Thesis Muscat

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Table 4.2 - Health system transformation and adaptation (Malta 2004-2014) Health System Change

Description Public health policies and strategies

Europeanisation Transformation

Mechanisms Non-binding EU communications, strategies, reports Participation in EU working groups

Cancer

Transformation

Analysis Domestic health policy-making process underwent significant change and a number of important health strategies were developed

Non-binding EU Council Services in the area Recommendation on of cancer have been Cancer Screening transformed through the development of a national EU Funds for hospital, plan, cancer screening equipment and capacity services, training of health building professionals and the Participation in EU Joint constructions of a new oncology hospital Actions and networks Submission of health information statistics

Development of Transformation specialist training programmes for doctors

Directive

Regulation of quality, safety and efficacy of medicines

Directives

Transformation

EU funds for capacity building

Legislative framework, establishment of medical specialist registers, structured post graduate training

Transposition of legislation and setting up of the EU funds for capacity competent authority to building regulate the placing of Participation in networks medicines on the market and working groups

Establishment of Adaptation regulatory institutions with separation of regulatory and provider roles

Directives

Health statistics

Participation in networks A good health information and working groups system was already in place prior to accession Benchmarking but EU legislation, policy (EUROSTAT regulations and networking helped to strengthen it recently entered into force)

Adaptation

Transposition of legislation and setting up of Participation in networks competent authorities for and working groups licensing providers and regulating public health standards

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