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Dream vs. reality: Seven case-studies on the desirability and feasibility of cross-border hospital collaboration in Europe

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  • Glinos, Irene A.
  • Baeten, Rita

Abstract

Despite being a niche phenomenon, cross-border health care collaboration receives a lot of attention in the EU and figures visibly on the policy agenda, in particular since the policy process which eventually led to the adoption of Directive 2011/24/EU. One of the underlying assumptions is that cross-border collaboration is desirable, providing justification to both the European Commission and to border-region stakeholders for promoting it. The purpose of this paper is to question this assumption and to examine the role of actors in pushing (or not) for cross-border collaboration. The analysis takes place in two parts. First, the EU policies to promote cross-border collaboration and the tools employed are examined, namely (a) use of European funds to sponsor concrete border-region collaboration projects, (b) use of European funds to sponsor research which gives visibility to cross-border collaboration, and (c) use of the European Commission's newly acquired legal mandate to encourage “Member States to cooperate in cross-border health care provision in border-regions” (Art. 10) and support “Member States in the development of European reference networks between health care providers and centres of expertise” (Art. 12). Second, evidence gathered in 2011–2013 from seven European border-regions on hospital cross-border collaboration is systematically reviewed to assess the reality of cross-border collaboration – can it work and when, and why do actors engage in cross-border collaboration? The preliminary findings suggest that while the EU plays a prominent role in some border-region initiatives, cross-border collaboration needs such a specific set of circumstances to work that it is questionable whether it can effectively be promoted. Moreover, local actors make use of the EU (as a source of funding, legislation or legitimisation) to serve their needs.

Suggested Citation

  • 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.
  • Handle: RePEc:eee:socmed:v:117:y:2014:i:c:p:18-24
    DOI: 10.1016/j.socscimed.2014.07.015
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    References listed on IDEAS

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    1. Kostera, Thomas, 2013. "Subnational responsibilities for healthcare and Austria's rejection of the EU's patients’ rights Directive," Health Policy, Elsevier, vol. 111(2), pages 149-156.
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    Cited by:

    1. 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.

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