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The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index

Social, economic, and environmental differences across the European Union significantly affect opportunities to move forward in achieving greater equity in health. Cohesion Policy (CP) funds can contribute positively through investments in the main determinants of health. The aim of this study is to...

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Detalles Bibliográficos
Autores principales: Santana, Paula, Freitas, Ângela, Costa, Cláudia, Stefanik, Iwa, Santinha, Gonçalo, Krafft, Thomas, Pilot, Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084523/
https://www.ncbi.nlm.nih.gov/pubmed/32121335
http://dx.doi.org/10.3390/ijerph17051567
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author Santana, Paula
Freitas, Ângela
Costa, Cláudia
Stefanik, Iwa
Santinha, Gonçalo
Krafft, Thomas
Pilot, Eva
author_facet Santana, Paula
Freitas, Ângela
Costa, Cláudia
Stefanik, Iwa
Santinha, Gonçalo
Krafft, Thomas
Pilot, Eva
author_sort Santana, Paula
collection PubMed
description Social, economic, and environmental differences across the European Union significantly affect opportunities to move forward in achieving greater equity in health. Cohesion Policy (CP) funds can contribute positively through investments in the main determinants of health. The aim of this study is to analyze to what extent the planned investments for 2014–2020 are addressing the regional health gaps, in light of the population health index (PHI), a multidimensional measure developed by the EURO-HEALTHY project. The operational programs of all regions were analyzed, namely, the CP planned investments by field of intervention. Analysis of variance was performed to examine whether the regional scores in the PHI dimensions were statistically different across regions with different levels of development (measured by gross domestic product (GDP)). Results show that 98% of regions with worse performances on the PHI are less developed regions. Overall, all regions present planned investments in intervention fields linked to dimensions appraised within the PHI (e.g., employment, income, education, pollution). Yet, more needs to be done to focus regional investments in health determinants where regions still lag behind. The PHI has the potential to inform future CP restructuring, providing evidence to extend the current eligibility criteria to other dimensions beyond the GDP.
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spelling pubmed-70845232020-03-24 The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index Santana, Paula Freitas, Ângela Costa, Cláudia Stefanik, Iwa Santinha, Gonçalo Krafft, Thomas Pilot, Eva Int J Environ Res Public Health Article Social, economic, and environmental differences across the European Union significantly affect opportunities to move forward in achieving greater equity in health. Cohesion Policy (CP) funds can contribute positively through investments in the main determinants of health. The aim of this study is to analyze to what extent the planned investments for 2014–2020 are addressing the regional health gaps, in light of the population health index (PHI), a multidimensional measure developed by the EURO-HEALTHY project. The operational programs of all regions were analyzed, namely, the CP planned investments by field of intervention. Analysis of variance was performed to examine whether the regional scores in the PHI dimensions were statistically different across regions with different levels of development (measured by gross domestic product (GDP)). Results show that 98% of regions with worse performances on the PHI are less developed regions. Overall, all regions present planned investments in intervention fields linked to dimensions appraised within the PHI (e.g., employment, income, education, pollution). Yet, more needs to be done to focus regional investments in health determinants where regions still lag behind. The PHI has the potential to inform future CP restructuring, providing evidence to extend the current eligibility criteria to other dimensions beyond the GDP. MDPI 2020-02-29 2020-03 /pmc/articles/PMC7084523/ /pubmed/32121335 http://dx.doi.org/10.3390/ijerph17051567 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Santana, Paula
Freitas, Ângela
Costa, Cláudia
Stefanik, Iwa
Santinha, Gonçalo
Krafft, Thomas
Pilot, Eva
The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index
title The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index
title_full The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index
title_fullStr The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index
title_full_unstemmed The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index
title_short The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index
title_sort role of cohesion policy funds in decreasing the health gaps measured by the euro-healthy population health index
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7084523/
https://www.ncbi.nlm.nih.gov/pubmed/32121335
http://dx.doi.org/10.3390/ijerph17051567
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