Integration of a Personalized Health Care Model into Health Systems and Policies in Europe

344 Pages·2016·7.65 MB·English

by  T. Cesuroglu

Integration of a
Personalized Health Care Model
into
Health Systems and Policies in Europe

Tomris Cesuroglu
Integration of a Personalized Health Care Model into Health Systems and Policies in Europe

Tomris Cesuroglu

ISBN: 978-94-6233-221-8

Cover: Serenad Yılmaz, Veysel Aybakar

Printing: Gildeprint, Enschede

© copyright Tomris Cesuroglu, Maastricht, the Netherlands, 2016.
All rights reserved. No part of this publication may be reproduced or distributed in any form or by any means, or
stored in a database or retrieval system, without the prior written permission of the copyright owner.
Integration of a
Personalized Health Care Model
into
Health Systems and Policies in Europe

DISSERTATION

to obtain the degree of Doctor at Maastricht University,
on the authority of the Rector Magnificus, Prof. dr. L.L.G. Soete
in accordance with the decision of the Board of Deans,
to be defended in public
on Thursday 18 February 2016, at 16:00 hours

by

Tomris Cesuroglu
Supervisor
Prof. Dr. Frans J. M. Feron
Co-supervisors
Dr. Anja Krumeich
Dr. Elena V. Syurina
Assessment Committee
Prof. Dr. Nanne de Vries (chair)
Dr. Heidi C. Howard (Uppsala University, Sweden)
Prof. Dr. David Townend
Dr. Petra Verdonk (Vrije Universiteit Amsterdam)

The project team for this dissertation also included Serdar Savaş as an external member.

The research presented in this dissertation was conducted at the School for Public Health
and Primary Care: CAPHRI, Department of Social Medicine, Faculty of Health, Medicine,
and Life Sciences, Maastricht University. CAPHRI participates in the Netherlands School of
Primary Care Research CaRe.
Dedicated to my husband Marco,
and our children Yunus, Mina and Alanur
CONTENTS

Chapter 1. Introduction 11

PART I – Where to integrate? 31
Chapter 2. A framework for public health and health systems interrelations: 33
Health Globe
Chapter 3. Looking at the U.S. health system from European perspective 53

PART II – What to integrate? 81
Chapter 4. Debating the definition of personalized approaches: Content 83
analysis of practices
Chapter 5. A perspective on personalized health care 161
Chapter 6. Introducing a preventive personalized health care model: 171
Gentest

PART III – How to integrate? 195
Chapter 7. A systematic approach to assess integration of a preventive 197
personalized health care model into health systems

Chapter 8. General discussion 245

Appendix 285
Executive summary | Samenvatting | Özet 305
Valorization 323
Acknowledgements | Dankwoord | Teşekkürler 329
CV & Publications 335

7
The list of frequently used abbreviations

EU: European Union
GDP: Gross domestic product
GP: General practitioners/ Family physicians (physicians who provide medical services
within primary care)
HFA: Health for All
HiAP: Health in All Policy
ICT: Information and communication technologies
NCD: Noncommunicable disease
NGO: Non-governmental organization
NHS: National Health Services
OECD: Organisation for Economic Co-operation and Development
PAHO: Pan American Health Organization
PM/PHC: Personalized medicine and personalized health care
U.S.: United States
UK: United Kingdom
UN: United Nations
USA: United States of America
USD: United States Dollars
WHO: World Health Organization
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Our true mentor in life is science.
Mustafa Kemal Atatürk

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