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Cross-border Health Care in the European Union
Cross-border health care is a growing phenomenon in the European Union. When in need of medical treatment, patients increasingly act as informed consumers who claim the right to choose their own providers, including those beyond borders. They are supported and encouraged by factors such as the Internet and more internationally trained health professionals, and often motivated by dissatisfaction with health care provision in their home country. Some authorities and health insurers even contract with health care providers abroad or inform patients of such options. Cross-border health care also encompasses doctors and nurses, who train and work abroad and increasingly cooperate with colleagues abroad. In some cases, health services themselves cross borders – through telemedicine – or providers collaborate with financing institutions in other countries. This book explores these trends, looks at the legal framework and examines the legal uncertainties surrounding rights, access, reimbursement, quality and safety. It examines different approaches to these concerns and the methodologies to use to ease or resolve them. The information and analysis presented mark an important step in the continuing debate on a legal framework for cross-border health care and will be of considerable use to policy-makers and those with an interest in key aspects of cross-border health care. Edited by Matthias Wismar, Willy Palm, Josep Figueras, Kelly Ernst and Ewout van Ginneken Observatory Studies Series, No. 22 2011, xxiii + 376 pages ISBN 978 92 890 0221 9 CHF/US$ 60.00 In developing countries: CHF/US$ 42.00 Order no. 13400108
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Contents Chapter 1. The Health Service Initiative: supporting the construction of a framework for cross-border health care Matthias Wismar, Willy Palm, Ewout van Ginneken, Reinhard Busse, Kelly Ernst and Josep Figueras Chapter 2. Towards a renewed Community framework for safe, highquality and efficient cross-border health care within the European Union Willy Palm, Matthias Wismar, Ewout van Ginneken, Reinhard Busse, Kelly Ernst and Josep Figueras Chapter 3. Access to health care services within and between countries of the European Union Reinhard Busse, Ewout van Ginneken and Markus Wörz
Chapter 5. Quality and safety Helena Legido-Quigley, Irene A. Glinos, Kieran Walshe, Benno van Beek, Cule Cucic and Martin McKee Chapter 6. Mapping national practices and strategies relating to patients’ rights Herman Nys and Tom Goffin Chapter 7. Cross-border collaboration Irene A. Glinos Chapter 8. Past impacts of cross-border health care Rita Baeten Chapter 9. Cross-border health care data Ewout van Ginneken and Reinhard Busse Chapter 10. Annexes to Chapter 5
Chapter 4. Benefit baskets and tariffs Reinhard Busse, Ewout van Ginneken, Jonas Schreyögg and Marcial Velasco Garrido
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