Author/Editor     Micheli, A; Coebergh, JW; Mugno, E; Massimiliani, E; Sant, M; Oberaigner, W; Holub, J; Storm, HH; Pleško, I; Pompe-Kirn, V
Title     Eurpean health systems and cancer care
Type     članek
Source     Ann Oncol
Vol. and No.     Letnik 14, št. Suppl 5
Publication year     2003
Volume     str. v41-60
Language     eng
Abstract     Introduction: Data on the survival of all incident cases collected by population-based cancer registries make it possible to evaluate the overall performance of diagnostic and therapeutic actions on cancer in those populations. EUROCARE-3 is the third round of the EUROCARE project, the largest cancer registry populationbased collaborative study on survival in European cancer patients. The EUROCARE-3 study analysed the survival of cancer patients diagnosed from 1990 to 1994 and followed-up to 1999. Sixty-seven cancer registries of 22 European countries characterised by differing health systems participated in the study. This paper includes essays providing brief overviews of the state and evolution of the health systems of the considered countries and comments on the relation between cancer survival in Europe and some European macro-economic and health system indicators, in the 1990s. Overview of the European health systems. The European health systems underwent a great deal of reorganisation in the last decade; a general tendency being to facilitate expanding involvement of the private sector in health care, a process which occurred mainly in the eastern countries (i.e. the Czech Republic, Estonia, Poland, Slovakia and Slovenia). In contrast, organisational changes in the northern European countries (i.e. Denmark, Iceland, Finland and Sweden) tended to confirm the established public sector systems. Other countries, including the UK and some southern European countries (i.e. England, Scotland, Wales, Malta and Italy) have reduced the public role while the systems remain basically public, at least at present. Our findings clearly suggest that cancer survival (all cancer combined) is related to macro-economic variables such as the gross domestic product (GDP), the total national (public and private) expenditure on health (TNEH) and the total public expenditure on health (TPEH). (Abstract truncated at 2000 characters).
Descriptors     NEOPLASMS
HEALTH SERVICES
HEALTH CARE COSTS
HEALTH EXPENDITURES
SURVIVAL ANALYSIS
REGISTRIES
FOLLOW-UP STUDIES
EUROPE