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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.


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).


Patient Mobility and Healthcare in the EU.

Patient Mobility and Healthcare in the EU.
Author: Oxana Golynker
Publisher:
Total Pages: 22
Release: 2014
Genre:
ISBN:

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Since the seminal judgment of the Court of Justice in Kohll, the discussion of cross-border mobility has been dominated by an antagonistic relationship between the national health social contract and the rights of individual patients exercising their rights as health care service recipients in the cross-border context. The adoption of Directive 2011/24 on the Application of Patients' Rights in Cross-Border Healthcare has not changed this paradigm. The clash between social solidarity and the internal market is reflected in Directive 2011/24 in its conceptually confusing objective to facilitate the access to cross-border healthcare and achieve cross-border patient mobility without encouraging patients to receive treatment outside their Member State of affiliation. This draft chapter for the forthcoming Research Handbook on European Social Security Law edited by F. Pennings and G. Vonk (Edward Elgar) investigates the impact of this antagonistic approach on the coherence and effectiveness of the current network of regulation of cross-border patient mobility. It also presents a critical assessment of the potential of the current regulation of cross-border patient mobility with a view to transformation of the healthcare market into an area of service provision where the interests of mobile patients and the national solidaristic community are not in conflict.


Free Movement of Patients in the EU

Free Movement of Patients in the EU
Author: Gabriella Berki
Publisher:
Total Pages: 0
Release: 2018
Genre: Freedom of movement
ISBN: 9781780685755

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This book investigates the complex issues European patients face when obtaining healthcare abroad. It offers a clarification of both the legal and non-legal obstacles of cross-border patient mobility while focusing primarily on the needs and interests of the patients.


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?


Health Care and EU Law

Health Care and EU Law
Author: Johan Willem van de Gronden
Publisher: Springer Science & Business Media
Total Pages: 511
Release: 2011-05-18
Genre: Law
ISBN: 9067047287

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The EU has only limited competence to regulate national health-care systems but recent developments have shown that health care is not immune from the effects of EU law. As Member States have increasingly experimented with new forms of funding and the delivery of health-care and social welfare services, health-care issues have not escaped scrutiny from the EU internal market and from competition and procurement rules. The market-oriented EU rules now affect these national experiments as patients and health-care providers turn to EU law to assert certain rights. The recent debates on the (draft) Directive on Patients’ Rights further underline the importance, but also the difficulty (and controversy), of allowing EU law to regulate health care. The topicality of the range of issues related to health care and EU law was addressed, in October 2009, at a conference held in Nijmegen, The Netherlands. The present volume contains inter alia the proceedings of this conference and invited essays. This volume follows the publication of The Changing Legal Framework for Services of General Interest in Europe. Between Competition and Solidarity (Krajewski M et al (eds) (2009) T.M.C. Asser Press, The Hague) and launches a new series: Legal Issues of Services of General Interest. The aim of the series is to sketch the framework for services of general interest in the EU and to explore the issues raised by developments related to these services. The book is compulsory reading for everyone who is engaged in issues relating to health care and EU law. Johan van de Gronden is Professor of European Law at the Law Faculty of the Radboud University Nijmegen, the Netherlands. Erika Szyszczak is a Jean Monnet Professor of European Law ad personam and Professor of European Competition and Labour Law at the University of Leicester, UK. Ulla Neergaard is Professor of EU law at the Law Faculty of the University of Copenhagen, Denmark. Markus Krajewski is Professor of International Public Law, Faculty of Law, University of Erlangen-Nuremberg, Germany.


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.


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.


Health Professional Mobility and Health Systems

Health Professional Mobility and Health Systems
Author: Matthias Wismar
Publisher:
Total Pages: 0
Release: 2011
Genre: Medical
ISBN: 9789289002479

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The mobility of health professionals affects the performance of health systems, and increasingly so since the European Union (EU) enlargements in 2004 and 2007. This publication presents research on the gaps in knowledge about the numbers, trends, impacts and policy responses to this dynamic situation, in particular in Austria, Belgium, Estonia, Finland, France, Germany, Hungary, Italy, Lithuania, Poland, Romania, Serbia, Slovakia, Slovenia, Spain, Turkey and the United Kingdom. Conducted within the framework of the European Commission s Health PROMeTHEUS project, the research posed a set of questions of key interest to policy-makers: * What are the scale and characteristics of health professional mobility in the EU? * What have been the effects of EU enlargement? * What are the motivations of the mobile workforce? * What are the resulting impacts on health system performance? * What is the policy relevance of those impacts? * What are the policy options to address health professional mobility issues? In answering these questions, this publication offers policymakers evidence of the nature and extent of health professional mobility in the EU, analyzes its impact on country health systems and outlines some major policy strategies to address mobility.


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.