Health systems throughout Europe are under pressure as the ongoing financial crisis leads to reductions in health spending and threatens the quality of care. Some healthcare leaders question whether the European model of universal, accessible, high-quality healthcare is under threat. Others see the crisis as an opportunity to implement game-changing, new approaches to financing and delivering care. Which view prevails depends on how health systems learn to do more with less in order to deliver high-quality care to their citizens.
Effective collaboration and the ability to scale up and learn from promising reforms will be key to success along this transition. One health system innovator cited Darwin in concluding that "it is not the strongest of the companies or governments that survives, nor the most intelligent. In the struggle for survival, the fittest win out at the expense of their rivals because they succeed in adapting themselves best to their environment."
Specialist Stroke Service in London
NHS London engaged the expertise of clinicians to improve patient outcomes and health system performance by matching the location of acute stroke care facilities to areas with the highest concentration of stroke patients.
Schizophrenia Care in Lower Saxony, Germany
AOK, the largest sickness fund group in Germany, has partnered with Johnson & Johnson to increase the quality and efficiency of care for schizophrenia patients through integrated, patient-centered care delivery.
The Alzira Model in Valencia, Spain
The Alzira model in Spain illustrates the role of a public-private investment partnership in addressing the infrastructure and care needs of an under-served population while lowering the cost of care delivery.
Europe's Innovative Medicines Initiative
Using public-private partnerships to leverage resources and address bottlenecks in medicine development during times of fiscal restraint and increased regulatory pressure.
Health Insurance Reform in The Netherlands
The Netherlands grappled with its healthcare delivery model until the government introduced insurance reforms that incentivized insurers to demand higher-quality care from providers on behalf of their insured populations.
Health System Reform in the Basque Country of Spain
Health system reforms in the Basque country demonstrate how a compelling narrative can be used to transcend the "cost-containment" agenda and mobilize public and private healthcare leaders to transform care delivery.