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Autor
Ried Walter (University of Greifswald, Germany), Rau Frauke Henriette (University of Greifswald, Germany)
Tytuł
Cross-Border Health Care in the European Union: Evaluation of Different Financing Arrangements
Źródło
Engineering Management in Production and Services, 2017, nr 2, s. 8-20, rys., bibliogr. 21 poz.
Słowa kluczowe
Opieka zdrowotna, Zabezpieczenie społeczne, Polityka zdrowotna, Międzynarodowa wymiana usług, Rynek usług zdrowotnych, Finansowanie ochrony zdrowia
Health care, Social security system, Health care policy, International trade in services, Health care services market, Financing of health protection
Uwagi
summ.
Firma/Organizacja
Unia Europejska (UE)
European Union (EU)
Abstrakt
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 pa-tients 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. (original abstract)
Dostępne w
Biblioteka SGH im. Profesora Andrzeja Grodka
Pełny tekst
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Bibliografia
Pokaż
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  2. Busse, R., & Blumel, M. (2014). Germany: health system review. Health Systems in Transition, 16(2), 1-296.
  3. Busse, R., van Ginneken, E., & Worz, M. (2011). Access to health care services within and between countries of the European Union. In M. Wismar, W. Palm, J. Figueras, K. Ernst, E. van Ginneken (Eds.), Crossborder health care in the European Union - Mapping and analyzing practices and policies, (pp. 47-90). Copenhagen, Denmark: European Observatory on Health Systems and Policies.
  4. Chevreul, K., Berg Brigham, K., Durand-Zaleski, I., & Hernandez-Quevedo, C. (2015). France: Health system review. Health Systems in Transition, 17(3), 1-218.
  5. Cylus, J., Richardson, E., Findley, L., Longley, M., O'Neill, C., & Steel, D. (2015). United Kingdom: Health system review. Health Systems in Transition, 17(5), 1-125.
  6. Department of Health. (2016). Guidance on implementing the overseas visitor hospital charging regulations 2015. Retrieved from https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/496951/Overseas_visitor_hospital_charging_accs.pdf
  7. Directive 2011/24/EU of the European Parliament and of the Council of March 2011 on the application of patients' rights in cross-border health care 2011 (EU).
  8. European Commission. (2015a). Evaluative study on the cross-border healthcare Directive (2011/24/EU). Final report. Retrieved from https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/2015_evaluative_study_exsum_en.pdf
  9. European Commission. (2015b). Commission report on the operation of Directive 2011/24/EU on the application of patients' rights in cross-border healthcare. Report from the Commission to the European Parliament and the Council. Retrieved from https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/2015_operation_report_dir201124eu_en.pdf
  10. European Commission. (2016). Member State data on crossborder healthcare following Directive 2011/24/EU. Year 2015. Retrieved from https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/2015_msdata_en.pdf
  11. European Patients Forum. (2013). EU Directive 2011/24/EU on the application of patients' rights in cross-border healthcare: Legislation Guidance for Patient Organisations. Retrieved from http://www.eu-patient.eu/globalassets/policy/cross-borderhealthcare/2013-11-18_cbhc_guidance-final.pdf
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  14. Ferre, F., de Belvis, A.G., Valerio, L., Longhi, S., Lazzari, A., Fattore, G., Ricciardi, W., & Maresso, A. (2014). Italy: Health System Review. Health Systems in Transition, 16(4), 1-168.
  15. Footman, K., Knai, C., Baeten, R., Glonti, K., & McKee, M. (2014). Cross-border health care in Europe. WHO Regional Office for Europe and European Observatory on Health Systems and Policies. Copenhagen, Denmark: WHO Regional Office for Europe.
  16. Hartrampf, C. (2016). Towards amplified awareness of EU rights to crossborder care: Stakeholders' perspectives concerning information on cross-border care [Conference PDF Presentation]. Retrieved from https://ec.europa.eu/health/sites/health/files/cross_border_care/docs/ev_20161024_co01_en.pdf
  17. Herault, S. (2012). Grenzuberschreitende Inanspruchnahme von Gesundheitsleistungen in der Europaischen Union. Ruck- und Anreizwirkungen im deutschen Gesundheitssystem [Cross-border utilization of health care in the European Union. Feedback and incentive effects for the German health care system] [Disseration]. Heidelberg, Germany: Universitat Heidelberg.
  18. House of Commons, Committee of Public Accounts. (2017). NHS treatment for overseas patients. Thirty-seventh Report of Session 2016-17. Retrieved from https://www.publications.parliament.uk/pa/cm201617/cmselect/cmpubacc/771/771.pdf
  19. National Audit Office. (2016). Recovering the cost of NHS treatment for overseas visitors. Retrieved from https://www.nao.org.uk/wp-content/uploads/2016/10/Recovering-the-cost-of-NHS-treatment-for-overseasvisitors.pdf
  20. Ried, W., & Marschall, P. (2016). Potential benefits of cross-border health care: The case of Poland and Germany. Economics & Sociology, 9(3), 14-27.
  21. Wismar, M., Palm, W., van Ginneken, E., Busse, R., Ernst, & K., Figueras, J. (2011). The Health Service Initiative: supporting the construction of a framework for cross-border health care. In M. Wismar, W. Palm, J. Figue-ras, K. Ernst, E. van Ginneken (Eds.), Cross-border health care in the European Union - Mapping and analyzing practices and policies, (pp. 1-22). Copenhagen, Denmark: European Observatory on Health Systems and Policies.
Cytowane przez
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ISSN
2543-6597
Język
eng
URI / DOI
http://dx.doi.org/10.1515/emj-2017-0009
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