Addressing health inequalities in Europe: key messages from the Joint Action Health Equity Europe (JAHEE)

Archives of Public Health

Research

Daniel Lopez-Acuña¹  Giuseppe Costa²  Cecilia Nessi³  Michele Marra⁴  Vania Putatti⁵  Yvette Shajanian Zarneh⁶  Christina Plantz⁶  Tuulia Rotko⁷  Katri Kilpeläinen⁷  Federica Napolitani⁸  Anna Maria Giammarioli⁸  Raffaella Bucciardini⁸  Benedetta Mattioli⁸  Paola De Castro⁸  Apostolos Vantarakis⁹  Charlott Nordström^1,10  Bernadette N. Kumar^1,10  Gabriella Olsson^1,11  Pi Zetterquist^1,11  Malin Ahrne^1,11 

[1] Andalusian School of Public Health, Granada, Spain;Dept Clinical and Biological Sciences, Turin University, Turin, Italy;Eclectica, Turin, Italy;Epidemiology Unit, ALSTO3, Piedmont Region, Turin, Italy;EuroHealthNet, Brussels, Belgium;Federal Centre for Health Education, Cologne, Germany;Finnish Institute for Health and Welfare, Helsinki, Finland;Istituto Superiore Di Sanità, Rome, Italy;Medical School, University of Patras, Patras, Greece;Norwegian Institute of Public Health, Oslo, Norway;Public Health Agency of Sweden, Stockholm, Sweden;

关键词: Health inequalities;    Public health;    Global health;    Governance;    Health systems;   

DOI  :  10.1186/s13690-023-01086-3

 received in 2022-11-23, accepted in 2023-04-11,  发布年份 2023

来源: Springer

【 摘 要 】

Health inequalities within and between Member States of the European Union are widely recognized as a public health problem as they determine a significant share of potentially avoidable mortality and morbidity. After years of growing awareness and increasing action taken, a large gap still exists across Europe in terms of policy responses and governance. With the aim to contribute to achieve greater equity in health outcomes, in 2018 a new Joint Action, JAHEE, (Joint Action Health Equity Europe) was funded by the third EU Health Programme, with the main goal of strengthening cooperation between participating countries and of implementing concrete actions to reduce health inequalities. The partnership led by Italy counted 24 countries, conducting actions in five policy domains: monitoring, governance, healthy living environments, health systems and migration, following a three-step implementation approach. Firstly, specific Policy Frameworks for Action (PFA) collecting the available evidence on what practice should be done in each domain were developed. Second, different Country Assessments (CAs) were completed to check the country’s adherence to the recommended practice in each domain. The gap between the expected policy response (PFA) and the present policy response (CA) guided the choice of concrete actions to be implemented in JAHEE, many of which are continuing even after the end of JA. Final recommendations based on the best results achieved during JAHEE were elaborated and agreed jointly with the representatives of the involved Ministries of Health. The JAHEE initiative represented an important opportunity for the participating countries to work jointly, and the results show that almost all have increased their level of action and strengthened their capacities to address health inequalities.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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