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Free Movement of Patients in the European Union and Its Impact Upon the National (Social) Health Care Systems

Free Movement of Patients in the European Union and Its Impact Upon the National (Social) Health Care Systems
Author: Monika Kawczynska
Publisher:
Total Pages: 0
Release: 2012
Genre:
ISBN:

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Access to health care abroad and patient mobility have generated active debate since judgments of the Court of Justice of the European Communities (ECJ) overruled the pertinent regulations, which made reimbursement by the social security system of medical services provided in another Member conditional on prior authorisation. In view of the Court these provisions infringed the principles of free movement of goods and services, which were held to apply to national social security systems. The rulings affected the balance between the economic freedoms enshrined in the Treaty which govern the internal market and the basic principles of social protection ensuring access to health care organised on a national level. The patients welcomed the Courtņs approach as a social improvement and a positive advance in the process of creating an internal market in health care. However, the Member States considered the rulings as encroaching on their prerogative of organising their protection and health systems in accordance with their own choices, operating rules and criteria for access to treatment and controls on the quality of care. Most of the governments also felt that unrestricted access to health care abroad would endanger the financial stability and planning requirements necessary for maintenance of essential health care services national territory. Up till now, the Member States do not share common interpretation of the jurisprudence and do not draw the same conclusions with regard to the right of patients to seek reimbursement for treatment abroad therefore cross-border mobility of patients is currently negligible. Since the issue is now attracting much attention, especially in countries where patients are confronted with waiting lists and other difficulties with access to specialised medical care further guidance is needed. This paper will present the major issues relating to the free movement of patients in the EU and assess the justificatory arguments put forward by the Member States. Moreover, it will consider whether the new legislative reform and simplification of the coordination Regulation and proposal of the Directive on Services in the Internal Market will bring better solution and more legal certainty into the issue of patient mobility.


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.


The Development of Patients' Rights in Cross-border Health Care and Its Impact on the Member States of the European Union

The Development of Patients' Rights in Cross-border Health Care and Its Impact on the Member States of the European Union
Author: Kamila Makara
Publisher:
Total Pages: 310
Release: 2012
Genre: Medical care
ISBN:

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The impact of the EU law on patients' rights in cross-border health care on national health care systems was subject to many fervent debates among European academics. For all the rhetoric of that debate, beneath it lies an attempt to delimit the boundaries of EU competences. These were determined by the Court's interpretation of the Treaties. However, the recent development of patients' rights has escaped the boundaries of this interpretation and broadened the influence of patients' free movement rights into social fields. The primary concern is to answer the question about the cause which brought the Member States to give up their sovereignty for the sake of the internal market and about the effects of these sacrifices for the EU, the States and European citizens respectively. The detailed analysis of the development of EU law on cross-border health care proves that this system was an inescapable result of the decisions taken decades ago. Furthermore, by examining the different definitions and meanings of the European Social Model, the argument is explored that EU law on patients' rights, in its present form, can be considered to be not only a factor enriching the European Social Model but also an actual part of it. A new type of solidarity among the Member States and the citizens of the European Union exists, namely functional solidarity. The subject of cross-border health care has been analysed by academics in all possible ways. However, the points of view of the countries that only recently joined the Union are different to the points of view of the states that participated in the creation of the cross-border health care system. The aim of this thesis is to contribute to the debate by placing focus on the fact that there is a very important difference between the effects caused by the development of the cross-border health care systems in Old" and New" Member States. The thesis will describe the impact of EU law on cross-border health care in the national systems and the opposition raised against it. The objective of this work is specific. It aims to underline the difference in the impact of cross-border health care on Old" and New" Member States, as well as the different interests of these two groups of states in relation to EU health care policy. The intention is not only to give an empirical impression of the impact of European integration on the set-up of healthcare states, but also to explore the different tensions caused by the cross-border health care system and the different expectations of it. An attempt will be made to prove that the relation between the EU law and the national health care systems was built on two-way influence. Not only did the Member States alter their health care systems to accommodate the rules of the internal market, but that the system of co-ordination of social security also had to be adapted in order to fit the multiple national systems.


Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies

Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies
Author: OECD
Publisher: OECD Publishing
Total Pages: 447
Release: 2019-10-17
Genre:
ISBN: 9264805907

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This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.


Free Movement of Patients in the EU

Free Movement of Patients in the EU
Author: Gabriella Berki
Publisher:
Total Pages: 256
Release: 2018
Genre: Freedom of movement
ISBN: 9781780686356

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The issues of patient mobility have been high on the EU's political agenda for the last two decades. However, the adoption of the Patient Mobility Directive, which had to be implemented by the Member States until 25 October 2013, added to the complexity of an already complex legislative system. Thus both, the new questions raised by the new piece of legislation and the old questions left without satisfactory answers call for new solutions. So particularly at a time, when the national application of the Directive is beginning to have an impact on border-crossing patients it is imperative to revisit patient mobility. However, in contrast to the existing literature, 'Free Movement of Patients in the EU' tests the current legal landscape from the perspective of border-crossing patients. How, in a multi-player arena of patients, healthcare providers, healthcare funds, national governments, Union institutions, etc. with colliding ideologies can the legal situation be improved in a way that better serves patients' interests while respecting the responsibilities of the Member States in this field and with the legal tools currently available?


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.


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).


Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.


Caring for Migrant and Minority Patients in European Hospitals

Caring for Migrant and Minority Patients in European Hospitals
Author: Alexander Bischoff
Publisher: SFM
Total Pages: 75
Release: 2006
Genre: Europe
ISBN: 2940379017

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Social changes in European societies place migration and cultural diversity on the European political agenda. The European initiative Migrant Friendly Hospitals (MFH) aims to identify, develop and evaluate models of effective interventions. It has the following objectives: To strengthen the role of hospitals in promoting the health of migrants and ethnic minorities in the European Union and to improve hospital services for these groups. This report reviews models of effective intervention in the medical literature and provides the background information needed to enable partner hospitals taking part in the MFH initiative to select and implement suitable interventions. The interventions reviewed in this study are grouped in four areas: Communication, Responsiveness Empowerment of migrant and minority patients and communities. Monitoring of the health of migrants and minorities and the health care they receive. [Ed.]


Changing the Health Care System

Changing the Health Care System
Author:
Publisher: National Academies
Total Pages: 120
Release: 1994
Genre: Health insurance
ISBN:

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