Exploiting synergies between health care systems of the Danube region through common governance and organisation

  • Project idea information

    Priority

    Well-governed Danube region - Improve institutional capacities to tackle major societal challenges

    Project Idea Promoter
    (name of the institution)

    Faculty of Economics, University of Ljubljana, Slovenia

    Needs and challenges
    (Needs, main problems or challenges to be addressed)

    The application of internal market law and regulation to health care services in pursuit of an integrated European market has been a long-standing goal of the EU’s health policy. However, the efforts have had limited effects on health care systems in both EU and candidate countries in the Danube region. Countries in this region have very different health care systems, differing organisation of public and private provider and payer organisations and diverse regulatory governance, strategic orientations and international engagement. On the one hand, this leads to limited cross-border diffusion of innovative good practices and strengths. On the other hand, this also results in varied efficiency and performance due to suboptimal size of providers, either underutilised or insufficient capacities, lagging productivity, barriers for technological improvement, unsustainable healthcare financing, uncontrolled development of commercial health care and poor governance and coordination of key stakeholders.

    Objectives
    (main and specific objectives to be achieved)

    The first objective is to identify current weaknesses, strengths and common features of health care systems in the Danube region. There are two sub-goals:
    - to identify main obstacles to strengthened integration of the health care market such as differences in access to public health care, the benefit basket, ownership, legal forms, management and corporate governance of both provider and payer organisations, user charges, role of key stakeholders and incentives for cost efficiency and innovation
    - to study determinants of technical/cost efficiency and performance of studied health care systems to identify best practices/model approaches and key deficiencies halting the progress
    The second objective is to develop guidelines and identify best practices that strengthen the integration of the Danube region’s health care market with the focus on sources of synergies among countries, provider specialisation, development of regional centres of excellence and planning of transnational public networks of providers.

    Main results and core outputs

    -a published comparative analysis of health care systems of the Danube region that can serve as a teaching/research tool and inform policy making
    -analysis of efficiency and performance published in professional and scientific papers exploring governance of public and private providers as a factor of inefficiency and identifying both model approaches and flawed practices
    -guidelines with identified best practices and suggested reforms of health care systems to improve their efficiency and implement policies that support transnational cooperation and integration
    -set of business plans to launch international provision of selected health care services to integrate the Danube region’s health care market and facilitate the creation of centres of excellence in the wider region
    -pilot projects with selected health care providers to stimulate others to increase their international exposure and improve capacities to tackle both societal and technological challenges currently faced by health care systems

    Main foreseen activities

    -creating a team of researchers at the leading partner and project teams of partner organisations
    -kick-off meeting of all partners
    -field work related to the analysis of current features of studied health care systems
    -creating a team of researchers and developing the methodology for the analysis of efficiency and performance; collecting the data and estimation
    -selecting and organising teams in health care providers selected for pilot projects
    -draft report related to the first objective of the project, dissemination of best and flawed practices and the second meeting of partners to get feedback
    -development of business plans to disseminate best practices and proposing a framework for the integrated health care market of the Danube region
    -development of business plans to support international cooperation of health care providers within the Danube region’s single health care market
    -closing meeting with the launch of the monographs and presentations of final results

    Innovative character of the project idea

    The innovative character is revealed in three areas. The first one is innovation in organisation as the project deals with reorganisation of providers, other stakeholders and health care systems of the Danube region. This is particularly relevant because the studied countries allocate insufficient resources to health care and cross-country synergies and strengthened integration of the health care markets are thus important tools for their development. The second innovative field refers to the identification of health providers that are already change agents implementing technological advances and could thus attract and collaborate with other providers to build strong regional centres of excellence. The third innovative area relates to the aim to strengthen the capacities of policy makers, managers of health care providers and other stakeholders to redesign and coordinate predominantly public inflexible health care systems. Such capacities will enable further improvements also after project completes.

    Estimated Total Budget
    (in EUR)

    2.7 million €

    Estimated duration
    (in months)

    30 months

  • Partners involved at this stage

    ERDF Partners

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    IPA Partners

    /

    Associated Strategic Partners

    /

  • Partners requested

    ERDF Partners

    Potential partners are partner universities of the Faculty of Economics, University of Ljubljana from Germany, Austria, Croatia, Bosnia and Herzegovina, Montenegro, Serbia, Hungary, Czech Republic and Slovakia. Potential partners are also higher education institutions that have participated in addition to the Faculty of Economics, University of Ljubljana in the project Renewal of the European Economic Integration Concept coordinated by the University of Szeged, Faculty of Economics and Business Administration. Participants in this project are from Austria, Croatia, Serbia, Romania, Hungary and Czech Republic. Other potential partners are welcome particularly from countries currently not participating with the proposed lead partner (Bulgaria, Ukraine and Moldova).

    IPA Partners

    Potential partners are partner universities of the Faculty of Economics, University of Ljubljana from Germany, Austria, Croatia, Bosnia and Herzegovina, Montenegro, Serbia, Hungary, Czech Republic and Slovakia. Potential partners are also higher education institutions that have participated in addition to the Faculty of Economics, University of Ljubljana in the project Renewal of the European Economic Integration Concept coordinated by the University of Szeged, Faculty of Economics and Business Administration. Participants in this project are from Austria, Croatia, Serbia, Romania, Hungary and Czech Republic. Other potential partners are welcome particularly from countries currently not participating with the proposed lead partner (Bulgaria, Ukraine and Moldova).

    Associated Strategic Partners

    Open to the possibility

  • Contact Person

    Name

    Petra Došenović Bonča

    Address

    Faculty of Economics, University of Ljubljana, Kardeljeva ploščad 17, Slovenia

    Country

    Slovenia

    Telephone number

    Is the applicant the project's potential Lead Partner?

    If not, is the potential Lead Partner already being chosen?

Programme co-funded by European Union funds (ERDF, IPA, ENI)