By Magdalene Rosenmöller, Martin McKee & Rita Baeten
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Additional resources for Patient Mobility in the European Union: Learning from Experience
From the policy point of view a number of issues need to be addressed: • facilitation of free choice of provider and of second opinions, especially where providers are geographically close by but separated by a border; • macro system issues – financing and reimbursement of services in each country, sustainability of free movement of patients, limitations imposed (in view of the European Court of Justice (ECJ) judgments); • micro system issues – regional coordination of patient flows irrespective of national borders, sharing of capacities.
For example, it has approved some requests for elective treatment in other countries, but only for certain methods of treatment not available in Slovenia. Reflecting a concern about long waiting lists, the HIIS offered patients on the national waiting list for cardiac surgery the opportunity to receive treatment abroad. Less than 10% of patients decided to take up the offer. 18 Patient Mobility in the European Union Interviews with providers also indicated that the Italian national health system and Austrian health insurance funds applied strict regulations to patient mobility between the three countries.
2 km2. Populations are 15 330 and 7100 respectively. Both towns are surrounded by counties with populations of about 30 000. Historically, until the 19th century, the area now divided by an international border was just a small town, populated by Germans, Latvians, Estonians and Russians. The building of the railway in 1889 led to a doubling of the town’s population over 20 years, and by the beginning of the 20th century Estonians represented the biggest nationality in the town. With the declaration of independence in 1918, both Latvia and Estonia claimed Valga as their own territory.