felt nationally and locally in our cities, neighbourhoods and villages wherein entire groups of people do not have access to the basic resources with which to build up their own health and that of their children and grandchildren. The 22nd IUHPE World Conference on Health Promotion will provide a timely opportunity to assess progress, share strategies, exchange research results and reflect on innovative practices and policies that promote health and equity, at all levels of governance. ΠΕΡΙΣΣΟΤΕΡΑ στο

Στην Ευρώπη, τα χρόνια νοσήματα όπως ο σακχαρώδης διαβήτης και οι καρδιαγγειακές παθήσεις, αφορούν στους 8 από τους 10 ανθρώπους άνω των 65 ετών. Περίπου το 70% με 80% των διαθέσιμων προϋπολογισμών για την υγειονομική περίθαλψη σε όλη την Ευρωπαϊκή Ενωση (ΕΕ) ξοδεύεται για τη θεραπεία των χρόνιων νοσημάτων. Ανάμεσα στα Κράτη-Μέλη της ΕΕ, υπάρχει πολυποίκιλη γνώση και εμπειρία διαφόρων αποτελεσματικών και αποδοτικών τρόπων πρόληψης και διαχείρισης των χρόνιων παθήσεων. Η συγκεκριμένη Κοινή Δράση (2014-2017) για τα Χρόνια Νοσήματα και την Προαγωγή της Υγιούς Γήρανσης σε όλο τον Κύκλο της Ζωής (Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle: JACHRODIS) στοχεύει στην αποτύπωση των βέλτιστων πρακτικών ώστε αυτές να γίνουν διαθέσιμες σε όλη την Ευρώπη.  Ο γενικός στόχος είναι η προώθηση και η διευκόλυνση της ανταλλαγής και μεταφοράς των καλών πρακτικών για τα χρόνια νοσήματα μεταξύ των Ευρωπαϊκών χωρών και Περιφερειών. Πρόκειται για καλές πρακτικές που εστιάζονται ιδιαίτερα στην προαγωγή της υγείας, την πρωτογενή πρόληψη των χρόνιων παθήσεων, την πολυνοσηρότητα και τον σακχαρώδη διαβήτη τύπου 2. Η Κοινή Δράση CHRODIS θα οδηγήσει στη διατύπωση συστάσεων που θα βασίζονται στις βέλτιστες διαθέσιμες πρακτικές σχετικά με την επιτυχή πρόληψη, την διαχείριση και την θεραπεία των χρόνιων ασθενειών σε όλο τον κύκλο της ζωής. Αυτές οι πληροφορίες θα είναι διαθέσιμες στους σχεδιαστές πολιτικών υγείας και κοινωνικής φροντίδας,, τους επαγγελματίες υγείας, τους διοικητικούς του χώρου, ως και το ευρύ κοινό και όλους τους ενδιαφερόμενους φορείς. Η Κοινή Δράση CHRODIS έχει ως στόχο να συνεισφέρει σημαντικά στη μείωση της επιβάρυνσης που προκαλεί η φροντίδα των χρόνιων ασθενειών, ως και την προώθηση της υγιούς διαβίωσης και ενεργού γήρανσης στην Ευρώπη. Η Πλατφόρμα για την Ανταλλαγή Γνώσεων (Platf orm of Knowledge to Exchange: PKE) θα είναι ένα σταθερό εργαλείο για εκείνους που θέλουν να εντοπίσουν και να ανταλλάξουν τους καλύτερους τρόπους επίτευξης των στόχων αυτών. Το Συντονιστικό Συμβούλιο της κοινής δράσης CHRODIS , που αποτελείται από τους εκπροσώπους των υπουργείων υγείας των Κρατών-Μελών, θα προσπαθήσει να κρατήσει τις χρόνιες ασθένειες στην πρώτη γραμμή της πολιτικής ατζέντας, ακόμη και μετά το πέρας των τριών χρόνων της συγχρηματοδότησης από την ΕΕ. Διαβάστε περισσότερα στο ελληνικό φυλλάδιο του προγράμματος CHRODIS_A4folder_GR_HR (1)

Η παρούσα μελέτη που χρηματοδοτείται από το πρόγραμμα δράσης της ΕΕ στον τομέα της υγείας περιέχει μια μοναδική χαρτογράφηση και ανασκόπηση της συνεχούς επαγγελματικής εξέλιξης και της δια βίου μάθησης για τους ιατρούς, τις νοσηλευτρίες, τους οδοντιάτρους, τις μαίες και τους φαρμακοποιούς στα 28 κράτη μέλη της ΕΕ και στις χώρες της ΕΖΕΣ. Περιγράφει το νομικό πλαίσιο των πολιτικών σε αυτό το θέμα, εξετάζει τη διαθέσιμη βιβλιογραφία και παρουσιάζει τα αποτελέσματα μιας πανευρωπαϊκής έρευνας και ενός εργαστηριού εμπειρογνωμόνων, ενώ προχωρά και σε μια επισκόπηση των πρωτοβουλιών σε ευρωπαϊκό επίπεδο και επίπεδο ΕΕ αναφορικά με τη συνεχή επαγγελματική εξέλιξη. Η μελέτη προσδιορίζει συστάσεις για την εφαρμογή πολιτικών προκειμένου να ενισχυθεί η ανταλλαγή συνεργασίας και βέλτιστες πρακτικές σε ευρωπαϊκό επίπεδο και προβάλλει την ανάγκη να γίνουν προσπάθειες που θα επιτρέψουν σε όλους τους επαγγελματίες της υγείας να συμμετάσχουν σε δραστηριότητες συνεχούς επαγγελματικής εξέλιξης, αντιμετωπίζοντας παράλληλα τα κύρια εμπόδια που προδιορίζονται, δηλαδή την έλλειψη χρόνου και πόρων. Οι συστάσεις καλούν επίσης για διεξαγωγή περισσότερων ερευνών σε σχέση με τη συνεχή επαγγελματική εξέλιξη και τη σχέση της με την ασφάλεια των ασθενών και την ποιότητα της παρεχόμενης φροντίδας.
Η μελέτη που ξεκίνησε τον Οκτώβριο του 2013 έχει στόχο:
–  Να παρέχει μια ακριβή, περιεκτική και συγκριτική περιγραφή των μοντέλων, προσεγγίσεων και πρακτικών της συνεχούς επαγγελματικής εξέλιξης για τους επαγγελματίες της υγείας, περιγράφοντας ταυτόχρονα τη δομή και χρηματοδότησή τους στην ΕΕ των 28 και στις χώρες της ΕΖΕΣ και του ΕΟΧ.
–  Να διευκολύνει τη συζήτηση μεταξύ των οργανισμών που εκπροσωπούν τους επαγγελματίες της υγείας και των υπεύθυνων για τη διαμόρφωση πολιτικών, των ρυθμιστικών οργάνων και των επαγγελματικών ενώσεων έτσι ώστε να ανταλλάξουν πληροφορίες και πρακτικές για τη συνεχή επαγγελματική εξέλιξη των επαγγελματιών της υγείας και να εξετάσουν τα οφέλη από την ευρωπαϊκή συνεργασία σε αυτόν τον τομέα για το καλό των ασθενών στην Ευρώπη.

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