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Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system

Author

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  • Sabina Stan

    (8818Dublin City University and University College Dublin, Ireland)

  • Roland Erne

    (8797University College Dublin, Ireland)

Abstract

Health services have long been insulated from the process of European integration. In this article, however, we show that we are witnessing their re-configuration in an emerging EU health-care system. The article uncovers the structuring lines of this system by focusing on three interrelated EU-wide processes influencing the integration of national health-care systems into a larger whole. First, the privatisation of health-care services following the constraints of Maastricht economic convergence and the EU accession criteria; second, health-care worker and patient mobility arising from the free movement of workers and services within the European Single Market; and third, new EU laws and country-specific prescriptions on economic governance that the EU has been issuing following the 2008 financial crisis. The article shows that these processes have helped to construct a European health-care system that is uneven in terms of the distribution of patient access to services and of health-care workers’ wages and working conditions, but very similar in terms of EU economic and financial governance pressures on health care across EU Member States.

Suggested Citation

  • Sabina Stan & Roland Erne, 2021. "Time for a paradigm change? Incorporating transnational processes into the analysis of the emerging European health-care system," Transfer: European Review of Labour and Research, , vol. 27(3), pages 289-302, August.
    • Handle: RePEc:sae:treure:v:27:y:2021:i:3:p:289-302
    DOI: 10.1177/10242589211026815
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    References listed on IDEAS

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    Cited by:

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    2. Imre G. Szabó, 2022. "The wages of reconstruction – the EU’s new budget and the public service staff shortage crisis on the EU’s eastern periphery1," Transfer: European Review of Labour and Research, , vol. 28(1), pages 141-145, February.
    3. Petrovici, Norbert & Belbe, Stefana (Ștefana) & Mare, Codruta (Codruța) & Cotoi, Calin (Călin), 2023. "Hybrid health regimes: Access to primary care physicians and COVID-19 vaccine uptake across municipalities in Romania," Social Science & Medicine, Elsevier, vol. 337(C).
    4. Costanza Galanti, 2024. "National heroes, disposable workers. How collective action in the health and social care sector during the pandemic negotiated with the self‐sacrificing worker ideal," Gender, Work and Organization, Wiley Blackwell, vol. 31(2), pages 606-624, March.
    5. Kurt Vandaele, 2021. "Applauded ‘nightingales’ voicing discontent. Exploring labour unrest in health and social care in Europe before and since the COVID-19 pandemic," Transfer: European Review of Labour and Research, , vol. 27(3), pages 399-411, August.

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