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AHEAD: action for health and equity - addressing medical deserts

The AHEAD project aims to reduce health inequalities in Europe by addressing the challenge of medical deserts. Our goal is to achieve better access to health services, especially in underserved areas, and more equitable access to sufficient, skilled and motivated health workers. We aim to do this by building knowledge, encouraging innovation in health service delivery and applying a participatory approach to public health policymaking.

Background
Various European countries’ health care systems are becoming overburdened, due to the demographic and epidemiological transition: an ageing population in combination with an increase in chronic diseases and multi-morbidities that require long term care. Furthermore, the health workforce itself is ageing, resulting in waves of retirement of health personnel, adding to the strain on the health workforce. These challenges occur within the context of persistent budgetary constraints and financial cutbacks that compound broader migration patterns and are causing severe health workforce shortages.

In this context, several EU regions are facing the issue of ‘medical deserts’: isolated or depopulated areas with such significant falling numbers of medical practitioners and overall health workforce shortages that they hamper health worker availability and exacerbate health inequalities in the population, especially among vulnerable groups. 

Objectives
AHEAD aims for better access to health services, especially in those underserved areas, and more equitable access to sufficient, skilled and motivated health workers, starting with the countries involved in the project: Italy, Moldova, the Netherlands, Romania and Serbia. 

We will provide knowledge and tools to a group of relevant policymakers in member states of the EU and neighbouring countries. They can use these tools to define, design and implement evidence-based reforms in the health workforce field that specifically aim to counteract medical deserts. 

Approach
In this project, we follow a 3-step plan:

  1. Generating evidence - Research into the different manifestations of medical deserts will contribute to the development of an interactive tool that can be used to diagnose and monitor medical deserts in project countries and beyond.
  2. Consensus building - We will ensure inclusiveness of perspectives of different groups in policy development. This part will consist of participatory method guideline development and a phased ‘consensus building sessions’, both at local and national level.
  3. Discussing policy options - Once locally relevant policy options are ready, policy discussions will be facilitated. National and EU level key stakeholders and decision makers (e.g. policy makers, health professionals, patient organisations and citizens) will be engaged to ensure joint reflection on effective, feasible and acceptable policy measures.

Over the course of the project, we will share knowledge and evidence around medical deserts, possible policy solutions, and lessons learnt. With that, we hope to inspire policy makers to take action, which will benefit affected populations and ultimately, the country as a whole. By spreading knowledge and good practices, we also hope to inspire policy makers outside the AHEAD project countries.

Athena’s role
The Athena Institute is especially involved in step 2: building consensus on various policy measures enabling countries to counteract medical deserts. Based on our experience in participatory mehods, we will ensure that perspectives of all different stakeholders will be included in the in policy development. 

The results will include policy options per country that are innovative and locally relevant, and a transferable approach and guideline to participatory policymaking, making the system more inclusive.

Project details