{"id":3643,"date":"2023-12-15T11:50:16","date_gmt":"2023-12-15T10:50:16","guid":{"rendered":"https:\/\/health-inequalities.eu\/financing-e-guide\/?p=3643"},"modified":"2023-12-15T12:02:49","modified_gmt":"2023-12-15T11:02:49","slug":"invest4health-mobilising-novel-finance-models-for-health-promotion-and-disease-prevention","status":"publish","type":"post","link":"https:\/\/health-inequalities.eu\/financing-e-guide\/invest4health-mobilising-novel-finance-models-for-health-promotion-and-disease-prevention\/","title":{"rendered":"Invest4Health: Mobilising novel finance models for health promotion and disease prevention"},"content":{"rendered":"<div id=\"pl-3643\"  class=\"panel-layout\" ><div id=\"pg-3643-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3643-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3643-0-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child\" data-index=\"0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><a href=\"https:\/\/invest4health.eu\/\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-3655\" src=\"https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Invest4Health.png\" alt=\"\" width=\"281\" height=\"76\" srcset=\"https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Invest4Health.png 400w, https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Invest4Health-300x81.png 300w\" sizes=\"auto, (max-width: 281px) 100vw, 281px\" \/><\/a>The <a href=\"https:\/\/invest4health.eu\/\">Invest4Health<\/a> project (2023-2026), funded by Horizon Europe, aims to revolutionize public health financing by identifying and incentivizing new finance and business models for health promotion and disease prevention, under the concept of \u2018Smart Capacitating Investment\u2019. The project will develop and test models, alternative governance mechanisms and tools, and methods to facilitate the use of Smart Capacitating Investment for health promotion and disease prevention. These include cost-effective strategies that span multiple sectors to share risks, pool assets, and analyse return on investment to ensure efficient utilisation of all available resources.<\/p>\n<p>&nbsp;<\/p>\n<p>At present, healthcare budgets across Europe are overwhelmingly spent on treatment of disease, with an average of only 3% spent on health promotion and disease prevention. <sup class=\"modern-footnotes-footnote \" data-mfn=\"1\" data-mfn-post-scope=\"00000000000031080000000000000000_3643\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-00000000000031080000000000000000_3643-1\">1<\/a><\/sup><span id=\"mfn-content-00000000000031080000000000000000_3643-1\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"1\">[i] European Commission (2018) State of the Health in the EU, Companion Report.<\/span>\u00a0Yet a growing burden of preventable diseases and widening health inequalities across Europe illustrate that present approaches to financing are unsustainable and not fit for purpose. The fiscal space for governments to invest in health has also been shrinking; even pre-pandemic, public investment in social infrastructure (e.g., health, education, affordable housing) was 20% lower than before the 2008 financial crisis.<sup class=\"modern-footnotes-footnote \" data-mfn=\"2\" data-mfn-post-scope=\"00000000000031080000000000000000_3643\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-00000000000031080000000000000000_3643-2\">2<\/a><\/sup><span id=\"mfn-content-00000000000031080000000000000000_3643-2\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"2\">2018 \u2013 Fransen L, del Bufalo G and Reviglio E. Boosting investment in Social Infrastructure in Europe: Report of the High-Level Task Force on Investing in social infrastructure in Europe. European Economy Discussion Paper 074, Luxembourg. Note: SHCN team members were part of the Task Force Secretariat, coordinated both expert working groups and J Lane was \u00a0a member of the HLTF<\/span> <sup class=\"modern-footnotes-footnote \" data-mfn=\"3\" data-mfn-post-scope=\"00000000000031080000000000000000_3643\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-00000000000031080000000000000000_3643-3\">3<\/a><\/sup><span id=\"mfn-content-00000000000031080000000000000000_3643-3\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"3\">[iii] EIB (2017) Investment Report 2017-2018, November, EIB: Luxembourg<\/span><\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-3643-0-0-1\" class=\"so-panel widget widget_sow-editor\" data-index=\"1\" ><div class=\"jwd_customBox panel-widget-style panel-widget-style-for-3643-0-0-1\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>What is \u2018Smart Capacitating Investment?\u2019<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-3644\" src=\"https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Smart-capacitating-models-eguide-puzzle.png\" alt=\"\" width=\"400\" height=\"334\" srcset=\"https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Smart-capacitating-models-eguide-puzzle.png 676w, https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Smart-capacitating-models-eguide-puzzle-300x251.png 300w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/>The term Smart Capacitating Investment (SCI) was first used by the High-Level Task Force for Social Infrastructure Investment initiated by the European Long-Term Investors Association (ELTI), which explored ways to enhance public and private investments in social infrastructure (Fransen et al 2018).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Smart Capacitating Investment makes the most of existing resources (including financial and non-financial assets) and builds partnerships between different sectors (e.g., public, private, voluntary, or housing, health, environment) to make investments that generate sustained returns and localised benefits to improve health and wellbeing, thereby making health systems more sustainable.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>During the Invest4Health project, the concept of Smart Capacitating Investment will be further defined, and \u2018SCI-compatible\u2019 business and finance models will be identified and promoted.<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"panel-3643-0-0-2\" class=\"so-panel widget widget_sow-editor\" data-index=\"2\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p><strong>Invest4Health promotes the use of new models and mindsets to achieve sustainable return on investment from health promotion and disease prevention.<\/strong> The consortium, led by Region Sk\u00e5ne in Sweden, combines interdisciplinary expertise with four real-world pilot sites (or \u2018testbeds\u2019) to develop new financing models, foster practical implementation and ensure community involvement. The project is exploring various mechanisms for delivering health promotion and disease prevention, including public, private (for-profit, not-for-profit), and ethical, equitable Public-Private Partnerships. The project also includes a focus on primary, secondary, and tertiary levels of prevention (figure 1), as well as interventions focused on key determinants of health (e.g., housing, education, transport, and environment). These models will be evaluated and validated, thereby offering decision-makers and policymakers resources and tools to prioritise and for health promotion and disease prevention at all levels.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>The goal is to deliver tangible results through validated models and tools, encouraging decision-makers to prioritize risk-sharing and resource pooling for health initiatives<\/strong>. The project also emphasizes citizen science, a digital collaborative space for decision-making, and the social franchising approach to ensure the active involvement of communities in promoting health and preventing diseases.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-3643-0-0-3\" class=\"so-panel widget widget_sow-editor\" data-index=\"3\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Structure of the Invest4Health Project<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>The Invest4Health project has three main work streams:<\/p>\n<ul>\n<li>Developing functional prototype models of the \u2018Smart Capacitating Investment\u2019 concept under pinning the project<\/li>\n<li>Iterative testing of \u2018SCI\u2019 in real world environments representing both Beveridge (tax-based) and Bismarck (insurance-based) financing systems<\/li>\n<li>Preparing a social franchising package for large-scale demonstration of SCI compatible models.<\/li>\n<\/ul>\n<p>A cross-cutting emphasis is placed on ensuring citizen involvement in planning and investment decisions for interventions and services.<\/p>\n<p>EuroHealthNet is responsible for the project\u2019s Operational readiness &amp; capacity building activities. The tasks serve as a bridge between the theoretical elements that the project is researching and the iterative testing that occurs while testing SCI models and governance mechanisms in the four pilot sites.<\/p>\n<\/div>\n<\/div><\/div><div id=\"panel-3643-0-0-4\" class=\"so-panel widget widget_sow-editor panel-last-child\" data-index=\"4\" ><div class=\"jwd_customBox panel-widget-style panel-widget-style-for-3643-0-0-4\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Invest4Health pilot sites<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<figure id=\"attachment_3645\" aria-describedby=\"caption-attachment-3645\" style=\"width: 315px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-3645 size-full\" src=\"https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Invest4Health-pilot-sites.png\" alt=\"\" width=\"315\" height=\"301\" srcset=\"https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Invest4Health-pilot-sites.png 315w, https:\/\/health-inequalities.eu\/financing-e-guide\/wp-content\/uploads\/sites\/4\/2023\/12\/Invest4Health-pilot-sites-300x287.png 300w\" sizes=\"auto, (max-width: 315px) 100vw, 315px\" \/><figcaption id=\"caption-attachment-3645\" class=\"wp-caption-text\">Location of Invest4Health Test Beds<\/figcaption><\/figure>\n<p>Invest4Health includes four \u201ctest beds\u201d, or pilot sites, where SCI-compatible business and finance models will be tested in alignment with health promotion and disease prevention interventions selected by the test beds.<\/p>\n<p>&nbsp;<\/p>\n<p>The test beds are located in Germany (North Rhine Westphalia), Spain (Galicia), Sweden (Sk\u00e5ne), and Wales (Hywel Dda). These four initial regions represent a range of health systems, including universal single-payer (Galicia), universal multi-payer (North Rhine Westphalia), universal and decentralised (Sk\u00e5ne), and universal single-payer (Wales). The four test-beds will also work on a range of health promotion intervention areas which cover the lifecourse (Table 1). Testing in the policy labs will be informed by the theoretical and research driven knowledge base being developed (Work Packages 2-4). Feedback from citizens and local communities will also be gathered to iteratively inform development and piloting of new tools and models.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"3\" width=\"601\">Table 1: Selected health promoting interventions and target populations of each Invest4Health test bed<\/td>\n<\/tr>\n<tr>\n<td width=\"208\">North Rhine Westphalia (DE)<\/td>\n<td width=\"201\">Working-age population<\/td>\n<td width=\"192\">Supporting health in the home office environment through bundled tools (e.g., ergonomics, digital resources)<\/td>\n<\/tr>\n<tr>\n<td width=\"208\">Galicia (ES)<\/td>\n<td width=\"201\">Ageing and rurally isolated population<\/td>\n<td width=\"192\">Supporting healthy and active ageing through the improved use of existing digital tools<\/td>\n<\/tr>\n<tr>\n<td width=\"208\">Sk\u00e5ne (SE)<\/td>\n<td width=\"201\">Children and young people in municipalities across Sk\u00e5ne<\/td>\n<td width=\"192\">Expanding the use of \u2018Getting it Right for Every Child\u2019 (GRIFEC) and other similar interventions to improve holistic child and adolescent wellbeing.<\/td>\n<\/tr>\n<tr>\n<td width=\"208\">Hywel Dda (UK)<\/td>\n<td width=\"201\">Socially vulnerable populations (e.g., those in need of complex interventions)<\/td>\n<td width=\"192\">Using a new government social prescribing initiative to enhance the use of social prescribing across West Wales<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><div id=\"pg-3643-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-3643-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-3643-1-0-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"5\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">Sustainability of project outcomes through social franchising<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>As the test sites and theoretical knowledge come together, the framework of what could be transferred and replicated in other settings will become clearer. At the mid-point of the project, an open call will be launched to attract a second tranche of regions to run simulation exercises with SCI models. This will also inform what will eventually become the basis of the core Invest4Health model, which project partners aim to promote through social franchising.<sup class=\"modern-footnotes-footnote \" data-mfn=\"4\" data-mfn-post-scope=\"00000000000031080000000000000000_3643\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-00000000000031080000000000000000_3643-4\">4<\/a><\/sup><span id=\"mfn-content-00000000000031080000000000000000_3643-4\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"4\">https:\/\/healthfutures.org.au\/<\/span><sup class=\"modern-footnotes-footnote \" data-mfn=\"5\" data-mfn-post-scope=\"00000000000031080000000000000000_3643\"><a href=\"javascript:void(0)\"  role=\"button\" aria-pressed=\"false\" aria-describedby=\"mfn-content-00000000000031080000000000000000_3643-5\">5<\/a><\/sup><span id=\"mfn-content-00000000000031080000000000000000_3643-5\" role=\"tooltip\" class=\"modern-footnotes-footnote__note\" tabindex=\"0\" data-mfn=\"5\">https:\/\/www.franchise-ed.org.au\/social-franchising\/<\/span> The goal will be to replicate the impact of Invest4Health in different locations while maintaining a consistent standard. The approach will not be on financial profit from the model, but rather maximising social benefits to \u2018franchisees.\u2019 Through its social franchise model, Invest4Health would provide peer support and development to networks of local stakeholders (in various municipalities or regions) who have agreed or will agree to deliver equitable health promotion and disease prevention services under the \u2018Invest4Health\u2019 label. By combining mobilization efforts and market-based approaches, Invest4Health works to ensure the replication of its proven models and interventions while allowing for local flexibility in implementation, creating value where it is most needed.<\/p>\n<p>&nbsp;<\/p>\n<p>Health promotion and disease prevention are an investment and they benefit from being designed and financed within an investment paradigm. Invest4Health helps to reimagine investment in and delivery of equitable health promotion and disease prevention. Smart Capacitating Investment can support the paradigm shift from health \u2018cure\u2019 systems to health \u2018care\u2019 systems, making them more resilient to future shocks, more health-promoting, more interdisciplinary, and more equitable.<\/p>\n<\/div>\n<\/div><\/div><\/div><div id=\"pgc-3643-1-1\"  class=\"panel-grid-cell\" ><div id=\"panel-3643-1-1-0\" class=\"so-panel widget widget_sow-editor panel-first-child panel-last-child\" data-index=\"6\" ><div class=\"jwd_customBox panel-widget-style panel-widget-style-for-3643-1-1-0\" ><div\n\t\t\t\n\t\t\tclass=\"so-widget-sow-editor so-widget-sow-editor-base\"\n\t\t\t\n\t\t><h3 class=\"widget-title\">What is 'Social Franchising?'<\/h3>\n<div class=\"siteorigin-widget-tinymce textwidget\">\n\t<p>Social franchising is a relatively new approach which applies commercial franchising methods to achieve social goals. Rather than pursuing the franchise model for profit, the purpose is to create social benefits.<\/p>\n<p>&nbsp;<\/p>\n<p>Social franchising is an increasingly popular approach to achieve scale through replication and to ensure the sustainability and transmission of good practices. The \u2018franchisors\u2019 who own the franchise are able to train the new \u2018franchisees\u2019 who are building up local versions of the practice or approach and help maintain quality and ensure a consistent standard.<\/p>\n<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>The Invest4Health project (2023-2026), funded by Horizon Europe, aims to revolutionize public health financing by identifying and incentivizing new finance and business models for health promotion and disease prevention, under &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/health-inequalities.eu\/financing-e-guide\/invest4health-mobilising-novel-finance-models-for-health-promotion-and-disease-prevention\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;Invest4Health: Mobilising novel finance models for health promotion and disease prevention&#8221;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_has_post_settings":[],"footnotes":""},"categories":[2],"tags":[],"hashtags":[],"class_list":["post-3643","post","type-post","status-publish","format-standard","hentry","category-case-studies"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Invest4Health: Mobilising novel finance models for health promotion and disease prevention - Financing e-Guide<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/health-inequalities.eu\/financing-e-guide\/invest4health-mobilising-novel-finance-models-for-health-promotion-and-disease-prevention\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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