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Cross-border Patient Mobility in Selected EU Regions

Cross-border Patient Mobility in Selected EU Regions
Author:
Publisher:
Total Pages:
Release: 2022
Genre:
ISBN: 9789276476634

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This study aimed to provide an overview of cross-border patient mobility and the reimbursement system used for planned healthcare treatment in selected EU Regions, in order to complement the data on cross-border healthcare collected for the purposes of Directive 2011/24/EU (reporting requirements under Article 20) and the Social Security Coordination Regulations 883/2004 and 987/2009. The study objectives were to carry out four case studies of cross border patient flows in selected EU Regions, specifically to gather quantitative/qualitative data on: cross border patient flows; types of treatment sought; methodological difficulties associated with data collection; and provide recommendations to improve future data collection. The case studies focused on Meuse Rhein region (DE/BE/NL), Grand Est region of France (FR)-Luxembourg, Lower Austria/Bohemia/Slovakia (AT/CZ/SK), and general patient flow between Poland and Czechia. The methodology involved a literature review, baseline data analysis, stakeholder mapping (over 200 respondents), qualitative focus groups/ interviews, and quantitative data analysis. Overall, the study found that current patient mobility data lacks consistency and is often purely financial in nature; some Member States report no data. Improved data collection requires a multi-level stakeholder approach. The COVID-19 Pandemic highlighted that good data is an essential enabler for well-functioning EU health systems and underpins a legal commitment of Member States and the EU to supporting patient rights in cross- border healthcare. The Directive remains an important enabler for patient mobility for planned care including in the context of post-COVID-19 recovery and resilience. Study recommendations include strategic approaches to improve cross-border patient mobility data collection that involve member states, healthcare insurers, regional and subnational stakeholders; which include collection of data on types of care accessed; and which can be piloted in border regions as recognised innovative laboratories for EU integration through cross-border co-operation.


Hospitals and Borders

Hospitals and Borders
Author: Centers of Disease Control
Publisher: World Health Organization
Total Pages: 204
Release: 2013
Genre: Medical
ISBN:

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This volume examines why hospitals collaborate with each other and with other health care actors across borders in Europe. Cross-border hospital collaboration is not a new phenomenon but began to receive increased attention in the first decade of the 21st century in the context of European debates on patient mobility, the impact of European Union (EU) integration on national health systems and the particular situation of border regions. In this context, the role of health care providers stands out: while physically anchored in the health system that funds and regulates them, hospitals in border regions often witness or initiate cross-border movements of patients and health professionals.


Patient Mobility in the European Union

Patient Mobility in the European Union
Author: Magdalene Rosenmöller
Publisher: World Health Organization
Total Pages: 194
Release: 2006-01-01
Genre: Europeans
ISBN: 9789289022873

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This book is an attempt to inform the debate that is already taking place between Europe's policy-makers, looking at a series of case studies that illustrate the different aspects of patient mobility within the European Union and how Europe's health systems have responded to them. Most of the case studies presented in this book have been analysed within a project funded by the European Union's Sixth Framework Programme - Europe for Patients (e4p).


Health Care Provision and Patient Mobility

Health Care Provision and Patient Mobility
Author: Rosella Levaggi
Publisher: Springer Science & Business Media
Total Pages: 253
Release: 2013-12-11
Genre: Business & Economics
ISBN: 884705480X

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Patient mobility across Europe is markedly increasing and new generations will actively ask to be treated by the health-care system that best meets their needs. At a political level, the EU issued the EU Directive no. 24/2011/CE of 9th March 2011 concerning the application of patients’ rights in cross-border health care and has contributed to improving the level of freedom of choice for the European citizen, but it does not seem to have increased actual patient mobility across Europe. Freedom to choose is necessary to grant the people of Europe the same access to public-sector health-care services. The latter is a key instrument for an efficiently functioning “single market” ensuring real mobility within the EU. The aim of this book is to study the current European health care market and discuss the hypothesis of a European right of citizenship with reference to health-care services. It examines patients' mobility from several perspectives: determinants of patient mobility, governance of cross-border mobility at EU level as concerns patients and health-care professionals, policy implications, and case studies. It is intended for health researchers, decision-makers and professionals concerned with health-care provision and patient mobility. The goal is to provide, through scientific and methodological rigor, new informative tools useful for the implementation of new policies in the health-care sector in order to implement effective health-care integration in the European Union.


Is It More Important to Address the Issue of Patient Mobility Or to Guarantee Universal Health Coverage in Europe? Comment on 'Regional Incentives and Patient Cross-Border Mobility

Is It More Important to Address the Issue of Patient Mobility Or to Guarantee Universal Health Coverage in Europe? Comment on 'Regional Incentives and Patient Cross-Border Mobility
Author: Helena Legido-Quigley
Publisher:
Total Pages: 0
Release: 2015
Genre:
ISBN:

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This paper discusses whether European institutions should devote so much attention and funding to cross-border healthcare or they should instead prioritise guaranteeing universal health coverage (UHC), inequalities and tackling the effects of austerity measures. The paper argues through providing the evidence in both areas of research, that the priority at European level from a public health and social justice perspective should be to guarantee UHC for all the population living in Europe and prioritise protective action for those who are most in need.


Cross-border Cooperation

Cross-border Cooperation
Author:
Publisher:
Total Pages: 78
Release: 2015
Genre:
ISBN: 9789279481499

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European Union policy in the field of health is aimed at complementing and supporting national health policies, encouraging cooperation between Member States (MS) and promoting coordination between their programmes. The Directive 2011/24/EU on the application of patients' rights in cross-border health care aims to facilitate access to safe and high-quality cross-border health care and ensure patient mobility in the Union. The Expert Panel on Effective ways of Investing in Health was requested to identify areas which would potentially benefit from greater formal cross-border cooperation and collaboration in health care provision. This identification should focus on service configuration in border regions, but can also consider issues outside border regions. In the opinion the Expert panel looks for areas where there is potential for successful co-operations as well as the existing and potential benefits of such co-operation. Furthermore, the Expert panel identifies obstacles to successful co-operation in health care and suggests priorities of actions which could be taken at EU level in order to help overcome some of these obstacles.


Cross-Border Governance in the European Union

Cross-Border Governance in the European Union
Author: Barbara Hooper
Publisher: Routledge
Total Pages: 253
Release: 2004-08-02
Genre: Law
ISBN: 1134376367

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This book discusses and evaluates the problems of governance within the European Union's cross border regions from diversity of perspectives and over a range of selected case studies.


Assuring the Quality of Health Care in the European Union

Assuring the Quality of Health Care in the European Union
Author: Helena Legido-Quigley
Publisher: World Health Organization
Total Pages: 242
Release: 2008
Genre: Medical
ISBN: 9289071931

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People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.