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The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index

Author

Listed:
  • Paula Santana

    (Department of Geography and Tourism, Faculty of Arts and Humanities, University of Coimbra, 3004-530 Coimbra, Portugal)

  • Ângela Freitas

    (Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, 3004-530 Coimbra, Portugal)

  • Cláudia Costa

    (Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, 3004-530 Coimbra, Portugal)

  • Iwa Stefanik

    (Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, 3004-530 Coimbra, Portugal)

  • Gonçalo Santinha

    (Centre of Studies in Geography and Spatial Planning (CEGOT), University of Coimbra, 3004-530 Coimbra, Portugal
    Department of Social, Political and Territorial Sciences; Governance, Competitiveness and Public Policies Research Unit (GOVCOPP), University of Aveiro, 3810-193 Aveiro, Portugal)

  • Thomas Krafft

    (Department of Health, Ethics and Society, Faculty of Health, Medicine and Society, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    Maastricht Centre for Global Health, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

  • Eva Pilot

    (Department of Health, Ethics and Society, Faculty of Health, Medicine and Society, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands
    Maastricht Centre for Global Health, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands)

Abstract

Social, economic, and environmental differences across the European Union significantly affect opportunities to move forward in achieving greater equity in health. Cohesion Policy (CP) funds can contribute positively through investments in the main determinants of health. The aim of this study is to analyze to what extent the planned investments for 2014–2020 are addressing the regional health gaps, in light of the population health index (PHI), a multidimensional measure developed by the EURO-HEALTHY project. The operational programs of all regions were analyzed, namely, the CP planned investments by field of intervention. Analysis of variance was performed to examine whether the regional scores in the PHI dimensions were statistically different across regions with different levels of development (measured by gross domestic product (GDP)). Results show that 98% of regions with worse performances on the PHI are less developed regions. Overall, all regions present planned investments in intervention fields linked to dimensions appraised within the PHI (e.g., employment, income, education, pollution). Yet, more needs to be done to focus regional investments in health determinants where regions still lag behind. The PHI has the potential to inform future CP restructuring, providing evidence to extend the current eligibility criteria to other dimensions beyond the GDP.

Suggested Citation

  • Paula Santana & Ângela Freitas & Cláudia Costa & Iwa Stefanik & Gonçalo Santinha & Thomas Krafft & Eva Pilot, 2020. "The Role of Cohesion Policy Funds in Decreasing the Health Gaps Measured by the EURO-HEALTHY Population Health Index," IJERPH, MDPI, vol. 17(5), pages 1-21, February.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1567-:d:326455
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    References listed on IDEAS

    as
    1. Thomas Farole & Andrés Rodríguez‐Pose & Michael Storper, 2011. "Cohesion Policy in the European Union: Growth, Geography, Institutions," Journal of Common Market Studies, Wiley Blackwell, vol. 49(5), pages 1089-1111, September.
    2. Kindig, D.A. & Stoddart, G., 2003. "What is population health?," American Journal of Public Health, American Public Health Association, vol. 93(3), pages 380-383.
    3. Wilkinson, R.G. & Pickett, K.E., 2008. "Income inequality and socioeconomic gradients in mortality," American Journal of Public Health, American Public Health Association, vol. 98(4), pages 699-704.
    4. Ugo Fratesi & Fiona G. Wishlade, 2017. "The impact of European Cohesion Policy in different contexts," Regional Studies, Taylor & Francis Journals, vol. 51(6), pages 817-821, June.
    5. repec:dau:papers:123456789/10510 is not listed on IDEAS
    6. Neagu, Oana Maria & Michelsen, Kai & Watson, Jonathan & Dowdeswell, Barrie & Brand, Helmut, 2017. "Addressing health inequalities by using Structural Funds. A question of opportunities," Health Policy, Elsevier, vol. 121(3), pages 300-306.
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    Cited by:

    1. Izabella Lecka & Viktoriya Pantyley & Liudmila Fakeyeva & Alexandrina Cruceanu, 2021. "“East” in Europe—Health Dimension through the Lens of the UK Daily Mail and Statistical Facts," IJERPH, MDPI, vol. 18(7), pages 1-24, April.
    2. Bana e Costa, Carlos A. & Oliveira, Mónica D. & Vieira, Ana C.L. & Freitas, Liliana & Rodrigues, Teresa C. & Bana e Costa, João & Freitas, Ângela & Santana, Paula, 2023. "Collaborative development of composite indices from qualitative value judgements: The EURO-HEALTHY Population Health Index model," European Journal of Operational Research, Elsevier, vol. 305(1), pages 475-492.

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