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Analysing arrangements for cross-border mobility of patients in the European Union: A proposal for a framework

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  • Legido-Quigley, Helena
  • Glinos, Irene A.
  • Baeten, Rita
  • McKee, Martin
  • Busse, Reinhard

Abstract

This paper proposes a framework for analyzing arrangements set up to facilitate cross-border mobility of patients in the European Union. Exploiting both conceptual analysis and data from a range of case studies carried out in a number of European projects, and building on Walt and Gilson's model of policy analysis, the framework consists of five major components, each with a subset of categories or issues: (1) The actors directly and indirectly involved in setting up and promoting arrangements, (2) the content of the arrangements, classified into four categories (e.g. purchaser–provider and provider-provider or joint cross-border providers), (3) the institutional framework of the arrangements (including the underlying European and national legal frameworks, health systems’ characteristics and payment mechanisms), (4) the processes that have led to the initiation and continuation, or cessation, of arrangements, (5) contextual factors (e.g. political or cultural) that impact on cross-border patient mobility and thus arrangements to facilitate them. The framework responds to what is a clearly identifiable demand for a means to analyse these interrelated concepts and dimensions. We believe that it will be useful to researchers studying cross-border collaborations and policy makers engaging in them.

Suggested Citation

  • Legido-Quigley, Helena & Glinos, Irene A. & Baeten, Rita & McKee, Martin & Busse, Reinhard, 2012. "Analysing arrangements for cross-border mobility of patients in the European Union: A proposal for a framework," Health Policy, Elsevier, vol. 108(1), pages 27-36.
  • Handle: RePEc:eee:hepoli:v:108:y:2012:i:1:p:27-36
    DOI: 10.1016/j.healthpol.2012.07.001
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    References listed on IDEAS

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    1. Glinos, Irene A. & Baeten, Rita & Maarse, Hans, 2010. "Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries," Health Policy, Elsevier, vol. 95(2-3), pages 103-112, May.
    2. Glinos, Irene A. & Doering, Nora & Maarse, Hans, 2012. "Travelling home for treatment and EU patients’ rights to care abroad: Results of a survey among German students at Maastricht University," Health Policy, Elsevier, vol. 105(1), pages 38-45.
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    Citations

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    Cited by:

    1. Brekke, Kurt R. & Levaggi, Rosella & Siciliani, Luigi & Straume, Odd Rune, 2014. "Patient mobility, health care quality and welfare," Journal of Economic Behavior & Organization, Elsevier, vol. 105(C), pages 140-157.
    2. Denita Cepiku & Benedetta Marchese & Federico Spandonaro, 2019. "La mobilit? transfrontaliera dei pazienti: un?analisi del fenomeno in Italia," MECOSAN, FrancoAngeli Editore, vol. 2019(112), pages 61-82.
    3. Lautier, Marc, 2014. "International trade of health services: Global trends and local impact," Health Policy, Elsevier, vol. 118(1), pages 105-113.
    4. Casha, Annalise & Casha, Ramon & Azzopardi Muscat, Natasha, 2020. "Moving health professionals as an alternative to moving patients: The contribution of overseas visiting medical specialists to the health system in Malta," Health Policy, Elsevier, vol. 124(5), pages 519-524.
    5. Schmidt, Andrea E. & Bobek, Julia & Mathis-Edenhofer, Stefan & Schwarz, Tanja & Bachner, Florian, 2022. "Cross-border healthcare collaborations in Europe (2007–2017): Moving towards a European Health Union?," Health Policy, Elsevier, vol. 126(12), pages 1241-1247.
    6. Perna, Roberta & Cruz-Martínez, Gibrán & Moreno Fuentes, Francisco Javier, 2022. "Patient mobility within national borders. Drivers and politics of cross-border healthcare agreements in the Spanish decentralized system," Health Policy, Elsevier, vol. 126(11), pages 1187-1193.
    7. Glinos, Irene A. & Baeten, Rita, 2015. "Reprint of: Dream vs. reality: Seven case-studies on the desirability and feasibility of cross-border hospital collaboration in Europe," Social Science & Medicine, Elsevier, vol. 124(C), pages 331-337.
    8. Glinos, Irene A. & Baeten, Rita, 2014. "Dream vs. reality: Seven case-studies on the desirability and feasibility of cross-border hospital collaboration in Europe," Social Science & Medicine, Elsevier, vol. 117(C), pages 18-24.

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