scholarly journals Access to cross-border health care services for patients with rare diseases in the European Union

2014 ◽  
pp. 39 ◽  
Author(s):  
Lise Lise Aagaard ◽  
Kent Kristensen
Keyword(s):  
Health Care ◽  
European Union ◽  
Rare Diseases ◽  
Health Care Services ◽  
The European Union ◽  
Border Health ◽  
Cross Border ◽  
Care Services

scholarly journals E-HEALTH IN THE CONTEXT OF THE SUBSIDIARITY PRINCIPLE. COMMENTS AGAINST THE BACKGROUND OF POLISH LAW

2019 ◽  
Vol 35 (4) ◽  
pp. 27-40
Author(s):  
Leszek Sobieski
Keyword(s):  
Health Care ◽  
European Union ◽  
Information And Communication Technologies ◽  
Health Care Services ◽  
Communication Technologies ◽  
The European Union ◽  
Care Services ◽  
New Information ◽  
Subsidiarity Principle ◽  
Information And Communication

In the article an attempt was made to present the assumptions of Polish legislative solutions concerning e-health in the context of one of the basic principles of European philosophical and legal thought – the principle of subsidiarity. The principle of subsidiarity, the essence of which is to leave it to the political communities to carry out tasks for which they can take responsibility, has been incorporated into the legislation of nation states and the European Union, determiningthe identity of European civilisation. Article 5 of the Treaty on European Union and the Treaty on the Functioning of the European Union and the preamble to the Constitution of the Republic of Poland are an example of the translation of the subsidiarity principle into legal norms. Attention has been paid to the possibility of decentralising and delegating competences to lower levels of public authority in the field of health, using or amending the e-health legislation accordingly. Appropriate division of tasks and competences in the area of health care, taking into account the subsidiarity principle, can be observed at both national and EU level. European Union law recognises the autonomy of the Member States to define national health regulations. On the basis of selected national and EU regulations, a definition of e-health has been proposed, understood as a set of provisions within the health care system regulating the collection, processing of data and provision of health care services in order to identify and optimise the satisfaction of individual and collective health needs as well as to pursue an effective health policy by public authorities. The basic assumptions of key national and EU legal acts are also indicated. On the basis of the solutions adopted in the Act on Health Care Services Financed from Public Funds, the formal possibility of delegating and effective performance of tasks has been demonstrated in the field of health protection by local government units. New information and communication technologies provide the basis for a more complete implementation of the subsidiarity principle in health protection, as they enable the necessary knowledge on the collective and individual health needs at European, national and any other expected level – regional, population, age to be gathered and transferred. They are a tool, previously unavailable, for the precise identification of the needs of separated communities. On the other hand, new technologies can be a tool for communities to meet these needs to the extent that they are able to provide organisational and financial security. The combination of new information and communication technologies with the application of a systematic concept of tasks implementation based on the principle of subsidiarity will allow for a change in the model of health care in Poland.

scholarly journals Cross-border health care in the European Union: an introduction

1997 ◽  
Vol 7 (suppl 3) ◽  
pp. 1-3 ◽  
Author(s):  
R. Leidl ◽  
G. Rhodes
Keyword(s):  
Health Care ◽  
European Union ◽  
The European Union ◽  
Border Health ◽  
Cross Border

scholarly journals Cross-Border Health Care in the European Union: Evaluation of Different Financing Arrangements

2017 ◽  
Vol 9 (2) ◽  
pp. 8-20
Author(s):  
Walter Ried ◽  
Frauke Henriette Rau
Keyword(s):  
Health Care ◽  
European Union ◽  
Health Insurance ◽  
Health Care Expenditure ◽  
The European Union ◽  
Border Health ◽  
Administrative Burden ◽  
Cross Border ◽  
Eu Directive ◽  
The Impact

Abstract This paper analyses the impact of the financing arrangements for planned cross-border health care within the European Union. A financial arrangement is taken to provide a financial incentive but may also involve payment risks and administrative burden. For the pathways given by the Social Security Regulations (883/2004 and 987/2009) and the EU Directive 2011/24/EU, we investigate how the associated financial arrangements act on providers, patients and on publicly funded health insurance. First, the Regulations can induce cross-border health care that will increase domestic health care expenditure and may threaten national health policy by setting an incentive for patients to go abroad for health care not covered by domestic health insurance. Second, the financial arrangement of the Directive may induce cross-border health care which will lower domestic health care expenditure. However, due to considerable payment risks and administrative burden on both patients and providers, these benefits will not be reaped in full. Moreover, in the presence of national cost containment policies, the Directive may provide an incentive for cross-border health care that is too strong. Finally, due to the requirement to pay upfront, the financial arrangement also suffers from a lack of equity of access to health care provision abroad.

Making sense of human rights in the context of European Union health-care policy: individualist and communitarian views

2011 ◽  
Vol 7 (3) ◽  
pp. 335-356 ◽  
Author(s):  
Danielle da Costa Leite Borges
Keyword(s):  
Health Care ◽  
European Union ◽  
Human Rights ◽  
Health Care Services ◽  
Health Care Policy ◽  
Point Of View ◽  
The European Union ◽  
Care Policy ◽  
Care Services ◽  
The Right

AbstractThis article discusses the European Union health-care policy from a human rights law point of view. It departs from the analysis of international and European human rights documents in order to identify core elements and principles associated with the right to access health-care services. These elements and principles are then used to distinguish between individualist and communitarian views of health-care rights and to argue that a human rights approach to the right to access health-care services promotes a communitarian view of this right whereas European Union health-care policy has been promoting an individualist view of this right.

scholarly journals Cross-Border Health Care Services as Inward Internationalization

Internext ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. 306-323
Author(s):  
Renato Cotta de Mello ◽  
Angela Da Rocha ◽  
Henrique F. Pacheco
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Services ◽  
Decision Making Process ◽  
Border Health ◽  
Country Reputation ◽  
Cross Border ◽  
Care Services ◽  
Medical Clinics ◽  
Depth Analysis

Purpose: The research aimed at investigating the pre-conditions and the decision-making process by which physician-entrepreneurs adopt CBHCS as part of their business. Method: The study uses the case method of investigation. Main results: Results showed that, in the cases studied, international experience and international networking are relevant characteristics of the physician-entrepreneur, besides country reputation, cultural and language similarities, and physician reputation. In addition, the decision processes of the physician-entrepreneurs in these organizations are based on an effectual logic. The offer of cross-border health care services was a combination of given means and contingencies, which helped the entrepreneurs to discover, or to create, the opportunity, and then develop it. Relevance/originality: The research combines the literatures on effectuation and inward internationalization to study the decision-making process of adopting CBHCS by medical clinics. Theoretical contributions: The study contributes to the literature by identifying certain pre-conditions and providing an in-depth analysis of the use of effectual logic by physician-entrepreneurs in their decision-making process of adopting CBHCS.

scholarly journals Factors influencing decisions of Laotian patients to use health care services in Thailand

2014 ◽  
Vol 8 (5) ◽  
pp. 665-672 ◽  
Author(s):  
Suwaree Charoenmukayananta ◽  
Jiruth Sriratanaban ◽  
Sarunya Hengpraprom ◽  
Chanvit Trarathep
Keyword(s):  
Health Care ◽  
Health Services ◽  
Financial Support ◽  
Health Care Services ◽  
Border Health ◽  
Cross Border ◽  
Care Services ◽  
Factors Influencing ◽  
Use Of Health Care

Abstract Background: Thailand has been facing a gradual increase in use of cross-border health care. Nevertheless, no evidence regarding factors influencing cross-border use of health care by Laotian patients in public Thai hospitals among this group has been established. Objectives: To assess the use of cross-border health care by Laotian patients, and factors that may influence health services in public Thai hospitals along the border. Methods: This study consisted of two parts. (1) Site-visits to 53 Thai public hospitals along the Thai-Laos border during May to July 2011 and collection of data regarding the use of health care services by Laotian patients. (2) A structured questionnaire survey was conducted via face interviews by trained researchers. Findings were analyzed using descriptive statistics and multiple logistic regression. Results: The most common conditions for which treatment was sought were common diseases and basic operative procedures. All hospitals had been facing substantial financial burden, particularly for inpatient care. The analysis of use indicated that a perception of differences in the quality of health services, ability to pay for treatment anywhere, and distance to health services were three major factors affecting the decision of Laotian patients to cross the border to obtain health care in Thailand. Interviews with hospital directors and staff revealed that more financial support and a clear policy for care of Laotian patients was needed. Conclusions: The perception of better quality of health care in Thailand by Laotian patients was the major factor affecting cross-border use of health care services. Assistance to improve healthcare in Laos and financial support for subsidizing care for the indigent Laotian patients is needed.

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