Health Is Wealth

EUROPEAN INSTITUTE OF MEDICINE (EOM)

Report to the European Parliament, Submitted on December 4th, 2003;

115pp

TABLE OF CONTENTS

List of Tables 9
List of Figures 10
Preface
Principles 11
Introduction 16
A. The Patient 19 Reflections on the Strategic Vision 26
B. CLUSTER I 27
MEDICAL ARTS
1. Introduction 30
2. Prediction 31
3. Prevention 34
4. Medical Arts 37
4.1. Classification 37
4.2. Diagnosis 39
4.3. Therapy 40
4.4. Medical outcome studies 47
4.5. Research 47
5. Reflections on the Strategic Vision 48
C. CLUSTER II 51
MEDICAL INFORMATION
Introduction 54
I. Medical Services 54
1. Essential arm: Doctors 54
2. Expanded arm: Hospitals 57
3. Extended arm - Long term care 59
II. Education 61
1. Universities 61
2. Professional Societies 62
3. National Medical Association 63
4. Paramedical professional Schools 64
III. Reflection on the Strategic Vision 65
D. CLUSTER III 73
FINANCING
I. Introduction 76
II. “External” Financing 78
1. Financing risks of life: Beveridge versus Bismarck 79
2. Demographic changes and impact on financing
Healthcare systems 81
3. Pay-as-you-go systems versus capital funding 83
4. Capitation (Per capita premiums) 85
5. Private Insurance 86
6. Co-payment 88
7. Out-of-pocket 88
III. Purchasing (“internal” financing) 89
IV. Public-Private-Partnership 93
V. Implications for Healthcare reforms and trends in Europe 93
1. Models of more capital funding 93
2. European Institute of Health (EIH) 95
3. National Institutes of Health (NIH) 96
VI. Reflection on the Strategic Vision 96
E. REFERENCES 101
F. EOM 105
BOARD 107
G. SPONSORS 108
H. TIME TABLE 109
I. LIST OF PARTICIPANTS 110
J. LIST OF AUTHORS 111
K. DISTRIBUTION OF THE STRATEGIC VISIONS 115

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