Drivers, trends and scenarios for the future of health in Europe. Impressions from the FRESHER project

Wepner, Beatrix; Giesecke, Susanne

doi:10.1007/s40309-017-0118-4

Cited by 23 publications

(33 citation statements)

References 5 publications

(3 reference statements)

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“…We decided to use a broad definition of search terms and selection of study designs at the outset of this study in order to minimise the chances of missing relevant documents, despite the possibility of generating an enormous number of references during data search. To define the 'drivers' of cholera transmission, we adapted the definition proposed by Wepner and Giesecke [20]: developments or factors causing change in or affecting and shaping the transmission of cholera in Nigeria. Additionally, we purposely chose the term 'transmission' rather than 'outbreak or epidemic' in line with the broad scope of a scoping review.…”

Section: Stage 2: Identifying Relevant Studiesmentioning

confidence: 99%

What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review

et al. 2020

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Background: The 2018 cholera outbreak in Nigeria affected over half of the states in the country, and was characterised by high attack and case fatality rates. The country continues to record cholera cases and related deaths to date. However, there is a dearth of evidence on context-specific drivers and their operational mechanisms in mediating recurrent cholera transmission in Nigeria. This study therefore aimed to fill this important research gap, with a view to informing the design and implementation of appropriate preventive and control measures. Methods: Four bibliographic literature sources (CINAHL (Plus with full text), Web of Science, Google Scholar and PubMed), and one journal (African Journals Online) were searched to retrieve documents relating to cholera transmission in Nigeria. Titles and abstracts of the identified documents were screened according to a predefined study protocol. Data extraction and bibliometric analysis of all eligible documents were conducted, which was followed by thematic and systematic analyses. Results: Forty-five documents met the inclusion criteria and were included in the final analysis. The majority of the documents were peer-reviewed journal articles (89%) and conducted predominantly in the context of cholera epidemics (64%). The narrative analysis indicates that social, biological, environmental and climatic, health systems, and a combination of two or more factors appear to drive cholera transmission in Nigeria. Regarding operational dynamics, a substantial number of the identified drivers appear to be functionally interdependent of each other. Conclusion: The drivers of recurring cholera transmission in Nigeria are diverse but functionally interdependent; thus, underlining the importance of adopting a multi-sectoral approach for cholera prevention and control.

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Section: Stage 2: Identifying Relevant Studiesmentioning

confidence: 99%

What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review

et al. 2020

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“…WHO defined that most of the deaths in the future would continue to come from the Non-Communicable Diseases (NCD's) and even in developed countries as OECD countries. Therefore, Wepner and Giesecke (2018) seen that NCD's such as cardio-vascular problems, diabetes, cancer, multi-skeletal disorders, depression and neurologic disorders would be the main causes of deaths, but would develop earlier as diseases among underprivileged people in Europe in the last thirty years.…”

Section: Understanding the Future Challenge Of Non-communicable Diseasesmentioning

confidence: 99%

“…In a huge EU funded foresight project called Foresight and Modelling for European Health Policy and Regulation, called for short (FRESHER), Wepner and Giesecke (2018) showed the influence of NCD's related diseases on the scenarios of policies direction with stakeholders from health, research, care, patient organisations, insurances and policy-making that go beyond the usual activities and pose alternatives that promise to be more successful.…”

Section: Understanding the Future Challenge Of Non-communicable Diseasesmentioning

confidence: 99%

“…The unique about the FRESHER study is that it identified socio-demographic development far beyond the usual determinants of tobacco and alcohol consumption, salt, sugar and fat intake, or sedentary behaviours by focusing on scenarios with one comprehensive approach that is "health in all EU policies", Wepner and Giesecke (2018). The significant NCD's trends expected in the next decades helped to The study showed the socio-economic impacts of NCDs that are beyond medical and healthcare services only.…”

Section: Understanding the Future Challenge Of Non-communicable Diseasesmentioning

confidence: 99%

“…The significant NCD's trends expected in the next decades helped to The study showed the socio-economic impacts of NCDs that are beyond medical and healthcare services only. Thus Wepner and Giesecke (2018) study shows us that management and mitigation of NCD's risk should go beyond the traditional approach of health policy and out of the box thinking is needed to pay tribute to the complexity of future health systems.…”

Section: Understanding the Future Challenge Of Non-communicable Diseasesmentioning

confidence: 99%

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Practices of Future Foresight in Management of Non-Communicable Diseases -An Early Attempt towards Focusing on ‘Foresight Economy’ Labs.

Buheji¹

2018

ASSRJ

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Future foresight have been more linked with technological changes and innovative disruptions than socio-economic challenges. With the development of foresight, science efforts should be directed towards tackling humanity chronic problems than just focusing most of the efforts on future technological developments and advancements only. Focusing the foresight analysis on the increase of Non-Communicable Diseases (NCD's) doesn't only help us to tackle current and future health community issues, but in fact direct the focus of the efforts on mitigating the progressive development of future socio-economic and quality of life challenges. The world need more work in utilising strategic foresight in dealing with Socio-Economic challenges. The holistic approach of SF studies targeted to overcome the usual challenges that face the future socio-economic change where NCD's are expected to become more of epidemic problem in many countries and specially in the Arab and Asian emerging economy countries. The future carries a catastrophic result where 90% of the population in a country like Bahrain might be at risk of NCD during their life in the next 50 years, unless radical lifestyle changes are done. Utilising a technique called 'foresight economy' lab (FEL) the problem statement is shifted from solutions of increasing the NCD's clinics in Community Health Centre (CHC's) to more challenging the CHC's staff towards better explore early NCD's risks, i.e. focusing in increasing their capacity through collaboration of all the community services. This paper concludes with what FEL's bring in as opportunities that would help in drastically reducing the percentage of population at NCD's risk, from having 90% to 50% at risk in 20 years from now and with minimal resources.

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Mind the gap! The role of health policy capacity and vaccination acceptance in European Covid‐19 mortality differences

Farkas,

Rácz

2024

European Policy Analysis

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Two years of the Covid‐19 pandemic caused significantly different death tolls in European countries. Nine of the 30 countries with the highest accumulated fatalities belong to Central and Eastern Europe, although the solidarity of the European Union (EU) provided vaccines for all member states. Using correlation and cluster analysis, this paper identifies the demographic, social, and political factors which can explain the differences. As generally accepted in the literature, the death toll is measured by the number of excess deaths. The examination separates the prevaccination and vaccination periods. While the impact of other factors is also present, vaccination coverage has a salient explanatory role in the excess deaths of the second period. The experiences of the Covid‐19 pandemic simultaneously highlight the importance and sociopolitical constraints of health policy at the European level. The analysis confirms that complementary competences between the European and national levels are adequate for the EU health policy.

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Drivers, trends and scenarios for the future of health in Europe. Impressions from the FRESHER project

Cited by 23 publications

References 5 publications

What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review

What are the drivers of recurrent cholera transmission in Nigeria? Evidence from a scoping review

Practices of Future Foresight in Management of Non-Communicable Diseases -An Early Attempt towards Focusing on ‘Foresight Economy’ Labs.

Mind the gap! The role of health policy capacity and vaccination acceptance in European Covid‐19 mortality differences

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