| Policy | |
|---|---|
1 | Cross border health care is available for all patients with no authorisation needed. The state reimburses the costs of treatment, travel and accompanying persons directly and upfront. No investment on e-Health. |
2 | Cross border health care is available for all patients, but authorisation from the state is required. The state reimburses the cost of treatment and travel for patient only. No investment on e-Health. |
3 | Cross border healthcare is possible for patients only if treatment is not available in their country of residence. Only direct costs of the treatment are reimbursed. No prior authorisation is needed. The state invests some in e-Health initiatives. |
4 | Cross border health care is minimised. It has to be authorised by the state for special cases and only direct costs of the treatment are reimbursed, after it has taken place. If a treatment is not approved (for ethical reasons) in residence country it is not reimbursed for treatment abroad. The state makes e-Health major priority to minimise cross border health care. |
Overview of the new policies developed by players
Cross border health care is available for all patients with no authorisation needed. The state reimburses the costs of treatment, travel and accompanying persons directly and upfront. The state also makes e-health a major priority to minimise cross border health care. (Combination of Policy 1 and Policy 4)
France, 01/07/2010
Cross border health-care is possible for patients only if treatment is not available in their country of residence. No prior authorization is needed. The state invests some in e-Health initiatives. If the patient is child or unable for independent living one carer costs must be reimbursed also, not only the expenses of the direct treatments.
Hungary, 02/07/2010
The goverment invest in some e-healthcare development, and creats the emergecy system with reimbursing the fees for the patient and for his one accompany.
Hungary, 14/04/2010
The goverment should reimburse the fees for the patient and his accompany where appropriate, and should take care of the e-healthcare.
Hungary, 14/04/2010
Lo stato attribuisce la massima priorità all'e-health per ridurre al minimo la necessità di ricevere assistenza sanitaria all'estero. Tuttavia se fosse comunque necessaria lo stato rimborsa in anticipo i costi sostenuti per le terapie, il viaggio e, in caso di stretta necessità, dell'accompagnatore. L'assistenza all'estero è disponibile a tutti i pazienti senza necessità di autorizzazione.
Italy, 22/02/2011
5 participants
Italy, 12/05/2011
State authorisation required, income based assessment, travel and carer costs to be included in reimbursement, upfront payment required and investment in e-health
France, 16/05/2011
Policy 2: One change in statement - investment in e-health instead of 'state' health insurance company in Holland = Targ vergeheraas??
Netherlands, 12/05/2011
Cross border healthcare should be available for all patietns with rare diseases based on public decide criteria by an expert centre. Reimbursement by a European Healthcare unit (insurance) - each country donates a percentage of their overall investment in E-Health.
Netherlands, 12/05/2011
Cross border health care should be possible for patients only if treatment is not available in their country. Costs of treatment and travel for partner or necessary accompanying persons. No prior authorisation is needed.
Netherlands, 12/05/2011
E-health should be a major priority. Need for crossborder healthcare should be minimised by encouraging the development of good quality treatment in each country.
France, 30/06/2011
Cross-border Health Care should be available and equally provided to patients, when specific and necessary healthcare cannot be held in Greece.
Greece, 18/07/2011
The state should reimburse the costs of treatment and transport for the patient and guardian if they are a minor or carer if cannot travel independently. Cross border healthcare should be accessible to patients if their treatment is not available in their country of residence. No prior authorisation should be needed. The state should invest in e-health online initiatives. If the treatment is not approved (for ethical reasons) in the country of residence, it should not be reimbursed if attained abroad.
France, 21/07/2011
From our point of view a Cross Border Health Agency should be created in order to establish the legislations concering treatment, quality, efficacy, prices and reimbursement. This agency should nominate an external committee in order to supervise whether each RU member follows the laws. In addition, the electronic health card, should function in all countries, and the information included should be the same in every country. Finally, families should have access to updated information concerning possible treatment, Of course, this must be done by a medical doctor.
Spain, 28/07/2011
Grensoverschrijdende zorg voor alle patiënten, altijd na toestemming van zorgverzekeraar/Staat, wanneer zorg niet in eigen land te krijgen is. Hieraan mogen geen ethische beperkingen in de weg liggen. Kosten voor behandeling, reiskosten en verblijf worden vooraf vergoed. Staat waarborgt snelle beslissing van zorgverzekeraar. Staat en EU investeren gezamenlijk in initiatieven voor eGezondheid. Cross-border care for all patients, always with the permission of insurer / State, if care is not available at home. Unless there are ethical restrictions from National policy. Costs for treatment, travel expenses and accommodation are paid in advance. State health insurance ensures fast decision. State and EU investment in joint initiatives for eHealth.
Netherlands, 09/08/2011
Se añade a la posición 3: Todo el ciudadano tiene el derecho a una segunda opinión medica con un especialista de otro pais. votación 4
Spain, 11/07/2011
Recommendation 5 Cross border medical health care should be available to every patient but under the condition that permission is to be obtained by the relevant authority in certain Member States. A Member State should refund costs of treatment and trips for the patient. In a emergency cases only with applicable authority consent will be required, no necessity of personal presence of the patient and directing physician; the usage of e-media in admission process is possible.
Poland, 21/07/2011
A combination of Policy 1 and Policy 2. Cross border health care should be available for all patients with no authorisation needed. The state reimburses the cost of treatment and travel for patients only.
Ukraine, 11/07/2011
Where no treatment exists in a country then it should be possible to travel abroad to get that treatment if it's available in another country. Prior authorisation ok if timely. Actual costs of treatment and travel for patient and carer (if required). Quality determined by acceptance as a Centre of Expertise. If no C of E exists in the country then can travel.
France, 30/06/2011
E-Health should take into account possibility of non-EU countries investing through personalized insurance cover payment.
Ukraine, 11/07/2011
European legislation enactment is crucial for determining cross-border health care provision and patient’s responsibilities as well
Greece, 18/07/2011
Remarks: It is necessary to introduce a list of common/general diseases (‘basket of services’) for the entire EU, different costs in the treatment of such diseases should be refunded by EU. Common diseases should be treated in national health centres. EU budget should be focused on development and modernisation of such national centres. Rare diseases should be treated in Centres of Reference in entire EU. A general EU Information Centre should be established to facilitate the exchange of comprehensive information both on national health centres and Centres of References. Compulsory training for physicians on dissemination of information among the patients regarding accessibility of treatment in certain centres (further development of ORPHANET). The active part in the process of information dissemination should be also given to non-governmental organisations (recently sometimes it is the only source of reasonable information for patients) The concept of e-health should definitely be developed especially in the context of the contact between patients vs. physician and general practitioner vs. specialist. A new regulation by EU should come into force taking into consideration the model of the cross border health care vs the law on Private Data Protection.
Poland, 21/07/2011
National Health Care Expenses Committee establishment which applies systematic check, law enforcement and medical criteria. Proper guidance and avoidance of bureaucracy.
Greece, 18/07/2011
Provision of electronic services for patients: 1) telemedical systems where possible, 2) Internet information from expertise medical. Patients should not search for information by themselves, specialized personnel must guide them ant their families.
Greece, 18/07/2011

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