Europe is the continent where alcohol consumption is the highest in the world, with an average of 10.7 litres per person and per year. Now, as an important health determinant, and therefore responsible for harm, it has seemed necessary to launch an action in this field, for public health reasons.
So, in 2006, the European Commission published a Communication entitled “A European Union strategy to support Member States in reducing alcohol-related harm”. Subsequently, the French National Statutory Health Insurance Fund (Caisse Nationale d’Assurance Maladie des Travailleurs Salariés – CNAMTS) decided to participate in the discussion by publishing its contribution in May 2007.
Robert Madelin, Director of the General Directorate for Health and Consumers of the European Commission, expressed interest in having a clearer view of the positions taken and actions carried out in other European Statutory Insurance Funds in this field.
Within the framework of the Alcohol and Health Forum, the CNAMTS, on behalf of the ESIP (European Social Insurance Platform) and with ENSIfH (European Network Social Insurance for Health) support, has undertaken to establish a “European Atlas” of Statutory Health Insurance Funds and Statutory Accident insurance involved in the area of health promotion and alcohol-related harm prevention.
A questionnaire was sent to the member institutions of the ESIP and the ENSIfH. 12 institutions from 8 different countries (Germany, Austria, Estonia, Finland, France, Hungary, Netherlands and Sweden) replied. On the basis of these answers, a synthesis has been drawn up to present the institutions’ actions in the field of prevention and health promotion, compared to its general organization in the country. Consequently, this work describes the actions of the Health insurance institutions in the area of alcohol-related harm prevention.
CONTENTS
INTRODUCTION
1 HEALTH PROMOTION AND PREVENTION’S MAIN OBJECTIVES
- 1.1 THE OBJECTIVE OF IMPROVING HEALTH
1.2 THE OBJECTIVE OF REDUCING HEALTH INEQUALITIES
1.3 THE OBJECTIVE OF ECONOMIC EFFICIENCY
2 PREVENTION ORGANIZATION AND THE ROLE OF SOCIAL INSURANCE INSTITUTIONS
- 2.1 GERMANY
2.2 AUSTRIA
2.3 ESTONIA
2.4 FINLAND
2.5 FRANCE
2.6 HUNGARY
2.7 NETHERLANDS
2.8 SWEDEN
3 PREVENTION AND HEALTH PROMOTION ACTIONS OF SOCIAL INSURANCE INSTITUTIONS
- 3.1 PRIMARY PREVENTION
3.2 SECONDARY AND TERTIARY PREVENTION
4 THE ROLE OF SOCIAL INSURANCE INSTITUTIONS IN ALCOHOL-RELATED HARM PREVENTION
- 4.1 MEASURES, METHODS AND MEANS OF ACTION
4.2 PROTECTION OF YOUNG PEOPLE, CHILDREN AND UNBORN CHILDREN (REDUCTION OF ALCOHOL EXPOSURE DURING PREGNANCY AND OF THE NUMBER OF CHILDREN SUFFERING FROM FOETAL ALCOHOL SYNDROME (FAS)
4.3 REDUCTION OF THE NUMBER OF INJURIES AND DEATHS CAUSED BY ALCOHOL ON THE ROADS
4.4 REDUCTION OF ALCOHOL-RELATED HARM FOR ADULTS (CHRONIC MENTAL AND PHYSICAL PROBLEMS AND DEATHS CAUSED BY ALCOHOL)
4.5 REDUCTION OF ALCOHOL-RELATED HARM IN THE WORKPLACE
CONCLUSION
ANNEXES
- 6.1 - THE INVOLVEMENT OF SOCIAL INSURANCE INSTITUTIONS IN EUROPEAN AND INTERNATIONAL NETWORKS
6.2 -COMPARATIVE BOARD OF EUROPEAN COUNTRIES’ ALCOHOL CONSUMPTION
6.3 -CONTACTS
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