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  1. Article ; Online: Who is shaping the future of European health systems?

    Fahy, Nick

    BMJ (Clinical research ed.)

    2012  Volume 344, Page(s) e1712

    MeSH term(s) European Union ; Forecasting ; Government Programs/legislation & jurisprudence ; Government Programs/methods ; Health Care Reform/legislation & jurisprudence ; Health Care Reform/trends ; Health Expenditures/legislation & jurisprudence ; Health Policy/economics ; Health Policy/trends ; Humans ; Internationality ; National Health Programs/organization & administration
    Language English
    Publishing date 2012-03-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1362901-3
    ISSN 1756-1833 ; 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    ISSN (online) 1756-1833
    ISSN 0959-8154 ; 0959-8146 ; 0959-8138 ; 0959-535X ; 1759-2151
    DOI 10.1136/bmj.e1712
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Briefing on current and future developments in European Union policy and practice in healthcare.

    Fahy, Nick

    Health services management research

    2012  Volume 25, Issue 3, Page(s) 152–153

    MeSH term(s) Delivery of Health Care/economics ; Delivery of Health Care/organization & administration ; Delivery of Health Care/trends ; European Union/economics ; European Union/organization & administration ; Forecasting ; Health Policy/trends ; Healthcare Financing
    Language English
    Publishing date 2012-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 645114-7
    ISSN 1758-1044 ; 0951-4848
    ISSN (online) 1758-1044
    ISSN 0951-4848
    DOI 10.1258/hsmr.2012.012H03
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Commentary.

    Fahy, Nick

    Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society

    2010  Volume 9 Suppl 2, Page(s) S3–4

    MeSH term(s) Cystic Fibrosis/epidemiology ; Cystic Fibrosis/therapy ; Europe/epidemiology ; Humans ; Rare Diseases/epidemiology ; Registries/standards
    Language English
    Publishing date 2010-12
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2091075-7
    ISSN 1873-5010 ; 1569-1993
    ISSN (online) 1873-5010
    ISSN 1569-1993
    DOI 10.1016/j.jcf.2010.10.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Patient Mobility in Times of Austerity: A Legal and Policy Analysis of the Petru Case.

    Frischhut, Markus / Fahy, Nick

    European journal of health law

    2016  Volume 23, Issue 1, Page(s) 36–60

    Abstract: The case-law of the Court of Justice (ECJ) on patient mobility was recently challenged by a ruling that a patient could go to Germany for treatment when facilities in Romanian hospitals were inadequate. Given the reported impact of austerity measures in ... ...

    Abstract The case-law of the Court of Justice (ECJ) on patient mobility was recently challenged by a ruling that a patient could go to Germany for treatment when facilities in Romanian hospitals were inadequate. Given the reported impact of austerity measures in the field of health care this raises the question; what is the impact of the ECJ's ruling on how Member States can manage expenditure and limit outflows of patients and how should such measures be legally evaluated? The objective of this article is to analyse potential impact on health systems in the context of increasing pressure on public financing for health. While the ECJ mainly referred to the requirement of treatment in due time, we also analyse possible austerity reductions of the basket of care against the background of EU law (i.e., EGJ case-law, patient mobility directive, Charter of Fundamental rights and social security regulation).
    MeSH term(s) European Union ; Health Care Rationing ; Health Expenditures ; Health Services Accessibility/legislation & jurisprudence ; Health Services Needs and Demand/legislation & jurisprudence ; Humans ; Medical Tourism/economics ; Medical Tourism/legislation & jurisprudence
    Language English
    Publishing date 2016-03-25
    Publishing country Netherlands
    Document type Journal Article ; Legal Case
    ZDB-ID 1195903-4
    ISSN 0929-0273
    ISSN 0929-0273
    DOI 10.1163/15718093-12341378
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Future EU strategy on health services.

    Fahy, Nick

    Clinical medicine (London, England)

    2007  Volume 7, Issue 1, Page(s) 16–18

    MeSH term(s) Europe ; Guidelines as Topic ; Health Services/trends ; Health Services Administration/standards ; Health Services Administration/trends ; Humans
    Language English
    Publishing date 2007-02-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2048646-7
    ISSN 1473-4893 ; 1470-2118
    ISSN (online) 1473-4893
    ISSN 1470-2118
    DOI 10.7861/clinmedicine.7-1-16
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Priority setting and cross-country learning: the relevance of TO-REACH for primary care.

    Groenewegen, Peter / Hansen, Johan / Fahy, Nick / Haarmann, Alexander / Montante, Sabrina / Azzopardi Muscat, Natasha / Poldrugovac, Mircha / Ricciardi, Walter / Tomaselli, Gianpaolo

    Primary health care research & development

    2022  Volume 23, Page(s) e40

    Abstract: Aim: To inform the primary care community about priorities for research in primary care as came up from the European project TO-REACH and to discuss transferability of service and policy innovations between countries.: Background: TO-REACH stands for ...

    Abstract Aim: To inform the primary care community about priorities for research in primary care as came up from the European project TO-REACH and to discuss transferability of service and policy innovations between countries.
    Background: TO-REACH stands for
    Methods: To identify research priorities, both qualitative and quantitative approaches were used. Policy documents and strategic roadmaps were searched, and priorities were mapped. Stakeholders were involved through national roundtable consultations and online consultations. Regarding transferability, we carried out a review of the literature, guided by a conceptual framework, and using a snowballing approach.
    Findings: Primary care emerged as an important priority from the inventory, as are areas that are conducive to strengthening primary care, such as workforce policies. The large variation in service organisation and policy around primary care in Europe is a huge potential for cross-country learning. However, the simple transfer of primary care service and policy arrangements from one health system to another has a big chance to fail, unless known conditions for successful transfer are taken into account and gaps in our knowledge about transfer are resolved.
    MeSH term(s) Europe ; Humans ; Primary Health Care
    Language English
    Publishing date 2022-07-22
    Publishing country England
    Document type Journal Article ; Review ; Research Support, Non-U.S. Gov't
    ZDB-ID 2027892-5
    ISSN 1477-1128 ; 1477-1128
    ISSN (online) 1477-1128
    ISSN 1477-1128
    DOI 10.1017/S1463423622000287
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Bright Elusive Butterfly of Value in Health Technology Development Comment on "Providing Value to New Health Technology: The Early Contribution of Entrepreneurs, Investors, and Regulatory Agencies".

    Greenhalgh, Trisha / Fahy, Nick / Shaw, Sara

    International journal of health policy and management

    2018  Volume 7, Issue 1, Page(s) 81–85

    Abstract: The current system of health technology development is characterised by multiple misalignments. The "supply" side (innovation policy-makers, entrepreneurs, investors) and the "demand" side (health policy-makers, regulators, health technology assessment, ... ...

    Abstract The current system of health technology development is characterised by multiple misalignments. The "supply" side (innovation policy-makers, entrepreneurs, investors) and the "demand" side (health policy-makers, regulators, health technology assessment, purchasers) operate under different - and conflicting - logics. The system is less a "pathway" than an unstable ecosystem of multiple interacting sub-systems. "Value" means different things to each of the numerous actors involved. Supply-side dynamics are built on fictions; regulatory checks and balances are designed to assure quality, safety and efficacy, not to ensure that technologies entering the market are either desirable or cost-effective. Assessment of comparative and cost-effectiveness usually comes too late in the process to shape an innovation's development. We offer no simple solutions to these problems, but in the spirit of commencing a much-needed public debate, we suggest some tentative ways forward. First, universities and public research funders should play a more proactive role in shaping the system. Second, the role of industry in forging long-term strategic partnerships for public benefit should be acknowledged (though not uncritically). Third, models of "responsible innovation" and public input to research priority-setting should be explored. Finally, the evidence base on how best to govern inter-sectoral health research partnerships should be developed and applied.
    MeSH term(s) Animals ; Biomedical Technology ; Government Agencies ; Humans ; Industrial Development ; Technology Assessment, Biomedical
    Language English
    Publishing date 2018-01-01
    Publishing country Iran
    Document type Journal Article ; Comment
    ZDB-ID 2724317-5
    ISSN 2322-5939 ; 2322-5939
    ISSN (online) 2322-5939
    ISSN 2322-5939
    DOI 10.15171/ijhpm.2017.65
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Research impact in the community-based health sciences: an analysis of 162 case studies from the 2014 UK Research Excellence Framework.

    Greenhalgh, Trisha / Fahy, Nick

    BMC medicine

    2015  Volume 13, Page(s) 232

    Abstract: Background: The 2014 UK Research Excellence Framework (REF2014) generated a unique database of impact case studies, each describing a body of research and impact beyond academia. We sought to explore the nature and mechanism of impact in a sample of ... ...

    Abstract Background: The 2014 UK Research Excellence Framework (REF2014) generated a unique database of impact case studies, each describing a body of research and impact beyond academia. We sought to explore the nature and mechanism of impact in a sample of these.
    Methods: The study design was manual content analysis of a large sample of impact case studies (producing mainly quantitative data), plus in-depth interpretive analysis of a smaller sub-sample (for qualitative detail), thereby generating both breadth and depth. For all 162 impact case studies submitted to sub-panel A2 in REF2014, we extracted data on study design(s), stated impacts and audiences, mechanisms of impact, and efforts to achieve impact. We analysed four case studies (selected as exemplars of the range of approaches to impact) in depth, including contacting the authors for their narratives of impact efforts.
    Results: Most impact case studies described quantitative research (most commonly, trials) and depicted a direct, linear link between research and impact. Research was said to have influenced a guideline in 122 case studies, changed policy in 88, changed practice in 84, improved morbidity in 44 and reduced mortality in 25. Qualitative and participatory research designs were rare, and only one case study described a co-production model of impact. Eighty-two case studies described strong and ongoing linkages with policymakers, but only 38 described targeted knowledge translation activities. In 40 case studies, no active efforts to achieve impact were described. Models of good implementation practice were characterised by an ethical commitment by researchers, strong institutional support and a proactive, interdisciplinary approach to impact activities.
    Conclusion: REF2014 both inspired and documented significant efforts by UK researchers to achieve impact. But in contrast with the published evidence on research impact (which depicts much as occurring indirectly through non-linear mechanisms), this sub-panel seems to have captured mainly direct and relatively short-term impacts one step removed from patient outcomes. Limited impacts on morbidity and mortality, and researchers' relatively low emphasis on the processes and interactions through which indirect impacts may occur, are concerns. These findings have implications for multi-stakeholder research collaborations such as UK National Institute for Health Research Collaborations for Leadership in Applied Health Research and Care, which are built on non-linear models of impact.
    MeSH term(s) History, 21st Century ; Humans ; Public Health/standards ; Research Design/standards ; Translational Medical Research ; United Kingdom
    Language English
    Publishing date 2015-09-21
    Publishing country England
    Document type Historical Article ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1741-7015
    ISSN (online) 1741-7015
    DOI 10.1186/s12916-015-0467-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Book ; Online: European support for improving health and care systems

    European Observatory on Health Systems and Policies / Fahy, Nick / Mauer, Nicole / Panteli, Dimitra

    2021  

    Abstract: 54 p. ...

    Abstract 54 p.
    Keywords European Union ; Health Policy ; Health Services ; Health Services Accessibility
    Language English
    Publisher World Health Organization. Regional Office for Europe
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  10. Journal ; Article ; Online: European Union support for health systems in the pandemic and beyond

    European Observatory on Health Systems and Policies / Mauer, Nicole / Panteli, Dimitra / Fahy, Nick / De La Mata, Isabel

    2022  

    Abstract: ... 46 ... ...

    Abstract 46

    50
    Keywords European Union ; COVID-19 ; Health Systems Plans
    Language English
    Publisher World Health Organization. Regional Office for Europe
    Document type Journal ; Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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