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Published in: BMC Health Services Research 5/2016

Open Access 01-08-2016 | Research

A review of health promotion funding for older adults in Europe: a cross-country comparison

Authors: Jelena Arsenijevic, Wim Groot, Marzena Tambor, Stanislawa Golinowska, Christoph Sowada, Milena Pavlova

Published in: BMC Health Services Research | Special Issue 5/2016

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Abstract

Background

Health promotion interventions for older adults are important as they can decrease the onset and evolution of diseases and thus can reduce the medical costs related to those diseases. However, there is no comparative evidence on how those interventions are funded in European countries. The aim of this study is to explore the funding of health promotion interventions in general and health promotion interventions for older adults in particular in European countries.

Method

We use desk research to identify relevant sources of information such as official national documents, international databases and scientific articles. Fora descriptive overview on how health promotion is funded, we focus on three dimensions: who is funding health promotion, what are the contribution mechanisms and who are the collecting agents. In addition to general information on funding of health promotion, we explore how programs on health promotion for older population groups are funded.

Results

There is a great diversity in funding of health promotion in European countries. Although public sources (tax and social health insurance revenues) are still most often used, other mechanisms of funding such as private donations or European funds are also common. Furthermore, there is no clear pattern in the funding of health promotion for different population groups. This is of particular importance for health promotion for older adults where information is limited across European countries.

Conclusions

This study provides an overview of funding of health promotion interventions in European countries. The main obstacles for funding health promotion interventions are lack of information and the fragmentation in the funding of health promotion interventions for older adults.
Literature
1.
go back to reference Bayarsaikhan D, Muiser J. Financing health promotion. Financ Health Promot. 2007;Discussion Paper No. 4. Geneva: World Health Organization. Bayarsaikhan D, Muiser J. Financing health promotion. Financ Health Promot. 2007;Discussion Paper No. 4. Geneva: World Health Organization.
2.
go back to reference Agren G, Berensson K. Healthy ageing: a challenge for Europe. Swed Natl Inst Public Health. 2006;2006:29. Agren G, Berensson K. Healthy ageing: a challenge for Europe. Swed Natl Inst Public Health. 2006;2006:29.
3.
go back to reference Baker LA, Cahalin LP, Gerst K, Burr JA. Productive activities and subjective well-being among older adults: The influence of number of activities and time commitment. Soc Indicators Res. 2005;73(3):431–58.CrossRef Baker LA, Cahalin LP, Gerst K, Burr JA. Productive activities and subjective well-being among older adults: The influence of number of activities and time commitment. Soc Indicators Res. 2005;73(3):431–58.CrossRef
4.
go back to reference Sowada C, Waldmann T. Investment in work health promotion in small and medium-sized enterprises in Germany. Zdrowie Publiczne i Zarządzanie. 2012;10(2):95–105. Sowada C, Waldmann T. Investment in work health promotion in small and medium-sized enterprises in Germany. Zdrowie Publiczne i Zarządzanie. 2012;10(2):95–105.
5.
go back to reference Wakefield SE, Poland B. Family, friend or foe? Critical reflections on the relevance and role of social capital in health promotion and community development. Soc Sci Med. 2005;60(12):2819–32.PubMedCrossRef Wakefield SE, Poland B. Family, friend or foe? Critical reflections on the relevance and role of social capital in health promotion and community development. Soc Sci Med. 2005;60(12):2819–32.PubMedCrossRef
6.
go back to reference Chapman L. Meta-evaluation of worksite health promotion economic return studies. J Health Promot. 2003;248:682–0707. Chapman L. Meta-evaluation of worksite health promotion economic return studies. J Health Promot. 2003;248:682–0707.
7.
go back to reference Ziglio E, Simpson S, Tsouros A. Health promotion and health systems: some unfinished business. Health Promot Int. 2011;26 suppl 2:ii216–25.PubMedCrossRef Ziglio E, Simpson S, Tsouros A. Health promotion and health systems: some unfinished business. Health Promot Int. 2011;26 suppl 2:ii216–25.PubMedCrossRef
8.
go back to reference Strumpel C, Billings JR. Overview on health promotion for older people. Eur Rep. 2008;European Report. Vienna: Austrian Red Cross. Strumpel C, Billings JR. Overview on health promotion for older people. Eur Rep. 2008;European Report. Vienna: Austrian Red Cross.
10.
go back to reference Johansson PM, Eriksson LS, Sadigh S, Rehnberg C, Tillgren PE. Participation, resource mobilization and financial incentives in community-based health promotion: an economic evaluation perspective from Sweden. Health Promot Int. 2009;24(2):177–84.PubMedCrossRef Johansson PM, Eriksson LS, Sadigh S, Rehnberg C, Tillgren PE. Participation, resource mobilization and financial incentives in community-based health promotion: an economic evaluation perspective from Sweden. Health Promot Int. 2009;24(2):177–84.PubMedCrossRef
11.
go back to reference Benning TM, Alayli-Goebbels AF, Aarts M-J, Stolk E, de Wit GA, Prenger R, Braakman-Jansen LM, Evers SM. Exploring outcomes to consider in economic evaluations of health promotion programs: What broader non-health outcomes matter most? BMC Health Serv Res. 2015;15(1):266.PubMedPubMedCentralCrossRef Benning TM, Alayli-Goebbels AF, Aarts M-J, Stolk E, de Wit GA, Prenger R, Braakman-Jansen LM, Evers SM. Exploring outcomes to consider in economic evaluations of health promotion programs: What broader non-health outcomes matter most? BMC Health Serv Res. 2015;15(1):266.PubMedPubMedCentralCrossRef
12.
go back to reference Schang LK, Czabanowska KM, Lin V. Securing funds for health promotion: lessons from health promotion foundations based on experiences from Austria, Australia, Germany, Hungary and Switzerland. Health Promot Int. 2012;27(2):295–305.PubMedCrossRef Schang LK, Czabanowska KM, Lin V. Securing funds for health promotion: lessons from health promotion foundations based on experiences from Austria, Australia, Germany, Hungary and Switzerland. Health Promot Int. 2012;27(2):295–305.PubMedCrossRef
13.
go back to reference Merkur S, Sassi F, McDaid D. Promoting health, preventing disease: is there an economic case? 2013. Merkur S, Sassi F, McDaid D. Promoting health, preventing disease: is there an economic case? 2013.
14.
go back to reference CHRODIS. HealtH Promotion and Primary Prevention in 14 euroPean countries: a comparative overview of key policies, approaches, gaps and needs. Brussels; Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (CHRODIS); 2015. CHRODIS. HealtH Promotion and Primary Prevention in 14 euroPean countries: a comparative overview of key policies, approaches, gaps and needs. Brussels; Joint Action on Chronic Diseases and Promoting Healthy Ageing across the Life Cycle (CHRODIS); 2015.
15.
go back to reference Knapp M, McDaid D, Parsonage M. Mental health promotion and mental illness prevention: The economic case. 2011. Knapp M, McDaid D, Parsonage M. Mental health promotion and mental illness prevention: The economic case. 2011.
16.
go back to reference Kutzin J. A descriptive framework for country-level analysis of health care financing arrangements. Health Policy. 2001;56(3):171–204.PubMedCrossRef Kutzin J. A descriptive framework for country-level analysis of health care financing arrangements. Health Policy. 2001;56(3):171–204.PubMedCrossRef
18.
go back to reference Gerkens S, Merkur S. Belgium: Health system review. Health Syst Transit. 2010;12(5):1–266.PubMed Gerkens S, Merkur S. Belgium: Health system review. Health Syst Transit. 2010;12(5):1–266.PubMed
19.
go back to reference Courbage C, Coulon A. Prevention and private health insurance in the UK. Geneva Pap Risk Insur Issues Pract. 2004;29(4):719–27.CrossRef Courbage C, Coulon A. Prevention and private health insurance in the UK. Geneva Pap Risk Insur Issues Pract. 2004;29(4):719–27.CrossRef
21.
go back to reference Hofmarcher MM, Rack H, Schwaerzler J. Health care systems in transition: Austria. 2001. Hofmarcher MM, Rack H, Schwaerzler J. Health care systems in transition: Austria. 2001.
22.
go back to reference Thomson S, Osborn R, Squires D, Reed SJ. International profiles of health care systems 2011: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. 2011. Thomson S, Osborn R, Squires D, Reed SJ. International profiles of health care systems 2011: Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. 2011.
23.
go back to reference Sassi F, Belloni A. Fiscal incentives, behavior change and health promotion: what place in the health-in-all-policies toolkit? Health Promot Int. 2014;29 suppl 1:i103–12.PubMedCrossRef Sassi F, Belloni A. Fiscal incentives, behavior change and health promotion: what place in the health-in-all-policies toolkit? Health Promot Int. 2014;29 suppl 1:i103–12.PubMedCrossRef
24.
go back to reference Rechel B, Grundy E, Robine JM, Cylus J, Mackenbach JP, Knai C, McKee M. Ageing in the European union. Lancet. 2013;381(9874):1312–22.PubMedCrossRef Rechel B, Grundy E, Robine JM, Cylus J, Mackenbach JP, Knai C, McKee M. Ageing in the European union. Lancet. 2013;381(9874):1312–22.PubMedCrossRef
25.
go back to reference de Meijer C, Wouterse B, Polder J, Koopmanschap M. The effect of population aging on health expenditure growth: a critical review. Eur J Ageing. 2013;10(4):353–61.CrossRef de Meijer C, Wouterse B, Polder J, Koopmanschap M. The effect of population aging on health expenditure growth: a critical review. Eur J Ageing. 2013;10(4):353–61.CrossRef
26.
go back to reference Hofmarcher MM, Rack H, Riesberg A. Health care systems in transition: Austria 2006. 2006. Hofmarcher MM, Rack H, Riesberg A. Health care systems in transition: Austria 2006. 2006.
27.
go back to reference Vulic S, Healy J. Health care systems in transition: Croatia. Copenhagen: European Observatory on Health Care Systems; 1999. Vulic S, Healy J. Health care systems in transition: Croatia. Copenhagen: European Observatory on Health Care Systems; 1999.
28.
go back to reference Bryndová L, Pavlokova K, Roubal T, Rokosova M, Gaskins M. Czech Republic. Health system review. Health Syst Transit. 2009;11:1–122. Bryndová L, Pavlokova K, Roubal T, Rokosova M, Gaskins M. Czech Republic. Health system review. Health Syst Transit. 2009;11:1–122.
29.
go back to reference Christiansen T. Organization and financing of the Danish health care system. Health Policy. 2002;59(2):107–18.PubMedCrossRef Christiansen T. Organization and financing of the Danish health care system. Health Policy. 2002;59(2):107–18.PubMedCrossRef
30.
go back to reference World Health Organization. Review of national Finnish health promotion policies and recommendations for the future. 2002. World Health Organization. Review of national Finnish health promotion policies and recommendations for the future. 2002.
31.
go back to reference Fund C. International profiles of health care systems, 2012. Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. 2012. Retrieved July, 25, 2013. Fund C. International profiles of health care systems, 2012. Australia, Canada, Denmark, England, France, Germany, Iceland, Italy, Japan, the Netherlands, New Zealand, Norway, Sweden, Switzerland, and the United States. 2012. Retrieved July, 25, 2013.
32.
go back to reference Brussig M, Dragano N, Mümken S. Health promotion for unemployed jobseekers: New developments in Germany. Health Policy. 2014;114(2):192–9.PubMedCrossRef Brussig M, Dragano N, Mümken S. Health promotion for unemployed jobseekers: New developments in Germany. Health Policy. 2014;114(2):192–9.PubMedCrossRef
33.
go back to reference Schippers A, Albers B, Kuijper M, Marx R, van Overbeek M, Visser G. Zorg voor morgen. Schets van preventieve zorg voor ouderen. Utrecht: Vilans; 2009. Schippers A, Albers B, Kuijper M, Marx R, van Overbeek M, Visser G. Zorg voor morgen. Schets van preventieve zorg voor ouderen. Utrecht: Vilans; 2009.
34.
go back to reference Thomson S, Osborn R, Squires D, Reed SJ. International profiles of health care systems, 2011. New York: The Commonwealth Fund; 2011. Thomson S, Osborn R, Squires D, Reed SJ. International profiles of health care systems, 2011. New York: The Commonwealth Fund; 2011.
35.
go back to reference Nawrolska I. Finansowanie profilaktycznych programów zdrowtnych. 2013. Nawrolska I. Finansowanie profilaktycznych programów zdrowtnych. 2013.
36.
go back to reference Colombo F, Tapay N. The Slovak Health Insurance System and the Potential Role for Private Health Insurance. 2004.CrossRef Colombo F, Tapay N. The Slovak Health Insurance System and the Potential Role for Private Health Insurance. 2004.CrossRef
37.
go back to reference Jakubowski E. (Ed.). Health Care Systems in Transition, Slovenia. Denmark, Copenhagen: European Observatory on Health Care Systems; 2002. Jakubowski E. (Ed.). Health Care Systems in Transition, Slovenia. Denmark, Copenhagen: European Observatory on Health Care Systems; 2002.
38.
go back to reference World Health Organization. Health care systems in transition: Spain 2000. 2000. World Health Organization. Health care systems in transition: Spain 2000. 2000.
39.
go back to reference Ashton L. Promoting the health and social care of older people: gaining a perspective from outside the UK. J R Soc Promot Health. 2001, 121n; 152-158. Ashton L. Promoting the health and social care of older people: gaining a perspective from outside the UK. J R Soc Promot Health. 2001, 121n; 152-158.
Metadata
Title
A review of health promotion funding for older adults in Europe: a cross-country comparison
Authors
Jelena Arsenijevic
Wim Groot
Marzena Tambor
Stanislawa Golinowska
Christoph Sowada
Milena Pavlova
Publication date
01-08-2016
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue Special Issue 5/2016
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-016-1515-2

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