Towards a joint European research programme on health services and systems
Over the last decade, European health systems have faced growing common challenges: ageing related issues and continuous financial pressures
call for innovative solutions on how to organise health care in an equitable and efficient manner. To address this situation there is an urgent
need to bring innovation and research evidence, to identify more effective and sustainable ways to organize, manage, finance, and deliver high quality care to European citizens.
TO-REACH is a coordination and support action (CSA) to prepare a joint European research programme aimed at producing research evidence supporting health care services and systems to become more resilient, effective, equitable, accessible, sustainable and comprehensive (in Europe, and abroad).
- To produce the Strategic Research Agenda of the future joint research programme;
- To broaden the coalition of committed Member States and funding bodies;
- To design an efficient “structure” of the research network.
EHMA COVID Webinar featuring To-Reach. Better health systems and policies revealed from research and innovation
2 September 2020
The EHMA COVID webinar of the 1st of September that featured To-Reach focused on the challenges facing health systems and that the pandemic has highlighted and on how a framework that facilitates policy and innovation transfer can be a game changer. This is what To-Reach has been working on. The webinar’s keynote speaker from the To-Reach consortium have been:
- Sabrina Montante, Senior Advisor- EU Affairs, ISS – National Institute of Health of Italy and TO-REACH project coordinator, Brussels
- Marius Ungureanu, MD PhD, Director of Education – Department of Public Health, Babeș-Bolyai University, Romania
The Strategic Research Agenda (SRA) that To-Reach developed proposes two interlinked types of priority research:
To get to the SRA, the To-Reach consortium first a mapped key policy documents on strategic roadmaps; then national roundtable experts’ consultations took place; finally, online consultations with the wider scientific stakeholder communities were launched.
The core of the SRA is structured around a number of key priority areas of :
Many of the challenges that we’re facing with COVID are not new. They were already present and the pandemic only uncovered them more. These issues include population ageing, accelerated advances in biomed tech, growing consumers expectations, healthcare professionals’ shortages & uneven distributions, and persistent health and financial inequalities and inequities. COVID also highlighted how health and care systems are key translators of innovation, the latter intended as a feature that organisations need to incorporate to have efficient and sustainable solutions. To-Reach aims at identifying innovation, promoting and understanding how to promote innovation and innovation transfer while providing the conceptual frameworks to do that.
The key elements of scaling and transferring innovation are 1) knowing the characteristics of the innovation and its originating system, 2) translating and adapting to the receiving system, 3) setting up the decision making and implementation process, 4) analysis of the effects and performance on the receiving system.
In the future the EU and national systems will be able to respond more coherently to events such as pandemics hopefully. Coordination and integration of health systems in the future could lead to healthier populations and in this process, it will be important to involve non-experts that are impacted by the themes of To-Reach and communicate with each of the involved stakeholders by fine-tuning the message also based on their perspective.Leave a comment »
31 August 2020
To-Reach’s partner EHMA has launched this year the COVID-19 Webinars. In light of the pandemic, the EHMA webinars want to highlight the importance of bringing experts together, exchanging practices and finding common or shared answers to tackle key public health issues.
With this new webinar series, EHMA brings together all the key stakeholders involved in health management to tackle some of the most important issues related to this global crisis. Topics will include how to manage primary care during the COVID–19 outbreak, control recommendations for hospitals, internal procurement, and more.
The next webinar will be featuring To-Reach’s framework and how it can be pivotal in better understanding and addressing the pandemic.
Date & Time: Tuesday, September 1, 2020, at 1:30 PM Brussels Time
Overview: The COVID-19 emergency has highlighted the importance of policymaking and research working together in order to have better outcomes. Research is key in supporting health systems and addressing challenges, identifying the areas that need improvement, and strengthening and facilitating the transfer of innovation between countries. COVID-19 has rapidly introduced changes in protocols, services, and transferability of successful innovations. However, even before this pandemic health systems faced common challenges including the increasing cost of healthcare; shortages and uneven distribution of health professionals; health inequalities and inequities in access to healthcare; and growing demand for healthcare from ageing populations and rises in chronic diseases and multi-morbidities. A framework that studies the importance of research implementation for service and policy innovation and to make innovation transferability effective has been developed by the TO-REACH* project. Its Strategic Research Agenda has identified the key research areas that could help to effectively understand the health system’s capacity issues and overcome structural barriers. This EHMA webinar will discuss how what the TO-REACH framework is and how it can play a vital role in addressing COVID-19 challenges and highlight areas where we can put more effort and resources to achieve quality and equitable care. The national perspective of Romania will be presented as an example of this, and we will also hear about how stakeholders are being mobilised and coordinated throughout the European Union.
*The TO-REACH project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 733274.
Speakers: Sabrina Montante, Senior Advisor- EU Affairs, ISS – National Institute of Health of Italy and TO-REACH project coordinator, Brussels and Marius Ungureanu, MD PhD, Director of Education – Department of Public Health, Babeș-Bolyai University, RomaniaLeave a comment »
1 April 2020
Enhanced solidarity and exchange of knowledge on service and policy innovation: crucial instruments to strengthen our health and care systems in a rapidly evolving environment
The COVID-19 pandemic is having an enormous impact on our health systems, and most of them are responding with speed and innovation. This crisis is putting an unprecedented level of pressure on all components of our systems, with new and evolving thinking on how to efficiently and effectively address the various challenges it creates for decision-makers, planners, those working at the frontline of service delivery and the wider population. Health systems are introducing radical changes in terms of emergency protocols, public health measures integrated with the reorganisation of hospital care, responding to the pressures placed on critical care in particular, innovative digital solutions, shortages of medical and protective equipment and infrastructure, and redeploying health care workers, while ensuring that the most vulnerable in the population and those providing essential services are being cared for. The pandemic is strongly impacting on health research, too, reprioritising and revising ongoing work to support health system efforts to tackle the crisis, extraordinary levels of data exchange, collaboration between sectors, analysis and a shared need for new evidence. Connection between action and research has never been so necessary even in domains as health policy and health services research.
This emergency clearly demonstrates once again the complexity and interconnectedness of our health and social care systems, and the complexity of introducing and managing change in a rapidly evolving environment. Novel diagnostic, containment and mitigation policies are essential to reduce the demand for critical services and ensure timely treatment. But as affordability is a clear prerequisite to access diagnostics and treatment, service and policy innovation is as crucial to effectively address health system capacity issues and overcome structural barriers. The TO-REACH Strategic Research Agenda has identified a number of key areas that are at the forefront of the pandemic crisis that our health systems are currently facing and that they might need to confront again in the future. These includes sustainable health service redesign and workforce planning, information technology and data exchange for health improvement, governance and health financing, collaboration, cross-country information exchange and research. These are at the very heart of the international debate on our health systems and services.
Health systems are learning from each other in real time with COVID-19, although with great uncertainty about what experiences elsewhere can teach us about our own systems and what we should do. This illustrates anew the need for enhanced solidarity and exchange of knowledge on our health and care systems and on how we should support the effective transfer and implementation of innovative services and policies within a sustainable framework for cooperation in Europe. Improved and shared understanding of the different contexts and their impacts on system performance and structures is vital.
Within this context the TO-REACH consortium, whilst supporting EU’s coordination efforts in response to the crisis, upholds the need for even stronger cooperation and exchange of knowledge and evidence, highlighting their crucial importance in improving and strengthening our health and care systems and services; today in the face of this unprecedented crisis and in the aftermath, when we will need to ensure sustainability and quality of care for all.
The TO-REACH ConsortiumRead More » Leave a comment »