CC Audit Compendium – Public Health


An overview of how auditors across the European Union scrutinise public health has been published today by the European Court of Auditors (ECA) on behalf of the Contact Committee of EU supreme audit institutions (SAIs)

This second edition is dedicated to the highly topical issue of public health.

The Compendium is based on audit reports of 23 EU Member States SAIs and the ECA that have contributed to the second edition of the Contact Committee’s Audit Compendium on Public Health. 

The Compendium provides some background information on public health, its legal bases, main objectives and related responsibilities at Member States’ and EU levels. It also illustrates the main challenges the EU and its Member States are facing in this field. Public health is a complex area to audit.

The Compendium draws on recent results of audits carried out by the ECA and the SAIs of: Austria, Belgium, Bulgaria, the Czech Republic, Denmark Estonia, Germany, Greece, Finland, France, Hungary, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Poland, Portugal, Slovakia, Slovenia, Spain and Romania. These audits addressed important performance aspects and scrutinise different issues of public health, such as prevention and protection, access to and quality of health services, the use of new technologies and eHealth, as well as the fiscal sustainability of public health services.

The Bulgarian National Audit Office contributed to the Compendium with the results of its performance audit on E-Health for the period 01.01.2012-30.06.2016.

E-health, as determined by the European Union, is a key factor for the European market of health services and control to manage progressively increasing health system expenditures. E-health seeks to improve citizens’ health status and quality of life—providing equal access to modern, effective and high quality health services using new technologies and opportunities. E-health introduction in Bulgaria began in 2006 and is referenced in the government’s strategies and plans as a priority. Until 2016, an adequate health information system that provides (1) necessary information for decision-making processes, and (2) cross-border health data exchange, has not yet been deployed.

Against this background, the audit topic in question was selected on the basis of BNAO own risk analysis and for reasons of public interest.

It is the second edition of the Contact Committee’s Audit Compendium. The first edition on youth unemployment and the integration of young people into the labour market was published in June 2018

The Contact Committee is an autonomous, independent and non-political assembly of the heads of SAIs of the EU and its Member States. It provides a forum to discuss and address matters of common interest relating to the EU. By strengthening dialogue and cooperation between its members, the Contact Committee contributes to an effective and independent external audit of EU policies and programmes.


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