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Walter Holland - Public Health Policies in the European Union

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Book:
Public Health Policies in the European Union
Author:
Walter Holland / Elias Mossialos / Bernard Merkel
Publisher:
Routledge
Genre:
Books / Politics
Year:
1999
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First published 1999 by Ashgate Publishing

Reissued 2018 by Routledge

2 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN

711 Third Avenue, New York, NY 10017, USA

Routledge is an imprint of the Taylor & Francis Group, an informa business

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Notice:

Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

Publishers Note

The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original copies may be apparent.

Disclaimer

The publisher has made every effort to trace copyright holders and welcomes correspondence from those they have been unable to contact.

A Library of Congress record exists under LC control number: 99043342

ISBN 13: 978-1-138-33280-5 (hbk)

ISBN 13: 978-1-138-33281-2 (pbk)

ISBN 13: 978-0-429-44635-1 (ebk)

Contents

Walter Holland, Elias Mossialos and Govin Permanand

Bernard Merkel and Michael Hubei

Marie-Christine Closon, David Crainich and Nathalie Swartenbroek

Johannes Mosbech

Reinhard Busse and Friedrich Wilhelm Schwartz

E Petridou, E Mossialos, G Papoutsakis, Y Skalkidis, Y Tountas, A Velonaki and E Velonakis

Andreu Segura Benedicto

Claude Rumeau-Rouquette and Gerard Breart

Bernadette Herity and Patricia Fitzpatrick

Alessandra Marinoni and Claudio Macchi

Danielle Hansen-Koenig and Mady Roulleaux

Louise J Gunning-Schepers

Engelbert Theurl

Victor Ramos

Arpo Aromaa

Johan Calltorp

Michael OBrien

Guide

Arpo Aromaa

Research Professor, Department of Health and Disability, The National Public Health Institute, Helsinki, Finland.

Gerard Breart

Director of Unite 149 (Recherches epidemiologiques sur la sante des femmes et des enfants), Institut National de la Sante et de la Recherche Medicale (INSERM), Paris, France.

Reinhard Busse

Director, Health Care Services and Health Services Unit, Department of Epidemiology and Social Medicine, Medizinische Hochschule Hannover, Germany.

Johan Calltorp

Professor of Public Health Management, Nordic School of Public Health, Gottenberg, Sweden.

Marie-Christine Closon

Professor of Health Economics, Centre dEtude Interdisciplinaires en Economic de la Sante, Universite Catholique de Louvain, Belgium.

David Crainich

Teaching Assistant in Health Economics, Facultes Universitaires Saint-Louis, Brussels, Belgium.

Patricia Fitzpatrick

Senior Lecturer, Department of Public Health Medicine and Epidemiology, University College Dublin, Ireland.

Louise J Gunning-Schepers

Professor of Social Medicine, Vice Dean and Member of the Board of Management of the Academic Medical Centre at the University of Amsterdam, The Netherlands.

Danielle Hansen-Koenig

Director-General, Directorate of Health, Luxembourg.

Bernadette Herity

Professor of Public Health Medicine, University College Dublin, Ireland.

Walter Holland

Former President of the International Epidemiological Association and Visiting Professor, LSE Health, The London School of Economics and Political Science, United Kingdom.

Michael Hbei

Principal Administrator, Directorate-General V/F (Employment, Industrial Relations and Social Affairs - Public Health and Safety at Work), The European Commission, Luxembourg.

Claudio Macchi

Research Fellow, Dipartimento di Scienze Sanitare Applicate e Psicocomportamentali, University of Pavia, Italy.

Alessandra Marinoni

Director and Professor, Dipartimento di Scienze Sanitare Applicate e Psicocomportamentali, University of Pavia, Italy.

Bernard Merkel

Principal Administrator, Directorate-General V/F (Employment, Industrial Relations and Social Affairs - Public Health and Safety at Work), The European Commission, Luxembourg.

Johannes Mosbech

Former Consultant and Head of the National Board of Health, Denmark.

Elias Mossialos

Director, LSE Health, The London School of Economics and Political Science, United Kingdom.

Michael OBrien

Former President of the FPHM (Faculty of Public Health Medicine, UK) and Chairman of Northumberland Health Authority, United Kingdom.

George Papoutsakis

Director, Department of Public Health, Ministry of Health, Athens, Greece.

Govin Permanand

Research Assistant, LSE Health, The London School of Economics and Political Science, United Kingdom.

Eleni Petridou

Associate Professor of Epidemiology, School of Medicine, University of Athens, Greece.

Victor Ramos

Assistant Professor of Public Health, New School of Public Health, Lisbon, Portugal.

Mady Roulleaux

Principal Advisor, Directorate of Health, Luxembourg.

Claude Rumeau-Rouquette

Former Director of Unite 149 (Recherches epidemiologiques sur la sante des femmes et des enfants), Institut National de la Sante et de la Recherche Medicale (INSERM), Paris, France.

Friedrich Wilhelm Schwartz

Professor of Social Medicine, University of Hannover, Germany.

Andreu Segura Benedicto

Director, Institut Universitari de Salut Publica de Catalunya, Universitat de Barcelona, Spain.

Yannis Skalkidis

Research Associate, School of Medicine, University of Athens, Greece.

Nathalie Swartenbroek

Researcher, Centre dEtude Interdisciplinaires en Economie de la Sante, Universite Catholique de Louvain, Belgium.

Engelbert Theurl

Professor of Health Economics, Institut flir Finanzwissenschaft der Leopold Franzens-Universitat, Innsbruck, Austria.

Yannis Tountas

Assistant Professor of Public Health, School of Medicine, University of Athens, Greece.

Aphrodite Velonaki

Former Advisor, Ministry of Health, Athens, Greece.

Emmanuel Velonakis

Independent Physician, Athens, Greece.

The editors would like to acknowledge the support of the European Commission through grant SOC 95 201 552 05F01 and the research assistance of Kristen Goliber and Anna Maresso. They are also indebted to Sarah Moncrieff for her expert help with the preparation of the manuscript.

1
Public Health Policies and Priorities in Europe

Walter Holland, Elias Mossialos and Govin Permanand

Introduction: Health and the European Union

The health of most of the populations of the developed world has never been better. Powles has dealt comprehensively with the historical changes and developments in disease, and attempted to relate these to changes in social and other environmental factors. While recognising that the relationship between disease and economic/social development is complex, he cites several factors as having provided the basis for this change in disease occurrence. Among others, he points to the development of professionally applied public health measures, increasing maternal literacy, and the socialisation of children to now accept as normal the historically stringent norms regarding personal cleanliness. In particular, he concluded that ideological and lifestyle-related changes within society; the cultural incorporation of counter-measures against the negative effects of economic progress; and the crucial role played by modern hygiene in addressing issues pertaining to early life survival, are fundamental reasons for this underlying improvement in the health of the developed world.

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