Structure and Governance of Health and Welfare systems
LEADS: Professors Christina Foss (Norway) and Christos Lionis (Crete)
This WP will offer a theoretical insight into changes in the functions and structure of the state and will develop a comparative perspective on the role that different health systems and welfare regimes have on the experiences and structure of systems of support for people with long-term conditions. This WP will offer a macroperspective on the systems of support operating in different countries of the EU and will address questions about the specific regulatory emphasis and the role that different professional groups play in providing support for people with chronic illness. The WP will also establish links with the formal governance and regulatory framework, and the structure of other forms of support for people with diabetes that operate on the meso (WP4) and micro (WP3) levels.
The lead partners (UoC and UniO) will be responsible for developing a review of the literature (realist review or meta-synthesis) (the European observatory will be a key input). Second, this review will frame a set of key questions and literatures to be addressed in a series of country specific reports, which will be written by all partners. Third, the findings of the review and the reports will then inform the development of an interview schedule, which will be followed by arranging and analysing a set of key informant interviews (WP5). These will be analysed and the findings will feed back into writing the final report of this WP.
More specifically this WP will:
- Identify the relevant data sets (official health statistics) that are available
- Identify the overarching institutional and funding structure of different health systems in Europe.
- Identify the literature on chronic illness management arrangements of health systems in the different partner countries and how they are integrated into the broader welfare systems of their respective states.
- Identify the government initiatives and adopted self-care and behaviour change interventions.
- Ask what are the key government objectives and direction of change in the provision of health care in general, and self-care and behaviour change in particular.
- Ask what are the key professional groups involved in CIM and how is support distributed between health andnon-health sector providers.
- Ask how is the role of health care professionals changing.