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The online version of this article (https://doi.org/10.1007/s00391-019-01638-9) contains supplementary material, which is available to authorized users.
Every fourth citizen within the 28 European Union (EU) member states is over the age of 65 years. In connection with the increasing numbers of senior citizens, vaccinations have become even more important as preventive measures. Vaccines are an established preventive measure and help to ensure that many diseases no longer have a fatal outcome. With respect to the health economic as well as preventive advantages of vaccines, there is possibly a considerable benefit for the EU to support the vaccination program for older patients within the framework of the demographic shift. Since 2011 the EU addresses the demographic change and has thereby placed the possible chances and risks on the agenda.
By focussing on Germany as an EU member state, the question whether the EU guidelines had an influence on vaccination access for senior citizens in the years 2011–2017 was analyzed. It is discussed if a healthcare policy influence was pursued, regardless of not having a unified EU healthcare system.
The EUR-lex database was searched for relevant EU policies regarding vaccination and older patients between February 2011 and May 2017. Results were then discussed within four expert interviews, which were from industry, academia, politics and physician practice.
Overall, four relevant EU policies since 2011 were selected. The discussion resolves that the initiative of the EU to promote the healthcare of senior citizens (EMA Geriatric Medicines Strategy) and the Clinical trials – Regulation EU from 2014 had a significant impact on vaccination access. Due to the EU national policies in Germany were initiated, which had an effect on national level to this specific risk group and vaccination access.
Other than expected, the EU has a passive influence on the healthcare policy transformation on a national level; however, it should be noted that initiatives in politics are always influenced by several impulses. Hereby, a deeper analysis should be considered, which includes the policy action campaigns by multinational stakeholders.
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Table Selected EU policies391_2019_1638_MOESM1_ESM.docx
Aloha https://ec.europa.eu/eip/ageing/repository/aloha-active-and-healthy-ageing-academy_en. Accessed 4 Aug 2017
Baeyens J (2011) The European medicines agency discovers the geriatric patient. Drugs Aging 28(11):849–851 CrossRef
Bundeskonferenz (2017) https://www.gesund-aktiv-aelter-werden.de/bzga-veranstaltungen/bundeskonferenzen/bundeskonferenz-2012/. Accessed 13 June 2017
Bundesrat COM (2011) http://www.europarl.europa.eu/RegData/docs_autres_institutions/parlements_nationaux/com/2011/0866/DE_BUNDESRAT_CONT1-COM Accessed 12 Aug 2017
Deutscher Bundestag Informationen zu den gesetzlichen Regelungen über die Durchführung von klinischen Prüfungen mit nicht einwilligungsfähigen Patientinnen und Patienten in einzelnen EU-Mitgliedstaaten. https://www.bundestag.de/blob/485822/133765f4d7ee84b6bbc393ddb8dbb3ca/wd-9-066-16-pdf-data.pdf. Accessed 4 Aug 2017
EC Vaccination https://ec.europa.eu/health/vaccination/policy_en. Accessed 4 Aug 2017
ECDC-Influenza (2010) http://ecdc.europa.eu/en/activities/sciadvice/_layouts/forms/Review_DispForm.aspx?List?=a3216f4c-f040-4f51-9f77-a96046dbfd72&&ID=394. Accessed 4 Aug 2017
EMA – Clinical Trials. http://www.chcuk.co.uk/ema-general-principles-for-baseline-categorisation-of-older-patients-enrolled-in-clinical-trials/. Accessed 4 Aug 2017
European Commission – Health & others (2017) http://ec.europa.eu/programmes/horizon2020/en/h2020-section/health-demographic-change-and-wellbeing. Accessed 4 Aug 2017
European Parliament, Council of the EU (2013) Decision on cross-border threats (1082/2013)
Eurostat http://ec.europa.eu/eurostat/de. Accessed 13 May 2017
Földes ME (2016) Health Policy and health systems: a growing relevance for the EU in the context of the economic crisis. J Eur Integr 38(3):295–309 CrossRef
Greer SL (2006) Uninvited Europeanization: neofunctionalism and the EU in health policy. J Eur Public Policy 13(1):134–152 CrossRef
Greer SL, Fahy N, Elliott HA, Wismar M, Jarman H, Palm W (2014) Everything you always wanted to know about European Union health policies but were afraid to ask. Obs Stud Ser 34:1–131
Horizon 2020 – Impact http://ec.europa.eu/research/horizon2020/pdf/proposals/horizon_2020_impact_assessment_report.pdf#view=fit&pagemode=none. Accessed 4 Aug 2017
Innovative Medicines Initiative (IMI) http://www.imi.europa.eu/. Accessed 4 Aug 2017
Kostera T (2008) Europeanizing Healthcare: cross-border patient mobility and its consequences for the German and Danish Healthcare systems. Bruges Polit Res Pap 1(7):38
Martinsen DS, Vrangbaek K (2008) The Europeanization of health care governance: implementing the market imperatives of Europe. Public Adm 86(1):169–184 CrossRef
Requejo MT (2014) Cross-border healthcare in Spain and the implementation of the directive 2011/24/eu on the application of patient’s rights in cross-border healthcare. Eur J Health Law 21(1):79–96 CrossRef
Schmaltz C (2015) Opportunities for vaccine research in horizon 2020 (rep.). https://ec.europa.eu/health//sites/health/files/preparedness_response/docs/ev_20150429_co07_en.pdf. Accessed 4 Aug 2017
VfA (2014) https://www.vfa.de/de/arzneimittel-forschung/so-funktioniert-pharmaforschung/eu-verordnung-zu-klinischen-studien.html. Accessed 12 Aug 2017
Vollaard H, Martinsen DS (2017) The rise of a European healthcare union. Comp Eur Polit 15(3):337–351 CrossRef
Association between EU guidelines and vaccination in Germany between 2011 and 2017
How healthcare legislation of the EU has influenced access to vaccination for senior citizens in Germany since 2011
German Managed Care Association Benjamin Azadi
- Springer Medizin
Zeitschrift für Gerontologie und Geriatrie
Print ISSN: 0948-6704
Elektronische ISSN: 1435-1269