The European Funds for Kujawy and Pomorze 2021-2027 (EFKP)is a regional operational program that is a key instrument shaping regional development and aimed at improving the quality of life of residents and making the region competitive and innovative in Europe. The program is co-financed by the European Regional Development Fund (ERDF) and the European Social Fund (ESF). The programme’s implementation is in charge of the Management Board of the Kujawsko-Pomorskie Voivodeship.

The regional programme includes, i.a., the following topics:

• Improving Access to Healthcare: The program aims to increase the availability and quality of medical services by creating new centers and developing existing ones. It focuses on palliative and hospice care, geriatric care, and nursing services.
• Supporting the Resilience of Healthcare Systems: Strengthening healthcare systems, including primary care, and transitioning from institutional care to family and community-based care.

International Actions:

The program envisages cooperation with foreign partners to improve local and regional health policies. Special attention is given to telecare and telemedicine, which are to be systematically implemented in the region.

Key Information:

• The program aims to improve the quality of life for residents of Kujawsko-Pomorskie region
• It focuses on enhancing the quality and availability of medical services.
• The program plans to develop palliative, hospice, geriatric, and nursing care services.
• There is a plan to improve telecare and telemedicine services with the support of Interreg Europe best practices

The health and silver roadmap of the Nouvelle-Aquitaine Regional Council 2022-2027 will detail the policy of the Regional Council regarding health and silver economy (research, businesses, town planning, sanitary and social training, e-health) and will be adopted in the 2nd semester of 2022. It will be the first time that the health and silver domains will be targeted within the same roadmap. In fact, during the last period (2018-2021), two different roadmaps were dedicated to each domain.
For the current period (2022-2027), the Regional Council is preparing its regional roadmap together with the Quadruple Helix stakeholders through consultative meetings organised in April 2022 throughout the region with the participation of the Gérontopôle. These meetings aimed to collect various feedbacks of the regional stakeholders in order to adopt a roadmap matching their real needs. The new Health and Silver Action Plan will address, among other, the trend of withdrawal from medical care (including in rural areas) by increasing the availability of healthcare, the access to caregivers and by making the elderly care profession more attractive, and thereby by improving the quality of home care services. The scopes of intervention of the regional Council will probably deal with multi-professional health centers, support for projects improving access to care though innovation, support for innovative projects in the medical withdrawal issues (also in rural areas).

In the past few years, the Region of Southern Denmark has increased its focus on how to scale those telemedicine and digital solutions that are developed and tested in the Region with good results and evaluations.
In January 2022, the Regional Council in Southern Denmark approved a new digitalisation strategy covering the years 2022-2024. The Region has great ambitions in the field of telemedicine and building on many years of work in the field, this strategy stipulates that patients have a right to virtual contact when it is medically compatible with the course of treatment. More specifically, 30 % of outpatient contacts should be virtual, and the number of video consultations should be increased considerably. Telemedicine should help make health care more easily accessible, flexible and allow patients and relatives to play a more active role. Furthermore, the implementation of both national and regional solutions should enable patients to be treated in their own homes to a larger extent via telemedicine. This also necessitates efforts to strengthen and develop the skills of health care professionals when it comes to using the relevant solutions in their daily clinical work.

The LGVO Work Plan is a policy instrument that decides, prioritizes, and allocates resources for joint initiatives between the region's health and medical care and the municipalities' responsibilities, particularly in elderly care and certain medical care provided in ordinary homes.

Strategic Focus Areas for 2024-2025

The current LGVO Work Plan highlights six strategic focus areas for the period of 2024-2025:

1. Extended Political Collaboration
2. Integrated Care
3. Competence Provision
4. E-health, Telecare, and Digitalization
5. Growing Up and the Middle of Life
6. Ageing

Each of these strategic focus areas is followed by a list of prioritized activities during the designated period.

Overarching Themes

Two overarching focus themes that are integrated across all the strategic areas are:

• E-health, Telecare, and Digitalization
• Integrated Care

These themes permeate every aspect of the work plan and play a critical role in the ongoing transformation of the healthcare system.

Aim of the Policy Instrument

The primary aim of the LGVO Work Plan is to:

• Enhance and increase collaboration between municipalities and health and medical care actors.
• Serve as a cohesive force that aligns goals, direction, and common needs across various entities.
• Ensure that activities can be executed independently within municipalities and regions, allowing for rapid development.

Challenges in Transition

The transition to integrated care and e-health presents several comprehensive challenges, including:

• Coordination of Governance: Aligning regional and municipal political governance at strategic, tactical, and operational levels.
• Resource Coordination: Effective coordination and synchronization of resource transfers.
• Information Sharing: Facilitating the ability to share information between various principals.

Work Plan Adjustments

The LGVO Work Plan is revised every two years. The current plan covers the period from 2024 to 2025. A new plan will be developed for 2026-2027, ensuring that the initiatives remain up-to-date and responsive to emerging challenges and opportunities.

Currently, the indicated Regional Social and Health Plan is prepared for years 2019-2023 but it is planned to be continued in following 5 years. Main feature: putting the citizen at the centre of policies. Objective: ensuring global care respecting equity, sustainability and efficiency. Measures addressed:
-digitalization, the development of innovative solutions. The objective exploits the potentialities of digitalization to respond to the challenges linked to the new needs in terms of health.GPs selection at local level to be extended at regional level.Identifying the present problems to define answers and assessing the results,
-promoting a participative approach of services using the potentiality of technologies to set up accessible services,
- guaranteeing accessibility of innovative services to the citizens,
- pharmaceutical governance and medical devices,
- guaranteeing to all citizens the access to innovative services,
- Increasing the role of community pharmacies by way of experimenting with new types of services,
The Regions have a significant role to carry out prior assessments of the expected expenditure impact of new technologies and to plan possible improvement of services and savings.
- an active involvement of patients in the prevention and in the managing of their own health and that of their community, to create a participative relationship in every phase of life between the citizen and the social and health care system.

The Ministry of Health in Spain, in collaboration with representatives from regional health ministries, developed the Digital Health Strategy for the National Health System (SNS) 2021-2026. This co-governance approach ensured system interoperability across all regions and the Ministry of Health, with Aragón playing a key role in shaping the strategy.

The initiative seeks to maintain high health standards for the Spanish population and strengthen the public health system through digital technologies targeting individuals, health professionals, healthcare organizations, and related stakeholders. The Aragon Digital Health Strategy 2021-2026, based on this national framework, aligns with the Aragonese Strategy for Social and Economic Recovery and other local strategies. It aims to advance the digital transformation of healthcare services through four strategic lines of action:

1. Enhancing Accessibility to Healthcare: This focuses on eliminating physical isolation and geographical challenges in rural areas, as part of the "Development of Digital Health Services with an Equity Approach" project, which supports population settlement in depopulated regions.

2. Adapting to Contemporary Societal Needs: Through innovation policies centered on 5P medicine (Population, Preventive, Predictive, Personalized, and Participatory), the "Personalized Medicine" project addresses modern healthcare challenges.

3. Bolstering System Capabilities: The "Interoperability of Health Data" project facilitates the exchange of comprehensible data and ensures data availability to all stakeholders, resulting in higher-quality care and continuity across patient care episodes.

4. Implementing Data Management and Governance Policies: This strategic line promotes the "Health Data Governance Strategy - Artificial Intelligence" project, ensuring the availability of interoperable, high-quality data at regional, national, and European levels.

Currently, over 30 projects are being implemented to achieve the objectives outlined in these strategic lines. Additionally, Aragón is actively working on:

• Developing the Regional Health Data Governance Strategy - Artificial Intelligence
• Formulating the Personalized and Precision Medicine Strategy
• Mapping out other strategies within the Regional Health Department

These efforts aim to enhance the Aragon Digital Health Strategy and align with future European health initiatives.

Plan of health promotion, prevention and early detection of diseases in the City of Zagreb 2023-2025 (and the is a document consisted of measures and programs for prevention and early detection of diseases that will be implemented in a period of 3 years, the holders of measures are defined, and funds for implementation are provided in the budget of the City of Zagreb.
The goals of the Plan are:
- protection, preservation and improvement of the health of the population in the city of Zagreb;
- encouraging the development of healthy lifestyles;
- strengthening one's own responsibility for health;
- reducing the incidence of chronic non-communicable diseases by implementing preventive and promotional activities;
- prevention of addictive behavior;
- protection and improvement of mental health;
- health promotion.
- healthy growing up;
- health protection by acting on environmental factors;
- prevention, early detection and identification of disease risk factors and prevention of disease occurrence;
- early intervention.
The purpose of the implementation of health promotion in the City of Zagreb is investment and actions that would effectively reflect on: health determinants, health benefits of citizens, reducing inequalities in health, human rights and building social capital of the City of Zagreb.”