Abbing Henriette Roscam
Eur J Health Law. 2016 Dec;23(5):435-52. doi: 10.1163/15718093-12341427.
Demographic changes (ageing populations) are a challenge for European health systems. Innovative solutions must ensure elderly patients equitable access to good quality, affordable healthcare. De-centralisation and de-institutionalisation in healthcare for the elderly have become policy priorities for European countries. Local governments must have sufficient experience for the necessary integration of health and social services. New ways of looking at health care systems are necessary for reasons of quality, accessibility, and costs-effectiveness. The implementation and co-ordinated monitoring of the health- and care rights of the aged in Europe should be given full attention. There needs to be a handbook on elderly as well as an ombudsman. The exchange of experiences and best practices, oversight of the quality and effectiveness of the health- and care services and the system as such are indispensable.
人口结构变化(人口老龄化)对欧洲卫生系统构成挑战。创新解决方案必须确保老年患者能够公平获得优质、可负担的医疗保健服务。老年人医疗保健的去中心化和非机构化已成为欧洲国家的政策重点。地方政府必须具备足够经验,以便对卫生和社会服务进行必要整合。出于质量、可及性和成本效益的考虑,需要采用新的视角审视医疗保健系统。应充分重视欧洲老年人健康和护理权利的实施与协调监督。需要有一本关于老年人的手册以及一名监察员。经验和最佳实践的交流、对卫生和护理服务以及整个系统质量和有效性的监督必不可少。