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Funding of health in 2014-2020 overview

With respect to priority areas of investment in health recognized by the Cohesion Policy 2014-2020, there is an apparent shift in the ESIF financing for health priorities identified by the Member States. The shift is away from a focus on partial investments to investments covered by the health system as a whole (models aiming at increasing the cost-effectiveness and sustainability of the system).

More specifically, in the 2014-2020 programming period, the funding of health care and public health from the European Structural and Investment Funds are aimed mainly at the following areas of action:

  • Deinstitutionalization and development of community based care (including close-to-home primary and follow-up care infrastructure development) and greater integration of health and social care in general
  • Health system cost-effectiveness and sustainability measures
  • Active and healthy aging (through innovative forms of work organisation, promoting health and safety at work and increasing employability etc.)
  • Health promotion and disease prevention
  • Continued education of medical staff, with a focus on both professional and managerial skills; building capacities of health administrations and public health actors
  • Increased efforts in the field of e-health (eHealth services advancing, e.g. new functionalities, TeleHealth solutions etc.)
  • Ongoing support to medical R&D and innovations

Contrary to the programming period 2007-2013, health infrastructure investments took a backseat. This does not mean that infrastructural investments could not be foreseen in the health sector, however, these investments are more often focused on priorities aimed at the reduction of unnecessary specialist care through the strengthening of primary care and a transition to community-based care on one hand and concentration of specialized care on the other.

Even though the negotiations with the Commission have not yet been finished, Partnership Agreements and already approved or submitted operational programmes do not indicate the existence of an operational programme solely devoted to health in any of the Member States. In some countries, the Ministries of Health are expected to be involved in the ESIF management structure as Intermediate Bodies (quite common set-up in the CSE countries, e.g. Latvia, Lithuania, Poland, Slovakia, Hungary etc.), but more often the Ministry of Health is not expected not to have any formal role in the ESIF management and implementation structure.

From what is known so far, Poland is to be the greatest receiver of the ESIF funding for Health with more than 2.8 billion EUR. Schemes below show top five spenders in terms of amount of resources from ESIF with a health component in 2014-2020 programming period allocated to four categories of intervention (053 - Health infrastructure, 081 - ICT solutions addressing the healthy active ageing challenge and e-health services, 107 - Active and healthy ageing and 112 - Enhancing access to affordable, sustainable and high-quality services, including health care and social services of general interest).

More information and details can be found in the 'Tools & guidelines' section in the Mapping report. Besides an overview of health investments supported from the Structural Funds at the EU level, more details about individual Member States can be found in section Country Fact sheets.


Useful links

European Commission

Consumers, Health, Agriculture and Food Executive Agency

Directorate-General for Health and Food Safety

Directorate-General for Regional and Urban Policy

Directorate-General for Employment, Social Affairs & Inclusion