TY - JOUR
T1 - Primary prevention in hospitals in 20 high-income countries in Europe
T2 - a case of not “Making Every Contact Count”?
AU - Rechel, Bernd
AU - Durvy, Béatrice
AU - Augusto, Gonçalo Figueiredo
AU - Aujoulat, Isabelle
AU - Behmane, Daiga
AU - Bensadon, Anne Carole
AU - Burke, Sara
AU - D'Agostino, Melissa
AU - Davidovics, Krisztina
AU - Dayan, Mark
AU - De Belvis, Antonio Giulio
AU - de Jong, Judith
AU - Dubas-Jakóbczyk, Katarzyna
AU - Fronteira, Inês
AU - Gabriel, Elena
AU - Greco, Giuseppe
AU - Groenewegen, Peter
AU - Jervelund, Signe Smith
AU - Kantaris, Marios
AU - Kroneman, Madelon
AU - Farkas-Lainscak, Jerneja
AU - Maurice, Benjamin
AU - Conghail, Luisne Mac
AU - Murauskiene, Liubove
AU - Poldrugovac, Mircha
AU - Rákosy, Zsuzsa
AU - Scintee, Silvia Gabriela
AU - Sowada, Christoph
AU - Turblin, Frédéric
AU - Vankova, Desislava
AU - Velkey, Zita
AU - Vladescu, Cristian
AU - Vocanec, Dorja
AU - Vrangbæk, Karsten
AU - Wünscher, Johannes
AU - Ylitörmänen, Tuija
N1 - Funding Information:
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. It is based on a rapid response reported undertaken by the European Observatory on Health Systems and Policies for the French Inspectorate General for Social Affairs (IGAS). KrD and ZiV would like to acknowledge the support of the National Research, Development and Innovation Office in Hungary (RRF-2.3.1-21-2022-00006, Data-Driven Health Division of National Laboratory for Health Security). We would like to express our gratitude to Matthew Fagg, Sophie Gerkens, Antoniya Dimova, Carlo de Pietro, Angela Rodrigues and Tanja Kasper Wicki for providing information on the situation in their countries. The authors are also grateful to Ewout van Ginneken for his comments on an earlier version of this report.
Publisher Copyright:
© 2024
PY - 2025/1
Y1 - 2025/1
N2 - This article provides a snapshot of primary prevention activities in hospitals in 20 European high-income countries, based on inputs from experts of the Observatory's Health Systems and Policies Monitor (HSPM) network using a structured questionnaire. We found that in the vast majority of countries (15), there are no systematic national policies on primary prevention in hospitals. Five countries (Cyprus, Finland, Ireland, Romania and the United Kingdom) reported systematic primary prevention activities in hospitals, although in one of them (Cyprus) this was due to the fact that small hospitals in rural areas or less populated districts host providers of primary care. In two of the five countries with systematic national policies on primary prevention, there are no incentives (financial or otherwise) to provide these interventions. The remaining three countries (Finland, Romania and the United Kingdom) report the existence of incentives, but only two of them (Romania and the United Kingdom) provide financial incentives in the form of additional funding. Only two of the 20 countries (Ireland and the United Kingdom) make explicit use of the Making Every Contact Count (MECC) approach. Overall, it can be concluded that there is little focus on primary prevention in hospitals in Europe, which may be seen as a missed opportunity.
AB - This article provides a snapshot of primary prevention activities in hospitals in 20 European high-income countries, based on inputs from experts of the Observatory's Health Systems and Policies Monitor (HSPM) network using a structured questionnaire. We found that in the vast majority of countries (15), there are no systematic national policies on primary prevention in hospitals. Five countries (Cyprus, Finland, Ireland, Romania and the United Kingdom) reported systematic primary prevention activities in hospitals, although in one of them (Cyprus) this was due to the fact that small hospitals in rural areas or less populated districts host providers of primary care. In two of the five countries with systematic national policies on primary prevention, there are no incentives (financial or otherwise) to provide these interventions. The remaining three countries (Finland, Romania and the United Kingdom) report the existence of incentives, but only two of them (Romania and the United Kingdom) provide financial incentives in the form of additional funding. Only two of the 20 countries (Ireland and the United Kingdom) make explicit use of the Making Every Contact Count (MECC) approach. Overall, it can be concluded that there is little focus on primary prevention in hospitals in Europe, which may be seen as a missed opportunity.
KW - Health-promoting hospitals
KW - Hospitals
KW - Making Every Contact Count
KW - MECC
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=85209102096&partnerID=8YFLogxK
U2 - 10.1016/j.healthpol.2024.105199
DO - 10.1016/j.healthpol.2024.105199
M3 - Review article
C2 - 39550930
AN - SCOPUS:85209102096
SN - 0168-8510
VL - 151
JO - Health Policy
JF - Health Policy
M1 - 105199
ER -
