Cross-border patient mobility in the European Union: in search of benefits from the new legal framework

Baeten, Rita

doi:10.1177/1355819614544202

Cited by 13 publications

(8 citation statements)

References 4 publications

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“…The fourth factor titled Border Interaction, due to the characteristics of the border regions; it is integrated by the familiarity and accessibility of the destination and clinics, cultural aspects such as communicating in the same language with the doctor and staff (19), in other words, the knowledge of the tourist language (20). Similar conclusions were found in the studies of the case in the European Union border region (14, 10).…”

Section: Discussionsupporting

confidence: 91%

“…Patients prefer to be treated outside their country when they are more familiar with the foreign language, culture or healthcare system or when services are similar to those offered in their country of residence; this is the typical case of citizens living in border regions. In addition, migrants often prefer to be treated in their home countries (10).…”

Section: Discussionmentioning

confidence: 99%

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Factors Driving the American Aesthetic Tourism to South of the Border

Cuamea¹,

Ramos²

2019

ijph

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Background: The problem consists in the lack of knowledge of the factors that tourists choose the clinics of a foreign city for their aesthetics treatments, especially at a frontier where a developed and developing country coexist and interact. Methods: The information was obtained on 2016, by applying an exit pool survey to a selected sample of 385 visitors-patients from clinics in the Tijuana, Mexico. Sixteen items were included in the exploratory factor analysis. Results: Four key factors influenced the decision: Quality & Prestige of Clinic and Surgeon, Integration with Tourism Sector, Destination Image and Border Interaction. All the elements had a load factor greater than 0.56 which proved the actual fit in the factor analysis and none of the included variables is trivial. Conclusion: Allow maintaining or increasing the attractiveness of a border city for aesthetic tourism, the administrators of the clinics establish cooperation agreements with entrepreneurs of the tourism sector to benefit their patients.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Factors Driving the American Aesthetic Tourism to South of the Border

Cuamea¹,

Ramos²

2019

ijph

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“…Moreover, health policy is a political field traditionally kept by sovereign nation states in Europe (Mossialos et al, 2010). Thus, the developments in EU health policy and law have attracted much attention among academics as well as practitioners in Europe (Greer, 2006(Greer, , 2008(Greer, , 2013Martinsen and Vrangbaek, 2008;Martinsen and Blomqvist, 2009;Martinsen, 2009Martinsen, , 2011Mossialos et al, 2010;Pennings, 2011;Baeten, 2014;Vollaard and Martinsen, 2014;Vollaard et al, 2016).…”

Section: The Convergence Hypothesis In Eu Studiesmentioning

confidence: 99%

The implementation of European Union (EU) rules on cross-border care: moving towards convergence?

Nordeng

Veggeland

2018

HEPL

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This article studies the implementation of the European Union (EU)'s Patients' Rights Directive in Germany and Norway. The objective of the Directive was to allow EU member states to have a say in the regulatory work, ensure predictability and uniformity in the application of EU rules on cross-border care, and enhance a move towards EU harmonisation in this area. So far, the implementation processes in Norway and Germany have mixed results regarding the likelihood of achieving uniformity and harmonisation. Although the Directive has had convergent effects on certain areas of cross-border care, such as setting up National Contact Points and providing patients with the basic right to treatment abroad, implementation also shows divergent patterns. In both countries, adapting to EU rules has strengthened patients' rights to choose freely among health-service providers in a wider European health-service market. However, due to legal discretion and country-specific institutions within which the new rules are applied, divergent patterns prevail.

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“…Despite these additional risks to patient safety, little research is available on cross-border handover from a stakeholder perspective. Existing literature on cross-border healthcare essentially focuses on European law and policy8–11 and does not sufficiently elaborate on the practical needs of stakeholders involved. Studies that did involve healthcare professionals seem to focus on general aspects of cross-border healthcare and provide little insight into the practical challenges (and solutions) of cross-border handover 12 13.…”

Section: Introductionmentioning

confidence: 99%

Going the extra mile — cross-border patient handover in a European border region: qualitative study of healthcare professionals’ perspectives

et al. 2020

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BackgroundCross-border healthcare is complex, increasingly frequent and causes potential risks for patient safety. In this context, cross-border handovers or the transfer of patients from one country to another deserves particular attention. Although general handover has been the topic of extensive research, little is known about the challenges of handover across national borders, especially as perceived by stakeholders. In this study, we aimed to gain insight into healthcare professionals’ perspectives on cross-border handover and ways to support this.MethodsWe conducted semistructured interviews with healthcare professionals (physicians, nurses, paramedics and administrative staff) in a European border region to investigate their perspectives on cross-border handover. The interviews were aimed to investigate settings of acute and planned handover. Informed by the theory of planned behaviour (TPB), interviews focused on participant perspectives. We summarised all interviews and inductively identified healthcare professionals’ perspectives. We used elements of the TPB as sensitising concepts.ResultsForty-three healthcare professionals participated. Although respondents had neutral to positive attitudes, they often did not know very well what was expected of them or what influence they could have on improving cross-border handover. Challenges covered five themes: information transfer, language barriers, task division and education, policy and financial structures and cultural differences. To overcome these challenges, we proposed strategies such as providing tools and protocols, discussing and formalising collaboration, and organising opportunities to meet and get to know each other.ConclusionHealthcare professionals involved in cross-border handovers face specific challenges. It is necessary to take measures to come to a shared understanding while paying special attention to the above-mentioned challenges. Meeting in person around meaningful activities (eg, training and case discussions) can facilitate sharing ideas and community building.

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Cross-border patient mobility in the European Union: in search of benefits from the new legal framework

Cited by 13 publications

References 4 publications

Factors Driving the American Aesthetic Tourism to South of the Border

Factors Driving the American Aesthetic Tourism to South of the Border

The implementation of European Union (EU) rules on cross-border care: moving towards convergence?

Going the extra mile — cross-border patient handover in a European border region: qualitative study of healthcare professionals’ perspectives

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