26 Amendments of Antonyia PARVANOVA related to 2011/0339(COD)
Amendment 28 #
Proposal for a regulation
Title
Title
Proposal for a REGULATION OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL on establishing a Health for Citizens and Growth Programme, the third multi- annual programme of EU action in the field of health for the period 2014- 2020 (This amendment applies throughout the text. Adopting it will necessitate corresponding changes throughout.)
Amendment 34 #
Proposal for a regulation
Citation 5 a (new)
Citation 5 a (new)
– Having regard to the European Parliament resolution of 8 March 2011 on reducing health inequalities in the EU1, _______________ 1 P7_TA(2011)0081.
Amendment 37 #
Proposal for a regulation
Recital 2
Recital 2
(2) Continued effort is required in order to meet the requirements set out in Article 168 of the Treaty. Promoting good health at EU level is an integral part of the ‘Europe 2020: A European Strategy for smart, sustainable and inclusive growth’. Keeping people healthy and active for longer will have positive overall health effectand empowering them to take an active role in managing their health, inter alia by improving people's health literacy, will have positive overall effects on health, including reduction of health inequalities, and a positive impact on productivity and competitiveness, while reducing pressures on national budgets. Innovation in all factors and measures having an impact on health helps take up the challenge of sustainability in the sector in the context of demographic change, and action to reduce inequalities in health is important to achieve ‘inclusive growth’. It is appropriate in this context to establish a ‘Health for Growth’ Programme, the third programme of EU action on health (2014- 2020) (hereinafter referred to as ‘the Programme’).
Amendment 43 #
Proposal for a regulation
Recital 5
Recital 5
(5) The programme shall put forward actions in areas where there is evidence of EU added-value on the basis of the following criteria: best practice exchange between Member States; supporting networks for knowledge sharing or mutual learning; achieving key social objectives such as promotion of equity and solidarity and reduction of health inequalities; addressing cross-border threats to reduce risks and mitigate their consequences; addressing certain issues relating to the Internal Market where the EU has substantial legitimacy to ensure high- quality solutions across Member States; unlocking the potential of innovation in health; actions that could lead to a system for benchmarking to allow informed decision-making at European level; improving economies of scale by avoiding waste due to duplication and optimising the use of financial resources.
Amendment 48 #
Proposal for a regulation
Recital 7
Recital 7
(7) Innovation in health in terms of products and services, and theshould be understood as a public health strategy which is not limited to technological advances in terms of products and services. Fostering innovation in the field of public health interventions, prevention strategies, health system management and organisation and provision of care, has the potential to improve public health outcomes, enhance the quality of care to patients and respond to unmet needs, while also improving the cost-efficiency and sustainability of care. Therefore, the Programme should facilitate the uptake of innovation in public health and healthcare.
Amendment 51 #
Proposal for a regulation
Recital 9
Recital 9
(9) The position of the patient should be strengthened by enhancing health literacy to achieve better and safer health outcomes. PaCitizents need to be empowered to manage their health and their healthcare more pro-actively. The transparency, prevent poor health, cooperate with healthcare more pro-actively and to make informed choices, inter alia by enhancing their health literacy. The transparency and patient-centredness of healthcare activities and systems, and the availability of reliable, independent and user-friendly information to patients should be optimised. Healthcare practices should be informed by feedback from and communication with patients. Support for Member States, patient organisations and stakeholders is essential and should be coordinated at EU level in order to effectively help patients and in particular those affected by rare diseases to benefit from cross border healthcare.
Amendment 56 #
Proposal for a regulation
Recital 10
Recital 10
(10) In the context of an ageing society, well-directed investments to promote health and prevent diseases can increase the number of ‘'healthy life years’' and thus enable the elderly to continue working as they grow older. Chronic diseases are responsible for over 80% of premature mortality in the EU. By identifying, disseminating and promoting the up-take of validated best practices for cost-effective prevention measures focused on the key risk factors, namely smoking, abuse of alcohol and obesity, as well as on HIV/AIDS, the Programme will contribute to prevent diseases and promote good health, operating within a gender-sensitive framework, also bearing in mind underlying factors of a social and environmental nature.
Amendment 60 #
Proposal for a regulation
Recital 10 a (new)
Recital 10 a (new)
(10a) In addition to differences related to reproductive functions, biological differences between women and men also include, for example, the better infant survival rates of females, sex-specific diseases, distinctions in symptoms of diseases, or women's longer life expectancy, which in combination with existing social factors embodied by gender inequalities such as lesser access to resources, heavier workload, gender- based violence against women and gender-based discrimination, significantly affect the health status of women and therefore call for an adequate integration of gender as a determinant of health into public health policies.
Amendment 64 #
Proposal for a regulation
Recital 10 b (new)
Recital 10 b (new)
(10b) Major gaps still exist in expertise and general knowledge about the differences between disease processes in women and men, and further gender- sensitive studies, analyses, investigations and sex-disaggregated data would contribute to identifying, disseminating and promoting validated best practices for cost-effective prevention measures addressing gender specific health conditions and diseases.
Amendment 95 #
Proposal for a regulation
Article 3 – point 1 – paragraph 1
Article 3 – point 1 – paragraph 1
(1) To develop common tools and mechanisms at EU level to address shortages of resources, both human and financial, and to facilitate up-take of innovation in healthcarepublic health interventions, prevention strategies and healthcare management, in order to contribute to innovative and sustainable health systems.
Amendment 98 #
Proposal for a regulation
Article 3 – point 2 – paragraph 1
Article 3 – point 2 – paragraph 1
(2) To increase access to medical expertise and information for specific conditions also beyond national borders, and to develop shared solutions and guidelines to improve health literacy, patient empowerment, healthcare quality and patient safety in order to increase access to better and safer healthcare for EU citizens.
Amendment 102 #
Proposal for a regulation
Article 3 – point 3 – paragraph 1
Article 3 – point 3 – paragraph 1
(3) To identify, disseminate and promote the up-take of validated best practices for cost-effective prevention measure by addressing the key risk factors, namely smoking, abuse of alcohol and obesity, as well as HIV/AIDS, with a focus on the cross border dimension, and operating in a gender-sensitive framework, in order to prevent diseases and promote good health.
Amendment 107 #
Proposal for a regulation
Article 3 – point 3 – paragraph 1
Article 3 – point 3 – paragraph 1
(3) To identify, disseminate and promote the up-take of validated best practices for cost-effective prevention measure by addressing the key risk factors, namely smoking, abuse of alcohol and obesity, as well as HIV/AIDS, with a focus on the cross border dimension, in order to prevent diseases and promote good health, and to empower EU citizens and patients to play an active role in managing their health and healthcare, inter alia by enhancing their health literacy skills.
Amendment 111 #
Proposal for a regulation
Article 3 – point 3 – paragraph 2
Article 3 – point 3 – paragraph 2
This objective will be measured in particular through the increase of number of Member States involved in promoting good health and preventing diseases, using the validated best practices, as well as through the monitoring of health literacy levels across the Union, using appropriate indicators.
Amendment 120 #
Proposal for a regulation
Article 4 – paragraph 1 – point 1 – indent 1.3 a (new)
Article 4 – paragraph 1 – point 1 – indent 1.3 a (new)
- 1.3a. Promote and support the exchange of best practices and pilot projects aiming at fostering innovation in the field of public health interventions, prevention strategies and health system management;
Amendment 140 #
Proposal for a regulation
Article 4 – paragraph 1 – point 2 – indent 2.6 a (new)
Article 4 – paragraph 1 – point 2 – indent 2.6 a (new)
- 2.6a. Strengthen the patient-centredness and comprehensibility of health systems and enhance citizens' health literacy to make health systems better accessible and understandable for patients.
Amendment 141 #
Proposal for a regulation
Article 4 – paragraph 1 – point 3 – introductory part
Article 4 – paragraph 1 – point 3 – introductory part
(3) Promoting health literacy, good health and preventing diseases:
Amendment 150 #
Proposal for a regulation
Article 4 – paragraph 1 – point 3 – indent 3.2
Article 4 – paragraph 1 – point 3 – indent 3.2
– 3.2. Supporting the prevention of chronic diseases including cancer, taking into account the differences between disease processes in women and men, by sharing knowledge and best practice and developing joint activities;
Amendment 156 #
Proposal for a regulation
Article 4 – paragraph 1 – point 3 – indent 3.3 a (new)
Article 4 – paragraph 1 – point 3 – indent 3.3 a (new)
- 3.3a. Advance health literacy in the European population through specific programmes in all areas such as health promotion, prevention and patient-centred care;
Amendment 157 #
Proposal for a regulation
Article 4 – paragraph 1 – point 3 – indent 3.3 b (new)
Article 4 – paragraph 1 – point 3 – indent 3.3 b (new)
- 3.3b. ensure that health systems are designed to make citizens able to access, understand, appraise and apply information to make decisions in terms of disease prevention, health promotion and healthcare, and hence make better and more sustainable use of health services;
Amendment 190 #
Proposal for a regulation
Annex 1 – point 1 – point 1.3
Annex 1 – point 1 – point 1.3
1.3. Health workforce: develop effective health workforce forecasting and planning in terms of numbers, gender equality, scope of practice and skills, monitor mobility (within the Union) and migration of health professionals, establish efficient recruitment and retention strategies and capacity development.
Amendment 193 #
Proposal for a regulation
Annex 1 – point 1 – point 1.7 a (new)
Annex 1 – point 1 – point 1.7 a (new)
1.7a. Actions required to facilitate the continuous monitoring of health literacy in the Union and to develop effective approaches for advancing health literacy in the work force and for the design of health literate service provision
Amendment 215 #
Proposal for a regulation
Annex 1 – point 3 – point 3.1
Annex 1 – point 3 – point 3.1
3.1. Cost-effective promotion and prevention measures: this will include actions towards the setting up of pan- European networks and partnerships engaging wide range of actors in improving health literacy through communication and awareness raising actions on key health issues such as smoking prevention, abuse of alcohol, addressing obesity and low physical activity with a focus on the cross-border dimension and on Member States with no or little action on these issues.
Amendment 217 #
Proposal for a regulation
Annex 1 – point 3 – point 3.1
Annex 1 – point 3 – point 3.1
3.1. Cost-effective promotion and prevention measures: this will include actions towards the setting up of pan- European networks and partnerships engaging wide range of actors in communication and awareness raising actions on key health issues such as smoking prevention, abuse of alcohol, addressing obesity with a focus on the cross-border dimension and on Member States with no or little action on these issues, and operating in a gender-sensitive framework.
Amendment 224 #
Proposal for a regulation
Annex 1 – point 3 – point 3.2
Annex 1 – point 3 – point 3.2
3.2. Chronic diseases: support European cooperation and networking on preventing and improving the response to chronic diseases including cancer, the differences between disease processes in women and men, by sharing knowledge, good practice and developing joint activities on prevention. Cancer: follow-up work already undertaken; set up a European cancer information system with comparable data; support cancer screening, including voluntary accreditation mechanisms; support the development of European guidelines for prevention where major inequalities exist.
Amendment 225 #
Proposal for a regulation
Annex 1 – point 3 – point 3.2
Annex 1 – point 3 – point 3.2
3.2. Chronic diseases: support European cooperation and networking on preventing and improving the response to chronic diseases including cancer, by sharing knowledge, good practice and developing joint activities on prevention and enhancing health literacy. Cancer: follow- up work already undertaken; set up a European cancer information system with comparable data; support cancer screening, including voluntary accreditation mechanisms; support the development of European guidelines for prevention where major inequalities exist.